【目的】 探讨1993-2009年7~18岁中国学龄儿童超重肥胖率和腹型肥胖率变化趋势。【方法】 选取1993、1997、2000、2004、2006和2009年“中国健康与营养调查”6次横断面调查数据,研究对象为7~18岁中国11 592名学龄儿童。研究内容包括性别、年龄、地区、身高、体重和腰围等。【结果】 7~18岁中国学龄儿童体质指数增加0.6 kg/m2(趋势P<0.001),腰围增加1 cm(趋势P<0.001);超重肥胖率从8.1%增加到18.0%(趋势P<0.001);腹型肥胖率从15.3%增加到28.9%(趋势P<0.001)。学龄儿童超重肥胖率及腹型肥胖率在不同性别、年龄及地区均显示出逐年增加的趋势(趋势P<0.001)。【结论】 17年来中国学龄儿童BMI、腰围、超重肥胖及腹型肥胖逐年增长,腹型肥胖的增加速度更为显著。因此,控制儿童肥胖迫在眉睫。
Abstract
【Objective】 To examine the trends in body mass index (BMI),waist circumference (WC) and the prevalence of overweight (including obesity) and abdominal obesity among Chinese children aged 7~18 years from 1993-2009. 【Methods】 Based on the data from the China Health and Nutrition Survey (CHNS) conducted from 1993 to 2009,a total of 11 592 Chinese children aged 7~18 years were included in the data analysis.The information includes gender,age,region,height,weight and waist circumference. 【Results】 During the period of 1993-2009,mean BMI increased by 0.6 kg/m2(P for trend<0.001);mean WC increased by 1 cm (P for trend<0.001);the prevalence of overweight increased from 8.1% to 18.0%(P for trend<0.001);the prevalence of abdominal obesity increased from 15.3% to 28.9% (P for trend<0.001).The similar trends were found in nearly each group by gender,age and region (P for trend<0.001). 【Conclusion】 The BMI,WC and the prevalence of overweight and abdominal obesity among Chinese children has increased greatly during the past 17 years,and abdominal obesity increased more greatly than overweight defined by BMI.
关键词
超重肥胖 /
腹型肥胖 /
儿童 /
趋势
Key words
overweight /
abdominal obesity /
children /
trends
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 林蓉,杜琳,刘伟佳,等.广州市城区儿童超重肥胖影响因素分析[J].中国儿童保健杂志,2011,19(5):409-411.
[2] Ezzati M,Lopez AD,Rodgers A.Comparative quantification of health risks:global and regional burden of disease attributable to selected major risk factors[R].Geneva:WHO,2004:479-596.
[3] 萧黎.儿童肥胖的评价方法[J].中国学校卫生,2008,29(10):966-968.
[4] 盛秋明,李卫国,张海涛,等.浦东新区7~15岁学生肥胖流行现状及腰围和腰围身高比值分布[J].中国学校卫生,2010,31(1):15-18.
[5] Popkin BM,Du SF,Zhai FY,et al.Cohort profile:The China health and nutrition survey -monitoring and understanding socio-economic and health change in China,1989-2011[J].International Journal of Epidemiology,2010,39:1435-1440.
[6] 李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[7] 马冠生,季成叶,马军,等.中国7~18岁学龄儿童青少年腰围界值点研究[J].中国流行病学杂志,2010,31(6):609-615.
[8] Xi B,Liang Y,He T.Secular trends in the prevalence of general and abdominal obesity among Chinese adults,1993-2009[J].Obesity Reviews,2011,doi:10.1111/j.1467-789X.2011.00944.x.
[9] Cui Z,Huxley R,Wu Y,et al.Temporal trends in overweight and obesity of children and adolescents from nine provinces in China from 1991-2006[J].International Journal of Pediatric Obesity,2010,5:365-374.
[10] 于涛,林介秋.成都市中小学生超重肥胖流行现状分析[J].中国实用儿科杂志,2009,24(7):556-558.
[11] WHO Expert Consultation.Appropriate body mass index for Asian population and its implications for policy and intervention strategies[J].Lancet,2004,363 (9403):157-163.
[12] 尹永英, 李汝敏, 沙蕾.代谢综合征基线调查[J].现代预防医学,2006,33(4):520-521. [13] Camhi SM,Kue J,Young DR.Identifying adolescent metabolic syndrome using body mass index and waist circumference[J].Prew Chronic Dis,2008,5(4):A115-119.
[14] Mortensen LH,SieglerI C,Barefoot JC,et al.Prospective associations between sedentary life style and BMI in midlife[J].Obesity,2006,14(8):1462-1471.
[15] 王陇德.中国居民营养与健康状况调查报告之一:综合报告[M].北京:人民卫生出版社,2005:48-53.
[16] 杨万龄,罗盈怡,王晓明.儿童青少年肥胖超重状况及影响因素分析[J].中国公共卫生,2009,25(8):958-960.
基金
中国疾病预防控制中心与食品安全所与美国卡罗莱纳大学人口中心合作开展“中国健康与营养调查”项目(ROI-HD30880,DK056350,ROI-HD38700);山东省优秀中青年科学家基金(BS2011YY026)
PDF(410 KB)
