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中文摘要：
目的了解皖西农村地区40~70岁留守居民体质指数(body mass index,BMI)的现状及其影响因素,为开展相关防治工作提供依据。方法采用随机整群抽样的方法 ,对安徽省六安市3个乡镇18个行政村的40~70岁农村留守居民进行电子化问卷调查和体格检查。结果收集有效问卷4 040份,其中3 700名村民进行身高、体重的测量;留守村民中男性为1 301名,女性为2 399名,男女比为1∶1.84;留守村民的超重/肥胖率为60.26%,其中超重和肥胖率分别为43.46%和16.81%。累积Logistic回归分析,年龄、血糖、血压、经常饮酒是BMI的影响因素,40~49岁组(OR=1.75,95%CI:1.48~2.08)和50~59岁组(OR=1.38,95%CI:1.17~1.62)相比60~70岁组BMI高;血压正常组(OR=0.28,95%CI:0.24~0.34)和1级高血压组(OR=0.68,95%CI:0.58~0.80)相比2~3级高血压组BMI低;空腹血糖<5.6 mmol/L组(OR=0.40,95%CI:0.32~0.51)和5.6~6.9 mmol/L组(OR=0.55,95%CI:0.44~0.70)相比≥7.0 mmol/L组BMI低;不经常饮酒者比经常饮酒者BMI高(OR=1.20,95%CI:0.97~1.48)。结论皖西农村地区留守居民的超重和肥胖比例较高,应加强留守村民的体重控制相关干预工作。
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