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《Practical Preventive Medicine》 2007-02
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Analysis on Prevalence of Obesity and Overweight of Cadres in Certain Tibet Areas and its Control Strategies

YAN Min,GUAN Zhi-feng,CHEN Yong,et al.(The People's Hospital of Tibet Municipality,Lhasa 850000,Tibet)  
Objective To know the obesity and overweight's prevalence of the cadres in certain Tibet areas,and to survey the relation of risk factors for obesity and overweight and the related diseases in plateau area,and the control strategies for providing scientific basis of health policy in Tibet.Method The physical examination data of 696 cadres in different altitude were reviewed,and then presented the control strategy for the discoverable problems.Results The overall level of BMI had a tendency toward rising with the increase of age.The males were above the females,and the Tibetans above the Hans.The detectable rate of obesity and overweight was 50.34%,and it was related with nationality(χ2=8.792), sex(χ2=12.222),and age(χ2=40.888);the Tibetans were significantly above the Hans,the males significantly above the females,and it showed a tendency toward rising with the increase of age,mostly in the 51-60 years group.Comparison of blood lipid profiles(TC and TG) between the overweight group and the normal group with the nationality and sex was found that TC of the Tibetans was higher than that of the Hans,TG of the Hans above the Tibetans,TC of males above females in the normal group;TG of males was higher than that of females.An analysis of incidence of obesity and overweight in different altitude( 3,800 group and 3,650 group),found that the 3,800 group was 79.66%,and the 3,650 group was 47.72%;both in the 3,650 group the Tibetans were 56.25%,and the Hans 39.94%;both sexes in the 3,650 group males was 53.81%and females 28.29%;and the morbidity in the 3,800 group showed no statistical significant difference between the nationality and genders.People suffered from obesity and overweight were closely associated with hypertension,FBG,HUA,high TG,low HDL-C and fatty liver.Conclusions The detected incidence of obesity and overweight was 50.34%,and it is considered that the major cause of obesity and overweight and its related diseases such as hypertension,FBG, HUA,abnormal lipid profiles and fatty liver in Tibet altiplano might be related with altitude hypoxia and the special geographical environment,besides their different living habits,irrational dietary patterns and lack of physical exercise.It is necessary to pay attention to the cadres' regular physical examination,vacation and health education,and to prevent and control these chronic non-communicable diseases in altiplano.
【Fund】: 西藏自治区软科学研究项目(编号2006-014)
【CateGory Index】: R589.2
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