Article(id=1324078183867360079, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324078037817504735, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202509115, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1757433600000, receivedDateStr=2025-09-10, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793614439217, onlineDateStr=2026-11-02, pubDate=1770652800000, pubDateStr=2026-02-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793614439217, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793614439217, creator=13701087609, updateTime=1793614439217, updator=13701087609, issue=Issue{id=1324078037817504735, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='3', pageStart='385', pageEnd='576', issueExtLink='null', onlineDate='null', pubDate='1770652800000', pubDateStr='2026-02-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793614404396, creator='13701087609', updateTime=1793614474144, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324078330420527919, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324078037817504735, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324078330420527920, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324078037817504735, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=411, endPage=416, ext={EN=ArticleExt(id=1324078187562541907, articleId=1324078183867360079, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Change trajectory of body mass index and its influencing factors in Chinese adults based on group-based trajectory model, columnId=1240413921954295836, journalTitle=Modern Preventive Medicine, columnName=Epidemiology and Statistical Methods, runingTitle=null, highlight=null, articleAbstract=
Objective

To identify the long-term trajectories of body mass index (BMI) among Chinese adults and analyze their influencing factors, providing a scientific basis for developing precision weight management strategies.

Methods

Using longitudinal data from seven waves (2010—2022) of the China Family Panel Studies (CFPS), we included 6 134 adults aged ≥18 years. We used the group-based trajectory model (GBTM) to fit BMI change trajectories and multinomial logistic regression to analyze the influencing factors of each trajectory group.

Results

The GBTM identified four distinct BMI trajectories: stable normal weight (25.29%), progressive overweight (39.73%), persistent overweight (27.47%), and fluctuating obesity (7.52%).Multinomial logistic regression analysis revealed that age 30-44 (RRR=1.476, 95% CI: 1.205-1.807) and 45-59 (RRR=1.478,95% CI: 1.199-1.822), urban residence (RRR=1.252, 95% CI: 1.086-1.443), and physical exercise (RRR=1.292, 95% CI:1.101-1.517) were risk factors for the progressive overweight group, while self-rated unhealthy (RRR=0.593, 95% CI: 0.480-0.733) was a protective factor for this group. For the persistent overweight group, male (RRR=1.202, 95% CI: 1.032-1.401), age 30-44 (RRR=1.649, 95% CI: 1.315-2.067) and 45-59 (RRR=1.527, 95% CI: 1.209-1.929), urban residence (RRR=1.361,95% CI: 1.167-1.587), being married (RRR=1.634, 95% CI: 1.273-2.098), high household income per capita (RRR=1.346,95% CI: 1.113-1.628), physical exercise (RRR=1.359, 95% CI: 1.144-1.614), and having chronic disease(s) (RRR=1.317, 95% CI: 1.059-1.638) were risk factors, whereas self-rated unhealthy (RRR=0.670, 95% CI: 0.532-0.843) was a protective factor.Risk factors for the fluctuating obesity group included urban residence (RRR=1.861, 95% CI: 1.481-2.339), being married(RRR=1.671, 95% CI: 1.136-2.458), alcohol consumption (RRR=1.467, 95% CI: 1.095-1.966), physical exercise (RRR=1.316, 95% CI: 1.024-1.691), and having chronic disease(s) (RRR=1.837, 95% CI: 1.359-2.483).

Conclusion

Chinese adults exhibit significant heterogeneity in BMI trajectories, necessitating focused interventions for the progressive overweight and persistent overweight groups, with targeted strategies for high-risk populations including urban residents, married individuals, physically active adults, middle-aged groups, and chronic disease patients.

, authors=Ting HUANG, Yi-fei CAO, Feng-jiao GUO, Jing-yi ZHANG, Wen-qiang YIN, Jin-wei HU, Zhong-ming CHEN, Hong-wei GUO, authorsList=Ting HUANG, Yi-fei CAO, Feng-jiao GUO, Jing-yi ZHANG, Wen-qiang YIN, Jin-wei HU, Zhong-ming CHEN, Hong-wei GUO, authorCompany=null, correspAuthors=Hong-wei GUO, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324078188548203350, articleId=1324078183867360079, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=基于组基轨迹模型的中国成年人身体质量指数变化轨迹及影响因素研究, columnId=1228016567632462653, journalTitle=现代预防医学, columnName=流行病与统计方法, runingTitle=null, highlight=null, articleAbstract=
目的

探究中国成年人身体质量指数(body mass index,BMI)的长期变化轨迹及影响因素,为制定精准体重管理策略提供依据。

方法

利用中国家庭追踪调查2010—2022年共7期数据,以基线年龄≥18岁的6 134名成年人为研究对象。采用组基轨迹模型(group-based trajectory modeling,GBTM)拟合BMI变化轨迹,采用多分类logistic回归分析各轨迹组的影响因素。

