Comparative Study On Nutrition And Health State Of Tianjin Urban Residents During2002to2010

Objective:To know the nutriture and health conditions of Tianjin urban residents through analyzing the data of diet and behavior. Master the main chronic disease distributive characteristic of risk factors and comparative study their transformation of dietary and behavior life style, discover the high risk group and main dangerous factors. Provide the basis for government to draft and adjust the related policy in order to take the better intervening measures.Methods:Adopt the stratified random cluster sampling to extract the inhabitants come from75families of6communities in this area. The survey contained questionnaire, medical examination and laboratory testing. We adopt the x2test, t test, multivariate logistic analysis to analyze the data using SPSS15.0according to the category of data.Result:Compared with2002, the dietary structure of urban residents had improved. The annual growth rate of good foods like vegetable, fish, milk, beans was5.3%、0.1%、2.6%、2.8%respectively; the intake of oil and salt decreased to25.4g and7.5g; cereal and potato exceeded89.1g, meat consumption is higher than the recommended amount of25%, the intake of eggs maintained about62.5g. Men consumpted more cereals and meat than women, the young people eated the least vegetables, fruits and beans but most milk than others, the bigger the age, the higher the saltmost of vitamin and minaral were approching to the recommended nutrient intakes(RNIs) compared with2002. Fiber, vitamin A, thiamine, riboflavin, niacin and vitamin C were increased to11g、442μg RE、0.9mg、1.0mg、16mg、83mg, and the young people intook the least fiber; the intake of Ferrum, potassium, zincic were the suitable level; the average intake of calcium increased to477g which account for60%RNIs, sodium intake was2times RNIs. High fat, high protein but low carbohydrates were the main dietary struture. the standardize overweight ratio rised to41.9%from39.2%and obesity ratio droped to19.7%from20.7%, both overweigh and obesity were increased in medium-elderly men. There was downtrend in women’s overweight ratio. The prevalence of hypertension, diabetes, dyslipidemia were on the rising, increased to45.6%、10.3%、28.4%respectively. The high risk group of hypertension and diabetes were male and elderly people in the meanwhile female and young people were more likely to suffer from dyslipidemia. The prevalence of hypertension was highest, the results of multivariate logistic analysis showed that the following factors were the risk factor:age over45years old, smoking, overweigh, obesity, oil intake over30g, protective factors were high intake of niacin and weight reduction. The life style risk factors were improving but still in the high level. smoking rate decreased to23.0%from30.1%which attribute to female and people ages from18to44; Standardization passivity smoking rate increased from40.5%to43.5%which focus on ages from45to59; standardization drinking rate changed from20.4%to14.5%, more youngth men choosed to abstinence; standardization physical exercise rate rised from38.2%to77.5%; undersleep rate decreased from39.0%to18.8%which owe to the middle-aged peolple. More and more people who suffered from hypertension adopted drug therapy especially elder and female, the rate from75.3%to90.6. Diabetes awareness and treatment rate were increase to74.5%and90.9%, in the meanwhile the control rate decreased to41.7%which men were better than women. The young people awareness and treatment rates were the lowest, but highest control rate. Awareness, treatment and control rate of Dyslipidemia were decreased compared with2002; more female and elder people choosed to treat the disease and the effects of young people were better.Conclusion:Tianjin urban residents intook more food and excessive animal food than2002; The dietary pattern and risk factors of chronic disease had been improvement and discrease but the changes were not enough, prevalence rate of chronic disease are still increase cxcept the young people; we should take more attention to the changes on diet and life style to prevent and control non communicable diseases; Ages over45year old, overweight, obesity, smoking, high oil intakes were the risk factors of hypertension, elderly people and male were the high risk group. Suggest that government should create the health supportive environment, strengthen the intervene and management to focus groups.