目的 采用国内外儿童超重肥胖筛查标准描述济南市城区儿童青少年超重和肥胖流行现状,为政府和教育部门制定儿童肥胖干预策略提供基础数据。方法 数据来源于2012年9月-2014年9月开展的“十二五”国家科技支撑计划项目“儿童心血管疾病预警、诊治技术研究”分课题济南调查点。共纳入济南市城区7 840名6~17岁儿童青少年。使用中国标准、美国疾病预防控制中心(CDC)标准、国际肥胖问题工作组(IOTF)标准和世界卫生组织(WHO)标准描述济南市城区学龄儿童超重肥胖流行现状,并计算加权kappa值(kw)比较中国标准与国际标准之间的一致性。结果 采用4种BMI筛查标准,济南市城区6~17岁儿童青少年超重率分别为21.0%(中国标准)、17.2%(CDC标准)、21.0%(IOTF标准)和22.1%(WHO标准),肥胖率分别为19.9%(中国标准)、17.4%(CDC标准)、12.4%(IOTF标准)和18.6%(WHO标准)。无论采用何种标准,男生肥胖率显著高于女生,6~11岁组肥胖率显著高于12~17岁组。中国标准与三种国际标准即CDC、IOTF和WHO标准之间的一致性很好,kw值分别为0.88、0.80和0.91。结论 济南市城区6~17岁儿童青少年超重肥胖流行现状严峻,主要集中在男童和6~11岁儿童,提示相关部门应尽早采取干预措施。
Abstract
Objective To describe the prevalence of overweight and obesity among children and adolescents aged 6~17 years in urban region of Jinan using the national and international criteria,and to provide basic data for local government and education department to develop obesity prevention strategies. Methods Data were from the Twelfth Five-year National Science and Technology Support Program "Early Warning,Diagnosis and Treatment of Cardiovascular Disease in Children" conducted from September 2012 to September 2014 in Jinan.A total of 7 840 children and adolescents aged 6~17 years were included in present study.The prevalence of overweight and obesity was determined using criteria of the China,American Centers for Disease Control and Prevention (CDC),International Obesity Task Force (IOTF) and World Health Organization (WHO),respectively.The consistency between the national and international criteria was assessed using the weighted kappa statistic (kw). Results The prevalence of overweight among children and adolescents aged 6~17 years in urban region of Jinan was 21.0% (China),17.2% (CDC),21.0% (IOTF) and 22.1% (WHO),while the prevalence of obesity was 19.9% (China),17.4% (CDC),12.4% (IOTF) and 18.6% (WHO),with boys being significantly higher than girls,and those aged 6~11 years significantly higher than those aged 12~17.In this study,there was high consistency of the China criteria with the CDC,IOTF and WHO references (kw=0.88,0.80,0.91). Conclusions The prevalence of overweight and obesity among children and adolescents in urban region of Jinan is greatly high,especially in boys and children aged 6~11years.It is urgent for the local government to take measures to control childhood obesity.
关键词
儿童青少年 /
超重 /
肥胖
Key words
children and adolescents /
overweight /
obesity
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基金
国家科技支撑计划 (2012BAI03B03);国家自然科学基金面上项目(81673195)
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