结果

GBTM模型识别出稳定正常组(25.29%)、渐进超重组(39.73%)、持续超重组(27.47%)、波动肥胖组(7.52%)4种BMI轨迹;多分类logistic回归分析显示,年龄为30~44岁(RRR=1.476,95% CI:1.205~1.807)和45~59岁(RRR=1.478,95% CI:1.199~1.822)、居住在城镇(RRR=1.252,95% CI:1.086~1.443)、锻炼(RRR=1.292,95% CI:1.101~1.517))是渐进超重组的危险因素,自评健康为不健康(RRR=0.593,95% CI:0.480~0.733)为渐进超重组的保护因素。男性(RRR=1.202,95% CI:1.032~1.401)、年龄为30~44岁(RRR=1.649,95% CI:1.315~2.067)和45~59岁(RRR=1.527,95% CI:1.209~1.929)、居住在城镇(RRR=1.361,95% CI:1.167~1.587)、在婚(RRR=1.634,95% CI:1.273~2.098)、家庭人均纯收入高(RRR= 1.346,95% CI:1.113~1.628)、锻炼(RRR=1.359,95% CI:1.144~1.614)、患慢性病(RRR=1.317,95% CI:1.059~1.638)是持续超重组的危险因素;自评健康为不健康(RRR=0.670,95% CI:0.532~0.843)为持续超重组的保护因素。居住在城镇(RRR=1.861,95% CI:1.481~2.339)、在婚(RRR=1.671,95% CI:1.136~2.458)、饮酒(RRR=1.467,95% CI:1.095~1.966)、锻炼(RRR=1.316,95% CI:1.024~1.691)、患慢性病(RRR=1.837,95% CI:1.359~2.483)是波动肥胖组的危险因素。

结论

中国成年人BMI变化存在显著的群体异质性,需重点关注渐进超重与持续超重两类主要群体,并对居住在城镇、已婚、锻炼人群及中年、慢性病患者等高风险群体实施精准干预。

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黄婷(2001—),女,硕士在读,研究方向:卫生管理与政策研究

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郭洪伟,E-mail:
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(In Chinese), articleTitle=Physical activity status and its influencing factors of patients with chronic diseases in the communities of Zhangjiakou City, refAbstract=null)], funds=[Fund(id=1324078196697736082, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, awardId=ZR2020MG055, language=CN, fundingSource=山东省自然科学基金资助项目(ZR2020MG055), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1324078190435640151, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, xref=null, ext=[AuthorCompanyExt(id=1324078190448223064, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, companyId=1324078190435640151, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=School of Management, Shandong Second Medical University, Weifang, Shandong 261053, China), AuthorCompanyExt(id=1324078190456611673, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, companyId=1324078190435640151, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=山东第二医科大学管理学院,山东 潍坊 261053)])], figs=[ArticleFig(id=1324078195787572106, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=EN, label=Figure 1, caption=BMI development trajectories in adults, figureFileSmall=cBAOfqK+//dwm0u49eDnow==, figureFileBig=i9LMKK8ACm1DsdMVgpSJWQ==, tableContent=null), ArticleFig(id=1324078195867263883, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=CN, label=图1, caption=成年人BMI发展轨迹图, figureFileSmall=cBAOfqK+//dwm0u49eDnow==, figureFileBig=i9LMKK8ACm1DsdMVgpSJWQ==, tableContent=null), ArticleFig(id=1324078196106339212, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=EN, label=Table 1, caption=

GBTM fitting indicators for BMI change trajectories in adults

, figureFileSmall=null, figureFileBig=null, tableContent=
组数AICBICABIC熵值1组2组3组4组5组
人数占比
(%)
人数占比
(%)
人数占比
(%)
人数占比
(%)
人数占比
(%)
1-112 194.91-112 207.91-112 204.996 167100
2-100 371.47-100 397.47-100 391.640.9143 79467.852 34038.15
3-95 217.68-95 256.68-95 247.920.9112 43439.682 75644.9394415.39
4-92 513.45-92 565.46-92 553.780.9001 55125.291 68527.472 43739.734617.52
5-91 237.98-91 302.99-91 288.390.8851 80429.4195315.542 03933.241 08217.642564.17
), ArticleFig(id=1324078196190225293, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=CN, label=表1, caption=

成年人BMI变化轨迹的GBTM拟合指标

, figureFileSmall=null, figureFileBig=null, tableContent=
组数AICBICABIC熵值1组2组3组4组5组
人数占比
(%)
人数占比
(%)
人数占比
(%)
人数占比
(%)
人数占比
(%)
1-112 194.91-112 207.91-112 204.996 167100
2-100 371.47-100 397.47-100 391.640.9143 79467.852 34038.15
3-95 217.68-95 256.68-95 247.920.9112 43439.682 75644.9394415.39
4-92 513.45-92 565.46-92 553.780.9001 55125.291 68527.472 43739.734617.52
5-91 237.98-91 302.99-91 288.390.8851 80429.4195315.542 03933.241 08217.642564.17
), ArticleFig(id=1324078196278305678, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=EN, label=Table 2, caption=

