目的 了解泰安地区小学生超重和肥胖现况,为制定针对小学生超重肥胖的防治措施提供科学依据。方法 2021年随机整群抽取泰安市城乡6～13岁小学生10 644人,采用体质量指数(BMI)作为诊断超重和肥胖的标准,统计分析本地区小学生超重和肥胖的调查结果。结果 泰安地区6～13岁小学生超重总检出率为23.03%,其中男、女生超重检出率分别为26.14%、19.35%;肥胖总检出率为20.77%,其中男、女生肥胖检出率分别为24.50%、16.35%;男生的超重率、肥胖率均明显高于女生,差异有统计学意义(χ2=69.12、106.52,P<0.05)。城、郊区超重检出率分别为21.86%、24.15%,肥胖检出率分别为22.07%、19.52%。与本地区2018年调研对比,此次6~13岁小学生超重、肥胖检出率显著高于2018年6~13岁小学生超重、肥胖检出率(17.58%、19.03%),3年间增长率分别为33%和9.14%(P<0.01)。结论 泰安地区小学生超重率和肥胖率均较高,男生明显高于女生,3年间有明显增长趋势。提高社会对小学生超重肥胖群体防治意识迫在眉睫,制定有效的减重方案势在必行。
Abstract
Objective To investigate the current prevalence of overweight and obesity of primary school students, in order to provide scientific reference for the developing targeted and effective strategies. Methods A total of 10 644 primary school students aged 6 to 13 years were randomly selected from urban and rural areas in Tai′an in this study in 2021. The overweight and obesity were defined according to body mass index (BMI) criteria, then the detection rates of overweight and obesity were analyzed. Results The total detection rate of overweight in children aged 6 to 13 years was 23.03%, which was 26.14%, 19.35% for boys and girls, respectively. The total detection rate of obesity in primary school students aged 6 to 13 years was 20.77%, which was 24.50%, 16.35% for boys and girls, respectively. The detection rates of overweight and obesity in boys were higher than those in girls. For children from urban and rural areas, the detection rates of overweight were 21.86% and 24.15%, respectively; and the detection rates of obesity were 22.07% and 19.52%, respectively. The detection rates of overweight and obesity in primary school students aged 6 to 13 years were higher than those in 2018(17.58%, 19.03%),the growth rates in the three years were 33% and 9.14% respectively. Conclusions The detection rates of overweight and obesity among primary school students in Tai′an area are high, with boys significantly higher than girls, and there is a significant increasing trend from 2018 to 2021. It is urgent to raise social awareness of the prevention and treatment of overweight and obesity in primary school students, and it is imperative to develop an effective weight loss program.
关键词
小学生 /
超重 /
肥胖
Key words
primary school students /
overweight /
obesity
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参考文献
[1] 原晨晨, 薛琨,郭红卫.全球儿童超重肥胖的流行现状和影响因素[J]. 卫生研究, 2020,49(3):506-510.
Yuan CC,Xue K,Guo HW.Prevalence and risk factors of children overweight and obesity in the worldwide[J]. Journal of Hygiene Research,2020,49(3):506-510.(in Chinese)
[2] 马冠生.中国儿童肥胖报告[M]. 北京:人民卫生出版社, 2019.
Ma GS. Chinese childhood obesity report[M]. Beijing:People′s Medical Publishing House, 2019.(in Chinese)
[3] Cuschieri S, Grech S. COVID-19:A one-way ticket to a global childhood obesity crisis[J]. J Diabetes Metab Disord, 2020,19(2):2027-2030.
[4] 刘熠华,傅茂笋,王鲁,等. 2015年山东省6～18岁儿童青少年超重肥胖流行现况[J]. 中国儿童保健杂志, 2018,26(12):1312-1316,1326.
