在中国成年人中,燃料的转变和肥胖风险
Xing Li1, Miaoling Huang2, Jianpeng Xiao1
1Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong Province, China.
Environment international
|July 6, 2024
概括
持续使用污染的燃料显著增加肥胖风险. 过渡到更清洁的燃料不会改变肥胖风险,突出清洁能源对公共健康的重要性.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 自20世纪90年代以来,中国广泛转向清洁燃料,为研究燃料与肥胖的关联提供了一个独特的背景.
- 现有文献中的不一致性需要进一步调查家庭燃料与肥胖风险之间的关系.
研究的目的:
- 检查家庭燃料转型对中国肥胖风险的影响.
- 澄清持续污染燃料使用,清洁燃料转型和肥胖发展之间的关联.
主要方法:
- 分析了1989-2015年中国健康与营养调查 (CHNS) 的前性数据.
- 将13032名参与者分为持续使用更清洁的燃料,燃料过渡者和持续污染的燃料用户.
- 根据中国标准,对肥胖 (BMI ≥28.0 kg/m2) 和中心肥胖的定义.
主要成果:
- 与使用更清洁的燃料相比,持续使用污染性燃料与肥胖 (HR: 1.45) 和中心肥胖 (HR: 1.32) 的风险显著增加有关.
- 污染性燃料使用和肥胖之间的关联在女性和年轻成年人 (18-44岁) 中更为明显.
- 与持续使用清洁燃料的用户相比,燃料过渡者在肥胖风险上没有显著差异,无论性别,年龄或城市化程度如何.
结论:
- 持续使用污染的燃料是导致肥胖的重要危险因素.
- 过渡到更清洁的燃料可以减轻肥胖的风险,类似于持续使用更清洁的燃料.
- 促进采用更清洁的燃料是减少肥胖相关疾病负担的关键公共卫生战略.
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