Univariate analysis results of BMI development trajectory categories in adults

, figureFileSmall=null, figureFileBig=null, tableContent=
因素分类稳定正常组渐进超重组持续超重组波动肥胖组χ2值P值
人数占比(%)人数占比(%)人数占比(%)人数占比(%)
性别女83753.971 26952.0782849.1421747.0711.4280.010
男71446.031 16847.9385750.8624452.93
年龄(岁)18~2932520.9535714.6522013.067115.4055.960<0.001
30~4455135.5396539.6070441.7819241.65
45~5952033.5389936.8963337.5716535.79
≥601559.992168.861287.60337.16
居住地农村96862.411 35455.5687952.1721646.8551.478<0.001
城镇58337.591 08344.4480647.8324553.15
受教育程度小学及以下65342.1095739.2765238.6917838.615.3210.503
初高中79351.131 29353.0690753.8324954.01
大专及以上1056.771877.671267.48347.38
婚姻状况在婚22414.442369.681428.43439.3335.708<0.001
非在婚1 32785.562 20190.321 54391.5741890.67
工作状态在业66242.681 00541.2469741.3618339.701.5900.662
非在业88957.321 43258.7698858.6427860.30
家庭人均低56836.6281233.3250830.1515232.9731.825<0.001
纯收入中53834.6981333.3654132.1115834.27
高44528.6981233.3263637.7415132.75
吸烟是1 04667.441 69869.681 19971.1631668.555.5000.139
否50532.5673930.3248628.8414531.45
饮酒是1 32585.432 05084.121 39182.5536178.3115.0180.002
否22614.5738715.8829417.4510021.69
上网是1 26981.822 04483.871 39182.5536679.396.7170.082
否28218.1839316.1329417.459520.61
锻炼是1 21278.141 77772.921 19570.9232770.9324.930<0.001
否33921.8666027.0849029.0813429.07
夜间睡眠<6402.58682.79553.26102.177.6710.263
时长(h)6~91 21578.341 94279.691 30077.1537781.78
>929619.0842717.5233019.587416.05
饮食多样性低68444.101 01641.6966139.2318239.4813.3260.038
中54935.4092037.7563437.6316435.57
高31820.5050120.5639023.1511524.95
自评健康健康72246.551 23250.5583949.7921847.2923.0230.001
一般57837.2793138.2064138.0417938.83
不健康25116.1827411.2420512.176413.88
慢性病有1 35487.302 12587.201 44185.5237581.3413.4260.004
无19712.7031212.8024414.488618.66
心理健康<121 50196.782 37297.331 64397.5144997.401.8150.612
(分)≥13503.22652.67422.49122.60
), ArticleFig(id=1324078196387357583, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=CN, label=表2, caption=

成年人BMI发展轨迹类别的单因素分析结果

, figureFileSmall=null, figureFileBig=null, tableContent=
因素分类稳定正常组渐进超重组持续超重组波动肥胖组χ2值P值
人数占比(%)人数占比(%)人数占比(%)人数占比(%)
性别女83753.971 26952.0782849.1421747.0711.4280.010
男71446.031 16847.9385750.8624452.93
年龄(岁)18~2932520.9535714.6522013.067115.4055.960<0.001
30~4455135.5396539.6070441.7819241.65
45~5952033.5389936.8963337.5716535.79
≥601559.992168.861287.60337.16
居住地农村96862.411 35455.5687952.1721646.8551.478<0.001
城镇58337.591 08344.4480647.8324553.15
受教育程度小学及以下65342.1095739.2765238.6917838.615.3210.503
初高中79351.131 29353.0690753.8324954.01
大专及以上1056.771877.671267.48347.38
婚姻状况在婚22414.442369.681428.43439.3335.708<0.001
非在婚1 32785.562 20190.321 54391.5741890.67
工作状态在业66242.681 00541.2469741.3618339.701.5900.662
非在业88957.321 43258.7698858.6427860.30
家庭人均低56836.6281233.3250830.1515232.9731.825<0.001
纯收入中53834.6981333.3654132.1115834.27
高44528.6981233.3263637.7415132.75
吸烟是1 04667.441 69869.681 19971.1631668.555.5000.139
否50532.5673930.3248628.8414531.45
饮酒是1 32585.432 05084.121 39182.5536178.3115.0180.002
否22614.5738715.8829417.4510021.69
上网是1 26981.822 04483.871 39182.5536679.396.7170.082
否28218.1839316.1329417.459520.61
锻炼是1 21278.141 77772.921 19570.9232770.9324.930<0.001
否33921.8666027.0849029.0813429.07
夜间睡眠<6402.58682.79553.26102.177.6710.263
时长(h)6~91 21578.341 94279.691 30077.1537781.78
>929619.0842717.5233019.587416.05
饮食多样性低68444.101 01641.6966139.2318239.4813.3260.038
中54935.4092037.7563437.6316435.57
高31820.5050120.5639023.1511524.95
自评健康健康72246.551 23250.5583949.7921847.2923.0230.001
一般57837.2793138.2064138.0417938.83
不健康25116.1827411.2420512.176413.88
慢性病有1 35487.302 12587.201 44185.5237581.3413.4260.004
无19712.7031212.8024414.488618.66
心理健康<121 50196.782 37297.331 64397.5144997.401.8150.612
(分)≥13503.22652.67422.49122.60
), ArticleFig(id=1324078196492215184, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=EN, label=Table 3, caption=

