Abstract：Objective To investigate the detection rates of overweight and obesity among employed workers in Shaoxing City, Zhejiang Province, so as to provide a basis for formulating weight management intervention strategies for occupational population. Methods Physical examination data of employed workers aged 18-59 years in 2024, including demographic information, height and weight were collected through the health management platform of the physical examination information systems of 20 designated physical examination hospitals in Shaoxing City. Overweight and obesity were determined according to the Criteria of Weight for Adults, and the detection rates of overweight and obesity were calculated and standardized using the data from the Sixth National Population Census in 2010. The gender- and age-specific detection rates of overweight and obesity among employed workers were analyzed. Results A total of 201 066 employed workers were included, with a mean age of (40.90±11.60) years. There were 107?682 males (53.56%) and 93?384 females (46.44%). A total of 64?224 cases of overweight were detected, with a detection rate of 31.94% and a standardized detection rate of 30.19%. A total of 22?727 cases of obesity were detected, with a detection rate of 11.30% and a standardized detection rate of 11.47%. The standardized detection rates of overweight and obesity were higher in males than in females (38.46% vs. 20.21%, 6.13% vs. 5.80%). The detection rate of overweight increased with age (P<0.05), with the higher rate observed in the group aged 55-59 years (38.27%). The detection rates of overweight among both males and females increased with age (both P<0.05). The detection rate of obesity first increased and then decreased with age, with the higher rates in the groups aged 30-<35 years (12.37%) and 35-<40 years (12.33%). The detection rate of obesity among males first increased and then decreased with age, with the higher rates observed in the groups aged 30-<35 years (17.96%) and 35-<40 years (17.99%). The detection rate of obesity among females first decreased and then increased with age, with the higher rates observed in the group aged 55-59 years (7.77%). Conclusions The detection rates of overweight and obesity were higher in male employed workers than those in female in Shaoxing City. The detection rate of overweight increased with age, while the detection rate of obesity showed an inverted U-shaped trend. Males aged 30-<40 years and females aged 55-59 years should be prioritized for obesity prevention and control.
[1] Ndumele C E,Neeland I J,Tuttle K R,et al.A synopsis of the evidence for the science and clinical management of cardiovascular-kidney-metabolic(CKM) syndrome:a scientific statement from the American heart association[J].Circulation,2023,148(20):1636-1664. [2] NCD Risk Factor Collaboration(NCD-RisC).Worldwide trends in underweight and obesity from 1990 to 2022:a pooled analysis of 3 663 population-representative studies with 222 million children,adolescents,and adults[J].Lancet,2024,403(10431):1027-1050. [3] 中华人民共和国国务院新闻办公室.中国居民营养与慢性病状况报告(2020年)[EB/OL].[2026-07-16].http://www.scio.gov.cn/xwfb/gwyxwbgsxwfbh/wqfbh_2284/2020n_4408/2020n12y23rsw/tpzb_5756. [4] 郝丽鑫,吴宇,王柳森,等.1993—2018年中国九省不同职业类型人群复合型肥胖变化趋势[J].环境与职业医学,2026,43(2):160-167. [5] WS/T 428—2013 成人体重判定[S]. [6] 中国疾病预防控制中心,中国疾病预防控制中心慢性非传染性疾病预防控制中心.中国慢性病及危险因素监测报告(2018年)[R].2021. [7] 何梦洁,黄李春,苏丹婷,等.浙江省成年人群肥胖流行现状[J].预防医学,2021,33(2):162-164. [8] 房红芸,魏潇琪,琚腊红,等.1982—2015年中国成年居民体质指数现状及变化趋势[J].卫生研究,2025,54(1):18-22. [9] 徐晓慧,鹿子龙,唐俊利,等.2004—2023年山东省18~69岁人群超重、肥胖及体质指数变化趋势分析[J].中华流行病学杂志,2025,46(11):1937-1944. [10] NCD Risk Factor Collaboration(NCD-RisC).Trends in adult body-mass index in 200 countries from 1975 to 2014:a pooled analysis of 1 698 population-based measurement studies with 19.2 million participants[J].Lancet,2016,387(10026):1377-1396. [11] 张继国,琚腊红,房红芸,等.1982—2015年中国成年居民能量和宏量营养素摄入变迁与特征[J].卫生研究,2025,54(2):188-191. [12] Yuan F,Gong W Y,Ding C C,et al.Association of physical activity and sitting time with overweight/obesity in Chinese occupational populations[J].Obes Facts,2021,14(1):141-147. [13] 李美琳,周梦姣,吴佳芸,等.老年男性2型糖尿病患者合并肌少症的影响因素分析[J].预防医学,2025,37(6):588-592. [14] 王邵顺子,姜红如,李惟怡,等.2018年我国15省(自治区/直辖市)18~35岁青年食物摄入特征[J].环境与职业医学,2021,38(6):580-585. [15] Lovejoy J C,Champagne C M,De Jonge L,et al.Increased visceral fat and decreased energy expenditure during the menopausal transition[J].Int J Obes(Lond),2008,32(6):949-958.
