摘要目的:分析隐性肥胖与健康体检人群生活方式的相关性。方法:连续收集2019年3月1日—9月31日在青岛大学附属医院健康管理中心完成健康体检且体质指数为18.5<~24.9 kg/m 2的1 026例受检者为研究对象，采用Inbody770体成分分析仪检测其体脂肪率，根据检测结果将研究对象分为隐性肥胖组（405例）和对照组（621例）。比较两组常规体检项目结果，通过生活方式调查问卷获取体检者婚姻状况、文化程度、收入、职业、饮食习惯5个维度的数据，通过二元logistic回归分析隐性肥胖与生活方式的相关性。 结果:隐性肥胖组女性比例、体质指数、总胆固醇、低密度脂蛋白胆固醇、腰臀比均显著高于对照组［65.2%比27.1%、（21.83±1.63）比（21.56±1.74）kg/m2、4.68（4.18，4.22）比4.39（4.13，4.83）mmol/L、2.54（2.08，3.00）比2.24（2.13，2.78）mmol/L、0.87（0.84，0.90）比0.82（0.80，0.86）］，收缩压、白蛋白、天冬氨酸转氨酶均显著低于对照组［（114.99±11.49）比（118.97±11.84）mmHg（1 mmHg=0.133 kPa）、（45.13±2.83）比（46.37±2.60）g/L、15（12，18）比16（14，20）U/L］（均 P<0.05）。未婚（ OR=0.200，95% CI：0.123~0.325）、少吃白肉（偶尔吃， OR=0.565，95% CI：0.304~1.053；很少吃， OR=0.186，95% CI：0.094~0.368）、少吃辛辣食物（偶尔吃， OR=0.298，95% CI：0.171~0.519；很少吃， OR=0.828，95% CI：0.487~1.408）、多饮水（1 000~2 000 ml/d， OR=0.366，95% CI：0.218~0.615；≥2 000 ml/d， OR=0.176，95% CI：0.087~0.356）均与隐性肥胖发生呈负相关（均 P<0.05）；午餐常吃外卖（ OR=4.639，95% CI：2.412~8.923）、食用油摄入多（25~<50 g/d， OR=1.898，95% CI：1.265~2.846；≥50 g/d， OR=10.900，95% CI：4.376~27.148）、饮啤酒（ OR=3.702，95% CI：2.290~5.982）、不常参加体育锻炼（偶尔参加， OR=13.417，95% CI：6.907~26.066；很少参加， OR=28.290，95% CI：13.532~59.142）均与隐性肥胖发生呈正相关（均 P<0.05）。 结论:隐性肥胖与健康体检人群生活方式存在相关性，应注意控制白肉、辛辣食物、食用油和啤酒摄入，同时保证饮水量，减少外卖次数，增加体育锻炼，以预防隐性肥胖发生。

abstractsObjective:To analyze the correlation between recessive obesity and lifestyle in physical examination population.Methods:A total of 1 026 people with body mass index (BMI) of 18.5<-24.9 kg/m 2 who completed physical examination in the Health Management Center of Affiliated Hospital of Qingdao University from March 1, 2019 to September 31, 2019 were included in this study. Inbody770 body composition analyzer was used to check the percent body fat, and the subjects were divided into recessive obesity group (405 cases) and control group (621 cases) with the results. The results of routine physical examination were compared between the two groups. The data of five dimensions including marital status, education level, income, occupation and dietary habits were obtained with lifestyle questionnaire. The correlation between recessive obesity and lifestyle was analyzed by binary logistic regression. Results:The proportion of women, BMI, total cholesterol, low density lipoprotein cholesterol and waist-hip ratio were significantly higher in the recessive obesity group than those in the control group [65.2% vs 27.1%, (21.83±1.63) vs (21.56±1.74) kg/m2, 4.68 (4.18, 4.22) vs 4.39 (4.13, 4.83) mmol/L, 2.54 (2.08, 3.00) vs 2.24 (2.13, 2.78) mmol/L, 0.87 (0.84, 0.90) vs 0.82 (0.80, 0.86)]; while the systolic blood pressure, albumin and aspartate aminotransferase were significantly lower [(114.99±11.49) vs (118.97±11.84) mmHg (1 mmHg=0.133 kPa), (45.13±2.83) vs (46.37±2.60) g/L, 15 (12, 18) vs 16 (14, 20) U/L] (all P<0.05). Unmarried ( OR=0.200, 95% CI: 0.123-0.325), eating less white meat [occasionally eating, OR=0.565, 95% CI: 0.304-1.053; rarely eating, OR=0.186, 95% CI: 0.094-0.368], eating less spicy food (occasionally eating, OR=0.298, 95% CI: 0.171-0.519; rarely eating, OR=0.828, 95% CI: 0.487-1.408), drinking more water (1 000-2 000 ml/d, OR=0.366, 95%CI: 0.218-0.615; ≥2 000 ml/d, OR=0.176, 95% CI: 0.087-0.356) were negatively correlated with the occurrence of recessive obesity (all P<0.05). Eating takeout food frequently ( OR=4.639, 95% CI: 2.412-8.923), eating too much edible oil ( OR=10.900, 95% CI: 4.376-27.148), drinking beer ( OR=3.702, 95% CI: 2.290-5.982) and infrequent physical exercise (occasional, OR=13.417, 95% CI: 6.907-26.066; rarely, OR=28.290, 95% CI: 13.532-59.142) were positively correlated with the occurrence of recessive obesity (all P<0.05). Conclusions:There is a correlation between recessive obesity and the lifestyle in physical examination population. Attention should be paid to control the intake of white meat, spicy food, edible oil and beer, ensure the amount of drinking water, reduce the frequency of takeout food, and increase physical exercise to prevent recessive obesity.