Multivariate logistic regression analysis of BMI trajectories in adults [RRR (95% CI)]

, figureFileSmall=null, figureFileBig=null, tableContent=
变量(参照组)渐进超重组持续超重组波动肥胖组
性别(女)男1.057(0.918~1.217)1.202(1.032~1.401)*1.242(0.985~1.567)
年龄(岁,18~29)30~441.476(1.205~1.807)***1.649(1.315~2.067)***1.291(0.921~1.81)
45~591.478(1.199~1.822)***1.527(1.209~1.929)***1.111(0.782~1.580)
≥601.126(0.854~1.486)0.930(0.679~1.274)0.646(0.395~1.055)
居住地(农村)城镇1.252(1.086~1.443)**1.361(1.167~1.587)***1.861(1.481~2.339)***
婚姻状况(非在婚)在婚1.415(1.137~1.762)1.634(1.273~2.098)***1.671(1.136~2.458)**
家庭人均纯收入(低)中1.015(0.867~1.187)1.071(0.900~1.275)1.007(0.777~1.306)
高1.118(0.938~1.332)1.346(1.113~1.628)**0.950(0.713~1.267)
饮酒(否)是1.009(0.829~1.226)1.054(0.856~1.298)1.467(1.095~1.966)*
锻炼(否)锻
炼
1.292(1.101~1.517)**1.359(1.144~1.614)***1.316(1.024~1.691)*
饮食多样性(低)中1.032(0.889~1.199)1.052(0.893~1.24)1.013(0.790~1.300)
高0.921(0.764~1.111)1.006(0.822~1.232)1.083(0.805~1.457)
自评健康(健康)一般0.881(0.763~1.017)0.890(0.761~1.040)0.956(0.756~1.209)
不健康0.593(0.480~0.733)***0.670(0.532~0.843)**0.764(0.541~1.080)
慢性病(否)是1.136(0.925~1.393)1.317(1.059~1.638)*1.837(1.359~2.483)***
), ArticleFig(id=1324078196580295569, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324078183867360079, language=CN, label=表3, caption=

成年人BMI轨迹多元logistic回归分析[RRR(95% CI)]

, figureFileSmall=null, figureFileBig=null, tableContent=
变量(参照组)渐进超重组持续超重组波动肥胖组
性别(女)男1.057(0.918~1.217)1.202(1.032~1.401)*1.242(0.985~1.567)
年龄(岁,18~29)30~441.476(1.205~1.807)***1.649(1.315~2.067)***1.291(0.921~1.81)
45~591.478(1.199~1.822)***1.527(1.209~1.929)***1.111(0.782~1.580)
≥601.126(0.854~1.486)0.930(0.679~1.274)0.646(0.395~1.055)
居住地(农村)城镇1.252(1.086~1.443)**1.361(1.167~1.587)***1.861(1.481~2.339)***
婚姻状况(非在婚)在婚1.415(1.137~1.762)1.634(1.273~2.098)***1.671(1.136~2.458)**
家庭人均纯收入(低)中1.015(0.867~1.187)1.071(0.900~1.275)1.007(0.777~1.306)
高1.118(0.938~1.332)1.346(1.113~1.628)**0.950(0.713~1.267)
饮酒(否)是1.009(0.829~1.226)1.054(0.856~1.298)1.467(1.095~1.966)*
锻炼(否)锻
炼
1.292(1.101~1.517)**1.359(1.144~1.614)***1.316(1.024~1.691)*
饮食多样性(低)中1.032(0.889~1.199)1.052(0.893~1.24)1.013(0.790~1.300)
高0.921(0.764~1.111)1.006(0.822~1.232)1.083(0.805~1.457)
自评健康(健康)一般0.881(0.763~1.017)0.890(0.761~1.040)0.956(0.756~1.209)
不健康0.593(0.480~0.733)***0.670(0.532~0.843)**0.764(0.541~1.080)
慢性病(否)是1.136(0.925~1.393)1.317(1.059~1.638)*1.837(1.359~2.483)***
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基于组基轨迹模型的中国成年人身体质量指数变化轨迹及影响因素研究
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黄婷 , 曹翼飞 , 郭凤娇 , 张景怡 , 尹文强 , 胡金伟 , 陈钟鸣 , 郭洪伟
现代预防医学 | 流行病与统计方法 2026,53(3): 411-416
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现代预防医学 |流行病与统计方法 2026 , 53 (3) : 411 -416
基于组基轨迹模型的中国成年人身体质量指数变化轨迹及影响因素研究
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黄婷(2001—),女,硕士在读,研究方向:卫生管理与政策研究

