目的 分析2009-2018年上海市6~17岁儿童青少年超重和肥胖的变化趋势,为预防和控制儿童青少年超重肥胖提供依据。方法 采用2009-2018年上海市连续10年的学生常见病监测项目横断面调查数据,选取资料完整的523 112名6~17岁儿童青少年作为研究对象。超重和肥胖判定标准采用2007年世界卫生组织(WHO)制定的儿童青少年生长参照标准(WHO标准)。采用多元线性回归模型分析儿童青少年体重指数变化趋势,Logistic回归模型分析超重和肥胖率的变化趋势。结果 2018年上海市6~17岁儿童青少年超重和肥胖总体检出率分别为19.37%、10.78%,男生分别为22.33%、16.27%,女生分别为16.31%、5.13%,超重和肥胖检出率男生均高于女生(超重:χ2=253.26,P<0.001;肥胖:χ2=1 404.73,P<0.001)。调整年龄、性别后,超重和肥胖率分别由2009年的16.94%、9.22%增加至2018年的19.37%、10.78%(P趋势<0.001)。结论 2009-2018年上海市6~17岁儿童青少年体重指数、超重和肥胖率均呈增加趋势,增长速度放缓,但仍处于流行状态。
Abstract
Objective To analyze the trends of overweight and obesity among children and adolescents aged 6 to 17 years from 2009 to 2018 in Shanghai, in order to provide evidence for the prevention and control of overweight and obesity in children and adolescents. Methods A total of 523 112 children and adolescents aged 6 to 17 years with complete data were selected from students' common diseases surveillance program in Shanghai from 2009 to 2018.Overweight and obesity were defined using the growth reference for school-age children and adolescents established by the World Health Organization in 2007 (here in after referred to as WHO standard).Multivariate linear regression model was used to examine the trends in body mass index(BMI), and multivariate Logistic regression model was used to examine the trends in the prevalence of overweight and obesity. Results The total detection rates of overweight and obesity among children and adolescents aged 6 to 17 years in Shanghai in 2018 were 19.37% and 10.78%.The detection rates of overweight and obesity were 22.33% and 16.27% for boys, and 16.31% and 5.13% for girls, respectively, which were significantly higher in boys than those in girls (χ2=253.26, 1 404.73, P<0.001).After adjusting for the age and sex, the rate of overweight and obesity increased from 16.94% and 9.22% in 2009 to 19.37% and 10.78% in 2018, respectively (Ptrend<0.001). Conclusions BMI and the rate of overweight and obesity of children and adolescents aged 6 to 17 years in Shanghai show an increasing trend from 2009 to 2018.The growth rate of overweight and obesity tends to be flat, but it is still prevalent.
关键词
超重 /
肥胖 /
儿童 /
青少年
Key words
overweight /
obesity /
children /
adolescents
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 郭春雷, 王惠君, 张兵.儿童青少年肥胖研究进展[J].卫生研究, 2020,49(3):516-522.
[2] 邵安伟, 王军利, 张松奎.青少年儿童超重与肥胖的流行、成因及其风险[J].体育学研究, 2019,11(5):87-94.
[3] 李晓南.关注儿童青少年肥胖相关并发症的监测和指导[J].中国儿童保健杂志, 2018,26(12):1277-1279.
[4] 马冠生.中国肥胖报告[M].北京:人民卫生出版社, 2017.
[5] 陈秋映, 李显丽, 李奕平.儿童、青少年肥胖的研究进展[J].药品评价, 2019,16(3):3-6.
[6] 佚名.首部《中国儿童肥胖报告》发布[J].中华预防医学杂志, 2017,51(6):576.
[7] De Onis M, Onyango AW, Borghi E, et al.Development of a WHO growth reference for school-aged children and adolescents[J].Bulletin of the World Health Organization, 2007,85(9):660-667.
[8] 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.
[9] 马淑婧, 张艳青, 羊柳, 等.1991—2015年中国9个省份儿童青少年超重和肥胖率的变化趋势分析[J].中华预防医学杂志, 2020,54(2):133-134.
[10] Yi S, Anette A, Jun M, et al.National trends in stunting, thinness and overweight among Chinese school-aged children, 1985-2014[J].Int J Obesity, 2019,43(2):402-411.
[11] 张娜, 马冠生.《中国儿童肥胖报告》解读[J].营养学报, 2017,39(6):530-534.
[12] 周婷, 王婉宜, 孙晓蒙, 等.中国7～18岁儿童青少年超重肥胖危险因素meta分析[J].中国公共卫生, 2016,32(10):1444-1448.
[13] 王向军, 杨漾, 吴艳强, 等.上海市7～18岁学生1985至2014年的超重和肥胖流行趋势[J].中国循证儿科杂志, 2017,12(2):126-130.
[14] 陈贻珊, 张一民, 孔振兴, 等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志, 2017,21(9):866-869.
[15] NCD-RisC NRFC.Worldwide trends in body mass index, underweight, overweight, and obesity from 1975 to 2016:A pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults[J].Lancet, 2017,390(10113):2627-2642.
[16] 郭连增, 刘蕊, 陈珉惺, 等.中国儿童青少年肥胖研究的三个十年[J].中国全科医学, 2014,17(30):3531-3535.
[17] 周双, 李晓彤, 李维, 等.儿童肥胖国际研究热点的文献计量分析[J].中国儿童保健杂志, 2020,28(4):438-442.
[18] 马冠生, 张玉.中国儿童肥胖防控面临的挑战和机遇[J].中国儿童保健杂志, 2020,28(2):117-119.
[19] Luciana B, Camila WS, Karen S, et al.Overview of meta-analysis on prevention and treatment of childhood obesity[J].J Pediatr(Rio J), 2019,95(4):385-400.
[20] 张丹, 李晓南.儿童青少年肥胖干预方法研究新进展[J].中国儿童保健杂志, 2020,28(2):156-160.
基金
上海市第五轮公共卫生三年行动计划重点学科项目(GWV-10.1-XK08)
PDF(453 KB)
