The Investigation Of The Influencing Factors Of Overweight And Obesity And Its Quality Of Life In People Aged 35 And Elder

Objective To determine the influencing factors of overweight and obesity and its quality of life in people over 35 years at urban community in Shiyan City,and then proposed the management method about overweight and obesity.MethodsMulti-layer multi-stage stratified random sampling methods was used to choose 1388 participants over 35 years old.The questionnaire was made by National Cardiovascular Center and Fuwai hospital.The data will be double input by Epidata software,and then be analyzed by SPSS 21.0 package and R3.3.3 software after conformance test,the main methods including descriptive statistical,Chi-square Test,t test,analysis of variance,multiple linear regression and Logistic regression analysis.ResultsThe prevalence of overweight was 40.6% in men,37.3% in women,38.9% in total;the prevalence of obesity was 13.6 in men,17.9% in women and 18.9% in total;the prevalence of obesity by waist was 20.4% in men,27.0% in women and 23.9% in total;he prevalence of obesity by WHt R was 70.3% in men,70.7%in women and 67.3% in total;the prevalence of obesity by BMI(?2=4.79,P=0.029)and waist(?2=8.247,P=0.004)were higher in women;the prevalence of obesity by BMI was decreased with age in men,the prevalence of obesity by waist and WHt R was decreased with age in women and in total.Age(OR=0.988,95%CI=[0.980-0.977]),having 6~8hours(OR=0.698,95%CI=[0.520-0.939])and more than 8 hours(OR=0.625,95%CI=[0.429-0.909])sleeping time on weekdays were the protect factors of overweight/obesity;self-employed households(OR=1.645,95%CI=[1.181-2.291]),having 1~3(OR=1.986,95%CI=[1.562-2.526])and more than 3(OR=4.303,95%CI=[1.369-13.527])kinds of chronic diseases and ever smoker(OR=1.690,95%CI=[1.121-2.546])were risk factors.There was significant difference between normal and overweight/obesity in the quality of life on different education levels,the score of PHYS,PSYCH,SCOL and ENVIP was 64.65±12.51,65.91±12.05,65.52±12.01 and 62.52±11.58;having chronic disease,age and women were the risk factors in PHYS,drinking was the risk factor in the SOCIL,drinking and service industry staff were the risk factors in ENVIP,education status were the protect factors in the all field of the quality of life.Conclusions The prevalence of overweight and obesity was in a high level;the prevalence of obesity by BMI and waist was higher in women;the prevalence of obesity by BMI in men was decreased with age,the prevalence of obesity by waist and WHt R was decreased in women and in total.The influence factors of overweight and obesity were age,occupation,the kinds of chronic disease,smoking status and the sleeping times on weekdays;the result of decision tree reveal the important factors was age,chronic disease,sleeping time on weekdays and occupation.There was significant difference between normal and overweight/obesity inthe quality of life on different education levels,the influence factors of quality of life among overweight/obesity people were the kinds of chronic disease,age,women,drinking,service industry staff,and education status.