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黄婷, 曹翼飞, 郭凤娇, 张景怡, 尹文强, 胡金伟, 陈钟鸣, 郭洪伟
作者信息
  • 山东第二医科大学管理学院,山东 潍坊 261053
通讯作者:
郭洪伟,E-mail:
作者简介:

黄婷(2001—),女,硕士在读,研究方向:卫生管理与政策研究

Change trajectory of body mass index and its influencing factors in Chinese adults based on group-based trajectory model
Ting HUANG, Yi-fei CAO, Feng-jiao GUO, Jing-yi ZHANG, Wen-qiang YIN, Jin-wei HU, Zhong-ming CHEN, Hong-wei GUO
Affiliations
  • School of Management, Shandong Second Medical University, Weifang, Shandong 261053, China
出版时间: 2026-02-10 doi: 10.20043/j.cnki.MPM.202509115
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目的

探究中国成年人身体质量指数(body mass index,BMI)的长期变化轨迹及影响因素,为制定精准体重管理策略提供依据。

方法

利用中国家庭追踪调查2010—2022年共7期数据,以基线年龄≥18岁的6 134名成年人为研究对象。采用组基轨迹模型(group-based trajectory modeling,GBTM)拟合BMI变化轨迹,采用多分类logistic回归分析各轨迹组的影响因素。

结果

GBTM模型识别出稳定正常组(25.29%)、渐进超重组(39.73%)、持续超重组(27.47%)、波动肥胖组(7.52%)4种BMI轨迹;多分类logistic回归分析显示,年龄为30~44岁(RRR=1.476,95% CI:1.205~1.807)和45~59岁(RRR=1.478,95% CI:1.199~1.822)、居住在城镇(RRR=1.252,95% CI:1.086~1.443)、锻炼(RRR=1.292,95% CI:1.101~1.517))是渐进超重组的危险因素,自评健康为不健康(RRR=0.593,95% CI:0.480~0.733)为渐进超重组的保护因素。男性(RRR=1.202,95% CI:1.032~1.401)、年龄为30~44岁(RRR=1.649,95% CI:1.315~2.067)和45~59岁(RRR=1.527,95% CI:1.209~1.929)、居住在城镇(RRR=1.361,95% CI:1.167~1.587)、在婚(RRR=1.634,95% CI:1.273~2.098)、家庭人均纯收入高(RRR= 1.346,95% CI:1.113~1.628)、锻炼(RRR=1.359,95% CI:1.144~1.614)、患慢性病(RRR=1.317,95% CI:1.059~1.638)是持续超重组的危险因素;自评健康为不健康(RRR=0.670,95% CI:0.532~0.843)为持续超重组的保护因素。居住在城镇(RRR=1.861,95% CI:1.481~2.339)、在婚(RRR=1.671,95% CI:1.136~2.458)、饮酒(RRR=1.467,95% CI:1.095~1.966)、锻炼(RRR=1.316,95% CI:1.024~1.691)、患慢性病(RRR=1.837,95% CI:1.359~2.483)是波动肥胖组的危险因素。

结论

中国成年人BMI变化存在显著的群体异质性,需重点关注渐进超重与持续超重两类主要群体,并对居住在城镇、已婚、锻炼人群及中年、慢性病患者等高风险群体实施精准干预。

成年人  /  体质指数  /  变化轨迹  /  组基轨迹模型
Objective

To identify the long-term trajectories of body mass index (BMI) among Chinese adults and analyze their influencing factors, providing a scientific basis for developing precision weight management strategies.

Methods

Using longitudinal data from seven waves (2010—2022) of the China Family Panel Studies (CFPS), we included 6 134 adults aged ≥18 years. We used the group-based trajectory model (GBTM) to fit BMI change trajectories and multinomial logistic regression to analyze the influencing factors of each trajectory group.

