代谢异常型肥胖的影响因素分析

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (627 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the influencing factors of metabolic abnormality obesity. Methods A total of 563 outpatients and physical examination subjects in Xiangya Hospital of Central South University from March to December 2019 were selected as the research subjects by convenience sampling. According to whether they had metabolic abnormal obesity, they were divided into two groups, metabolic obesity group (59 cases) and non-metabolic obesity group (504 cases). The general information and the scores of diet and exercise self-efficacy of the two groups were collected, and the influencing factors of metabolic abnormality obesity were analyzed by multi-factorial logistics regression. Results The proportions of male, age ≥45 years old, junior high school education level or below, retired or unemployed, city of residence, abnormal waist-hip ratio in the metabolic abnormality obesity group were higher than those in the non-metabolic abnormality obesity group, and sports self-efficacy score was lower than that in the non-metabolic abnormality obesity group, with statistical significance (P ＜ 0.05). There was significant difference in body mass index between the two groups (P ＜ 0.05). In the multivariate logistic regression analysis, the results showed that male (OR ＞ 1, P ＜ 0.05) was an independent risk factor for metabolic abnormality obesity, while the high exercise self-efficacy score (OR ＜ 1, P ＜ 0.05) was a protective factor. Conclusion Health care workers should improve health literacy in various ways, with special attention to strengthening intervention in men and those with low sports self-efficacy scores.

Key words： Metabolically abnormal obesity Score of diet self-efficacy Score of exercise self-efficacy Risk factors

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	TIAN Huixia1
	2 HAN Huiwu1 ZHOU Shi2 CHEN Nengfeng2 SHEN Lu2

Cite this article:

TIAN Huixia1,2 HAN Huiwu1 ZHOU Shi2 CHEN Nengfeng2 SHEN Lu2. Analysis on the influence factors of metabolically abnormal obesity[J]. 中国医药导报, 2021, 18(22): 97-99,108.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I22/97

[1] 刘文静，陆海涛，孟凡强，等.肥胖相关性肾脏病的临床特点及预后[J].中国医刊，2020，55（3）：268-271.
[2] 刘四平，袁坤雄.体重指数和腹围指数对急性缺血性脑卒中部位和病因的影响[J].中国当代医药，2018，25（26）：50-53.
[3] 中国心血管病风险评估和管理指南编写联合委员会.中国心血管病风险评估和管理指南[J].中华健康管理学杂志，2019，13（1）：7-29.
[4] 朱文慧，田惠子，张瑞杰，等.体质量指数体脂率腰臀比评价大学生肥胖的差异[J].中国学校卫生，2019，40（11）：1703-1705，1708.
[5] Mihalko SL，Cox P，Beavers DP，et al. Effect of intensive diet and exercise on self-efficacy in overweight and obese adults with knee osteoarthritis：The IDEA randomized clinical trial [J]. Transl Behav Med，2019，9（2）：227-235.
[6] Schulze MB. Metabolic health in normal-weight and obese individuals [J]. Diabetologia，2019，62（4）：558-566.
[7] Klassen RM，Klassen JRL. Self-efficacy beliefs of medical students：a critical review [J]. Perspect Med Educ，2018，7（2）：76-82.
[8] Amer FA，Mohamed MS，Elbur AI，et al. Influence of self-efficacy management on adherence to self-care activities and treatment outcome among diabetes mellitus type 2 [J]. Pharm Pract（Granada），2018，16（4）：1274.
[9] Darawad MW，Hamdan-Mansour AM，Khalil AA，et al. Exercise Self-Efficacy Scale：Validation of the Arabic Version Among Jordanians With Chronic Diseases [J]. Clin Nurs Res，2018，27（7）：890-906.
[10] 毛霞.简化版健康相关的饮食和运动自我效能量表的汉化及考评[D].长沙：中南大学，2019.
[11] 水汪，马传伟.儿童青少年代谢健康型肥胖与颈动脉内中膜增厚的关系[J].中华预防医学杂志，2019（7）：756.
[12] 妇幼健康研究会，妇女儿童肥胖控制专业委员会，中国儿童代谢健康型肥胖定义与管理专家委员会.中国儿童代谢健康型肥胖定义与筛查专家共识[J].中国妇幼健康研究，2019，30（12）：1487-1490.
[13] 高萌，魏玉虾，吕筠，等.中国成年人代谢异常相关的体质指数和腰围切点研究[J].中华流行病学杂志，2019（12）：1533-1540.
[14] 胡佩青，李卫国.脂肪细胞与代谢型肥胖症概述[J].生物学教学，2019，44（6）：2-4.
[15] Alberti KG，Zimmet P，Shaw J. Metabolic syndrome——a new world-wide definition. A Consensus Statement from the International Diabetes Federation [J]. Diabet Med，2006，23（5）：469-480.
[16] 程潇.企业员工知觉压力、自我效能、饮食运动行为与超重肥胖的关系研究[D].杭州：浙江大学，2019.
[17] 王克阳，李丽丽，王兴，等.运动和节食对肥胖者体成分、糖尿病和心血管疾病指标影响的文献分析[J].上海医学，2020，43（4）：238-244.
[18] 王清霞，张光明.肥胖与心血管疾病研究进展[J].现代中西医结合杂志，2020，29（20）：2277-2280.
[19] J?觟nsson T，Ekvall Hansson E，Thorstensson CA，et al. The effect of education and supervised exercise on physical activity，pain，quality of life and self-efficacy-an intervention study with a reference group [J]. BMC Musculoskelet Disord，2018，19（1）：198.
[20] Pisconti F，Mahmoud Smaili Santos S，Lopes J，et al. Cross-Cultural and Psychometric Properties Assessment of the Exercise Self-Efficacy Scale in Individuals with Spinal Cord Injury [J]. Acta Med Port，2017，30（11）：783-789.
[21] 宋书红，郭俊.心理弹性和自我效能对老年急性心肌梗死患者自我感受负担的影响[J].中国老年学杂志，2021， 41（3）：646-649.
[22] 蔡琼，韩辉武，彭珊珊，等.心血管病住院患者代谢综合征与ASCVD的风险因素分析[J].中国医药导报，2020， 17（14）：57-60.
[23] 李肖珏，王金平，何思垚，等.良性肥胖对2型糖尿病、心血管事件和死亡的影响——大庆糖尿病预防23年随访研究[J].中华内分泌代谢杂志，2020，36（3）：207-212.
[24] 高飞，高正春，王岁霞，等.陕西省榆林市肥胖人群体脂分布及与心血管疾病危险因素相关性分析[J].预防医学情报杂志，2020，36（7）：817-821.
[25] 许鸣，黄仙红，骆湘香，等.中学生自我效能对肥胖相关行为影响的研究[J].卫生软科学，2016，30（2）：118-122.