Liu YH, Fu MS, Wang L,et al. Prevalence of overweight and obesity in children and adolescents aged 6-18 years in Shandong province[J].Chin J Child Health Care, 2018,26(12):1312-1316,1326.(in Chinese)
[5] 王小丽,陈晓云,陈丽萍,等.2018年泰安市城区6～18岁中小学生超重和肥胖的流行病学调查[J]. 中国妇幼健康研究, 2020,31(12):1606-1611.
Wang XL,Chen XY,Chen LP,et al. Epidemiological survey of overweight and obesity among primary and secondary school students with 6-18 years in Tai an urban area in 2018[J].Chinese Journal of Woman and Child Health Research, 2020, 31(12):1606-1611.(in Chinese)
[6] 季成叶, 马冠生,张琳.WS/T586-2018 学龄儿童青少年超重与肥胖筛查[S].北京:中华人民共和国国家卫生和计划生育委员会,2018.
Ji CY,Ma GS,Zhang L. WS/T586 2018 screening for overweight and obesity in school-age children and adolescents[S].Beijing:National Health and Family Planning Commission of the People′s Republic of China,2018.(in Chinese)
[7] 王烁,董彦会,王政和,等.1985—2014年中国7～ 18岁学生超重与肥胖流行趋势[J]. 中华预防医学杂志, 2017, 51(4):300-305.
Wang S,Dong YH,Wang ZH,et al.Prevalence of overweight and obesity among students aged 7-18 years in China, 2014[J].Chin J Preventive Medicine, 2017,51(4):300-305.(in Chinese)
[8] Patterson RR,Sornalingam S,Cooper M,et al. Consequences of covid-19 on the childhood obesity epidemic[J]. BMJ,2021,373:n953.
[9] 全明辉, 陈佩杰,何晓龙.上海市3~6岁学龄前儿童超重、肥胖率调查—基于2010年国民体质监测[J]. 中国运动医学杂志, 2014, 33(11):1047-1053.
Quan MH,Chen PJ,He XL.An Epidemiological survey on the prevanlence of overweight or obesity in Shanghai preschool children-based on 2010 China national health survey.[J]. Chinese Journal of Sports Medicine,2014, 33(11):1047-1053.(in Chinese)
[10] 孔国书,齐亚强.影响居民肥胖的社会经济因素:性别与城乡差异[J]. 社会学评论, 2017,5(5):79-96.
Kong GS,Qi YQ.Prevalence and risk factors of overweight and obesity in children worldwide[J]. Sociological Review of China, 2017,5(5):79-96.
[11] Lee HH, Park HA, Kang JH,et al. Factors related to body mass index and body mass index change in Korean children:Preliminary results from the obesity and metabolic disorders cohort in childhood[J]. Korean J Fan Med, 2012, 33(3):134-143.
[12] 张垚. 北京市通州区2012—2017年7～17岁儿童青少年超重肥胖流行趋势及预测研究[J]. 中国儿童保健杂志, 2020,28(2):178-182.
Zhang Y.Study on the prevalence and prediction of overweight and obesity among children and adolescent aged 7 to 17 years from 2012 to 2017 in Tongzhou district,Beijing[J].Chin J Child Health Care, 2020,28(2):178-182.(in Chinese)
[13] Wisniewski AB,Chernausek SD. Gender in childhood obesity:Family environment, hormones, and genes[J]. Gend Med, 2009,6(Suppl 1):76-85.
[14] 吴旭龙,赵雯,李晶晶,等.北京市学龄前儿童单纯性肥胖影响因素研究[J]. 中国儿童保健杂志, 2015,23(4):340-343.
Wu XL,Zhao W,Li JJ,et al.Correlation of child obesity in Beijing preschool children[J].Chin J Child Health Care, 2015,23(4):340-343.(in Chinese)
[15] Senthilingam M. Covid-19 has made the obesity epidemic worse, but failed to ignite enough action[J]. BMJ, 2021,372:n411.
基金
泰安市科技创新发展项目(2020NS128)
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