Results

The GBTM identified four distinct BMI trajectories: stable normal weight (25.29%), progressive overweight (39.73%), persistent overweight (27.47%), and fluctuating obesity (7.52%).Multinomial logistic regression analysis revealed that age 30-44 (RRR=1.476, 95% CI: 1.205-1.807) and 45-59 (RRR=1.478,95% CI: 1.199-1.822), urban residence (RRR=1.252, 95% CI: 1.086-1.443), and physical exercise (RRR=1.292, 95% CI:1.101-1.517) were risk factors for the progressive overweight group, while self-rated unhealthy (RRR=0.593, 95% CI: 0.480-0.733) was a protective factor for this group. For the persistent overweight group, male (RRR=1.202, 95% CI: 1.032-1.401), age 30-44 (RRR=1.649, 95% CI: 1.315-2.067) and 45-59 (RRR=1.527, 95% CI: 1.209-1.929), urban residence (RRR=1.361,95% CI: 1.167-1.587), being married (RRR=1.634, 95% CI: 1.273-2.098), high household income per capita (RRR=1.346,95% CI: 1.113-1.628), physical exercise (RRR=1.359, 95% CI: 1.144-1.614), and having chronic disease(s) (RRR=1.317, 95% CI: 1.059-1.638) were risk factors, whereas self-rated unhealthy (RRR=0.670, 95% CI: 0.532-0.843) was a protective factor.Risk factors for the fluctuating obesity group included urban residence (RRR=1.861, 95% CI: 1.481-2.339), being married(RRR=1.671, 95% CI: 1.136-2.458), alcohol consumption (RRR=1.467, 95% CI: 1.095-1.966), physical exercise (RRR=1.316, 95% CI: 1.024-1.691), and having chronic disease(s) (RRR=1.837, 95% CI: 1.359-2.483).

Conclusion

Chinese adults exhibit significant heterogeneity in BMI trajectories, necessitating focused interventions for the progressive overweight and persistent overweight groups, with targeted strategies for high-risk populations including urban residents, married individuals, physically active adults, middle-aged groups, and chronic disease patients.

Adults  /  Body mass index  /  Trajectory  /  Group-based trajectory model
黄婷, 曹翼飞, 郭凤娇, 张景怡, 尹文强, 胡金伟, 陈钟鸣, 郭洪伟. 基于组基轨迹模型的中国成年人身体质量指数变化轨迹及影响因素研究. 现代预防医学, 2026 , 53 (3) : 411 -416 . DOI: 10.20043/j.cnki.MPM.202509115
Ting HUANG, Yi-fei CAO, Feng-jiao GUO, Jing-yi ZHANG, Wen-qiang YIN, Jin-wei HU, Zhong-ming CHEN, Hong-wei GUO. Change trajectory of body mass index and its influencing factors in Chinese adults based on group-based trajectory model[J]. Modern Preventive Medicine, 2026 , 53 (3) : 411 -416 . DOI: 10.20043/j.cnki.MPM.202509115
肥胖是全球重大公共卫生挑战。世卫数据显示,2022年全球43%成人超重,16%肥胖[1];《2025世界肥胖地图》预测,按相同标准,2025年我国成人高身体质量指数(body mass index,BMI)率将达41%,肥胖率9%[2],若依中国标准,比例更高,将加剧疾病与社会经济负担。为此,我国将体重管理纳入国家战略,《“健康中国2030”规划纲要》明确提出“到2030年超重肥胖人口增长速度明显放缓”[3],并先后出台《“体重管理年”活动实施方案》[4]系列政策和《成人肥胖食养指南》等技术指南推进实施。
BMI是评估肥胖的关键指标,其长期轨迹能揭示风险演变及因素累积效应。现有研究多关注静态分布或年龄轨迹,难以分离社会时代因素的影响,而在快速变迁的社会背景下,不同年龄段个体往往共同经历着相似的政策变迁、经济发展与生活方式转变,这些宏观因素可能对BMI轨迹产生超越年龄的塑造作用。为此,本研究基于中国家庭追踪调查(China Family Panel Studies,CFPS)2010—2022年纵向数据,采用组基轨迹模型(group-based trajectory modeling,GBTM),以调查年份为时间轴,旨在识别特定社会阶段中的BMI群体演变模式及高风险人群,为精准公共卫生干预提供依据。
本研究数据来源于CFPS 2010—2022年共7期数据。该项目采用多阶段分层概率抽样,覆盖25个省/市/自治区,并获北京大学生物医学伦理委员会审查批准,伦理审查批号为IRB00001052-14010,所有研究对象均知情同意。本研究选取基期年龄≥18岁的成年人,排除BMI缺失值、极端值(<12或>50 kg/m2)及基期协变量缺失者,最终纳入6 134名研究对象。
本研究的主要变量为BMI,依据受访者自报身高体重计算,等于体重(kg)除以身高的二次方(m2),极端值(<12 kg/m2或>50 kg/m2)视为缺失并排除。本研究采用中国成年人BMI分类标准,即BMI<18.5 kg/m2为低体重,18.5 kg/m2≤BMI<24 kg/m2为正常体重,24 kg/m2≤BMI<28 kg/m2为超重,BMI≥28 kg/m2为肥胖[5]。
本研究协变量均基于基期数据,涵盖人口学特征、生活方式及健康状况。(1)社会人口学特征:性别、年龄、居住地、受教育程度、婚姻状况、工作状态、家庭人均纯收入(按百分位数分低、中、高三组);(2)生活方式:吸烟、饮酒、上网、锻炼(是/否)、夜间睡眠时长(按<6、6~9和>9 h分组)[6]、饮食多样性(基于8类食物摄入计算得分,按百分位数分低、中、高三组)[7];(3)健康状况:自评健康(健康、一般、不健康)、慢性病(是/否)、心理健康(采用凯斯勒心理疾患K6量表,≥13分为高风险)。
使用 Stata 18.0 软件进行统计分析,采用描述性统计分析描述研究对象的基本特征,定性资料采用例数和百分比表示,偏态分布的计量资料用M(IQR)表示。采用GBTM识别BMI变化轨迹,通过Stata的traj插件拟合模型,各亚组从高阶函数开始拟合,直至所有组最高阶的P值均<0.05,依据贝叶斯信息指标(Bayesian information criterion,BIC)和平均后验概率(average posterior probability,Ave PP)选择最佳轨迹组数,前者绝对值越低,模型拟合越好,AvePP≥0.7表明模型是可接受的,同时每一亚组的样本量应不小于 5%,结合正确分类优势(OCC>5)、熵值(≥0.7)等指标,确定最佳轨迹组数与形态[8]。采用χ2检验比较不同轨迹组间基期协变量的差异。以“稳定正常组”为参照,采用多分类logistic回归分析轨迹归属的影响因素,计算相对风险比(relative risk ratio, RRR)及其95%置信区间(confidence interval,CI)。检验水准α=0.05。
本研究基于CFPS 2010年基线数据,纳入6 134名≥18岁成年人。中位年龄43岁,四分位数间距为18岁,女性占51.37%;农村居民55.71%;受教育程度以初中/高中为主,占52.85%,39.78%为小学及以下;在婚者89.48%;在职者58.48%。家庭人均年收入中位数为6 156.41元,四分位数间距为7 468.33元。生活方式方面,吸烟、饮酒、锻炼及有上网习惯者分别占30.57%、16.42%、26.46%和17.35%;夜间睡眠中位数为8 h,四分位数间距为1.71 h,78.81%睡眠正常;饮食多样性中位得分5分,四分位数间距为3分,41.46%饮食多样性低。健康方面,49.09%自评健康,13.68%患慢性病,2.76%心理疾患风险高。
通过GBTM对6 134名研究对象自2010—2022年共7期的BMI变化轨迹进行识别,根据亚组数从低到高、阶数从低到高的规律进行拟合,测试了1~5组轨迹模型,并比较了线性、二次和三次多项式形式,当亚组数为5时,最后一组的样本量低于5%。因此基于BIC绝对值最小,最终确定4组线性模型为最优模型,该模型的BIC绝对值(|BIC|)为92 565.46,显著优于3组模型(|BIC|=95 256.68);各组AvePP分别为0.95、0.95、0.93、0.96,均远高于0.7的标准阈值,正确分类优势比(OCC)>7.5,且每组样本占比>5%,模型拟合程度较好。见表1。
根据图1所示,成年人BMI轨迹可分为四种类型,总体而言,组1至组3的BMI随调查时间呈缓慢上升趋势,而组4(波动肥胖组)则在波动中总体上升。已知基线时BMI均值为(22.88±3.18) kg/m2,组1(稳定正常组,25.29%)基线BMI最低,为(19.70±1.55)kg/m2,斜率0.07,全程保持正常范围且变化最平稳;组2(渐进超重组,39.73%)基线BMI接近平均水平,为(22.22±1.68) kg/m2,斜率0.11,增长最快,末期接近超重;组3(持续超重组,27.47%)基线已达超重标准,为(25.14±1.93) kg/m2,斜率0.10,保持较快增长;组4(波动肥胖组,7.52%)基线已肥胖,为(28.86±2.68)kg/m2,斜率0.08,整体呈上升趋势但过程中波动明显。
表2所示,4组性别、年龄、居住地、婚姻状况、家庭人均纯收入、饮酒、锻炼、饮食多样性、自评健康、慢性病进行比较,差异均有统计学意义(P<0.05)。4组工作状态、受教育程度、吸烟、上网、夜间睡眠时长、心理健康进行比较,差异均无统计学意义(P>0.05)。
本研究采用多分类logistic回归模型分析成年人BMI轨迹的影响因素,模型选择的依据为Brant检验,结果显示平行回归假设不成立(χ2=119.31, P<0.001),故采用本模型并报告RRR及其95% CI。分析中以成年人BMI轨迹分组作为因变量,将单因素分析中具有显著差异的变量纳入自变量,并以“稳定正常组”作为参照组,结果显示不同轨迹组存在差异化的风险特征,性别、年龄、居住地、婚姻状况、家庭人均纯收入、饮酒、锻炼、自评健康、慢性病为成年人BMI轨迹的显著影响因素。其中,年龄为30~44岁和45~59岁、居住在城镇、在婚、锻炼者者更容易进入渐进超重组(P<0.05),而自评健康为“不健康”者风险降低(P<0.01);男性、年龄为30~44岁和45~59岁、居住在城镇、在婚、锻炼、患有慢性病、家庭人均纯收入高者更容易进入持续超重组(P<0.05),自评健康为“不健康”者风险降低(P<0.01);居住在城镇、在婚、饮酒、锻炼、患有慢性病者更容易进入波动肥胖组(P<0.05)。见表3。
本研究揭示中国成年人BMI变化存在四条异质轨迹,其中渐进超重与持续超重占比超过三分之二,反映我国成年群体超重肥胖问题普遍且发展模式多样。轨迹分布呈现明显社会分层特征,其中居住在城镇、已婚及锻炼是后三条轨迹的共同危险因素,而中年显著增加二、三类轨迹的风险,慢性病关联后两类轨迹风险,男性与高收入特异驱动持续超重组,饮酒则专属于波动肥胖组。
基于CFPS 2010—2022年数据,本研究采用GBTM识别出中国成年人BMI的四条异质性轨迹:稳定正常组(25.29%)、渐进超重组(39.73%)、持续超重组(27.47%)和波动肥胖组(7.52%)。与采用调查年份的研究结论相似[9],本研究同样发现BMI总体呈上升趋势,但轨迹形态与分类阈值因数据来源及建模方法差异而有所不同。在轨迹特征方面,稳定正常组基线BMI最低且增长最缓,以年轻、女性、农村及低收入人群为主;渐进超重组BMI增长最快,未来超重风险高,人群特征为年龄较大、女性、农村及中等收入;持续超重组基线即超重且增长较快,以男性与高收入人群为主;波动肥胖组基线已达肥胖并呈波动上升,人群年龄集中且以男性、城镇居民为主。
本研究结果显示,人口学特征、生活方式及健康状况均对BMI轨迹归属影响显著。具体而言,社会人口学特征方面,男性更易归入高BMI轨迹,可能与性激素差异及社会角色相关的过量热量摄入有关[10];中年人群风险上升,主要因基础代谢下降、职业稳定期体力活动减少且饮食模式未相应调整;城镇居民风险较高,与高热量食品可及性增加、久坐生活方式及体力活动受限相关[11];在婚人群超重风险升高,多源于婚姻压力、饮食习惯改变[12]及生育后高脂饮食比例上升;高收入者亦呈现类似趋势,与张小丹等人[13]研究结果一致,与其多从事静态工作、偏好高油高脂饮食模式密切相关[14]。在生活方式方面,饮酒者更易归入高BMI轨迹,可能与酒精干扰肝脏代谢并伴随高脂食物摄入增加有关[15];锻炼人群仍呈现较高超重风险,或源于运动后的补偿性能量摄入、日常非运动活动减少[16],以及本研究包含的中低强度运动实际能耗有限有关,同时,不能排除基线BMI较高者更倾向于主动锻炼以控制体重的可能性。健康状况方面,自评健康较差者BMI增长风险较低,这可能反映了健康行为的前瞻性干预[17],也可能揭示了消耗性疾病对体重的直接影响所造成的虚假“保护效应”。与此相对,慢性病患者则因炎症、药物和活动减少等因素,BMI轨迹显著恶化[18]。
基于本研究揭示的成年人BMI异质轨迹及其关键影响因素,建议我国成年人超重肥胖防控策略应充分体现群体异质性与风险特异性。针对占比最高且增长最快的渐进超重组,防控重点应置于中年城镇居民,通过动态监测其BMI变化速率,及时干预以遏制过快增长趋势。对于已处于超重状态的持续超重组,应聚焦男性、高收入及在婚人群,设计长期体重维持方案,特别关注商务餐饮场景下的热量控制。对波动肥胖组应强化饮酒、城镇居民的代谢指标监测,并提供针对性的饮酒行为干预。鉴于锻炼人群仍面临超重风险,需制定强调运动强度与能量平衡管理的个性化方案,避免补偿效应抵消运动收益。建议将自评健康纳入常规健康筛查,对自评健康不佳者提供早期体重管理指导。慢性病管理方案应整合体重监测模块,关注治疗药物对体重的潜在影响,实现慢性病控制与体重管理的协同增效。
本研究尚存在一定局限性:一是,身高体重数据及部分健康行为指标依赖自报数据,且未能涵盖临床体检指标,可能存在偏倚;二是,影响因素的选择仅纳入基期的协变量进行分析,未能考察随访期间协变量的动态变化对BMI轨迹的影响,可能遗漏重要时间变化因素;另外,本研究虽涵盖2010—2022年数据,但未完全捕捉个体生命早期或老年阶段的BMI变化。未来可结合多中心队列研究和更长随访周期,进一步验证BMI轨迹的稳定性及其健康影响机制,为公共卫生政策制定提供更全面的证据支持。
  • 山东省自然科学基金资助项目(ZR2020MG055)
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doi: 10.20043/j.cnki.MPM.202509115
  • 接收时间:2025-09-10
  • 首发时间:2026-11-02
  • 出版时间:2026-02-10
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  • 收稿日期:2025-09-10
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山东省自然科学基金资助项目(ZR2020MG055)
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    山东第二医科大学管理学院,山东 潍坊 261053

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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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