2016年海阳市7～18岁学生超重肥胖流行现况分析
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摘要
目的了解海阳市7～18岁学生超重和肥胖状况,为进一步采取健康干预措施提供依据。方法 2016年9月对海阳市69所学校7～18岁在校学生进行健康体检,计算身体质量指数(BMI),以中国肥胖问题工作组(WGOC)颁布的"中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准"判定超重和肥胖情况。结果调查43 802名学生,男生22 130人(占50.52%),女生21 672人(占49.48%),男∶女=1.02∶1。学生超重率为10.63%(4 656人),肥胖率为5.36%(2 348人),其中男生超重率(12.56%)和肥胖率(7.55%)均高于女生(8.66%、3.12%)(P<0.01)。随着年龄增长,学生的超重率和肥胖率呈现先升高后降低的趋势,各年龄段男生超重率、肥胖率均高于女生(P<0.05)。男生BMI的P85、P95均高于WGOC标准;女生P95除18岁(26.67)低于WGOC肥胖标准,其余年龄P85、P95均高于WGOC标准。结论海阳市7～18岁学生超重率和肥胖率高于全国水平。
Objective To understand the status of overweight and obesity among students aged 7-18 in Haiyang city,so as to provide the evidence for further health intervention. Methods Students who aged 7-18 from 69 schools in Haiyang city were examined for health in september 2016.The BMI was calculated and used to screen overweight and obesity according to BMI Reference for Screening Overweight and Obesity in Chinese Children and Adolescents which was set up by the Working Grouping on Obesity in China(WGOC). Results A total of 43 802 students were surveyed,including 22 130 boys(50.52%) and 21 672 girls(49.48%),the sex ratio of male to female was 1.02:1.The prevalence of overweight and obesity among students were 10.63%(4 656 people) and 5.36%(2 348 people),respectively.The overweight rate(12.56%) and obesity rate(7.55%) of boys were higher than those of girls(8.66% and 3.12%)(P<0.01).The prevalence of overweight and obesity increased with age initially but then declined.The prevalence of overweight and obesity in boys were higher than those in girls in all age groups(P<0.05).The centile curves of P85,P95 of BMI for boys in all age groups were higher than those of WGOC,and it of P85,P95 of BMI for girls were higher than those of WGOC except for girls aged 18 years(26.67). Conclusion The prevalence of overweight and obesity among students in Haiyang city is higher than the national level.
Objective To understand the status of overweight and obesity among students aged 7-18 in Haiyang city,so as to provide the evidence for further health intervention. Methods Students who aged 7-18 from 69 schools in Haiyang city were examined for health in september 2016.The BMI was calculated and used to screen overweight and obesity according to BMI Reference for Screening Overweight and Obesity in Chinese Children and Adolescents which was set up by the Working Grouping on Obesity in China(WGOC). Results A total of 43 802 students were surveyed,including 22 130 boys(50.52%) and 21 672 girls(49.48%),the sex ratio of male to female was 1.02:1.The prevalence of overweight and obesity among students were 10.63%(4 656 people) and 5.36%(2 348 people),respectively.The overweight rate(12.56%) and obesity rate(7.55%) of boys were higher than those of girls(8.66% and 3.12%)(P<0.01).The prevalence of overweight and obesity increased with age initially but then declined.The prevalence of overweight and obesity in boys were higher than those in girls in all age groups(P<0.05).The centile curves of P85,P95 of BMI for boys in all age groups were higher than those of WGOC,and it of P85,P95 of BMI for girls were higher than those of WGOC except for girls aged 18 years(26.67). Conclusion The prevalence of overweight and obesity among students in Haiyang city is higher than the national level.
引文
[1] 马军,蔡赐河,王海俊,等.1985～2010年中国学生超重与肥胖流行趋势[J].中华预防医学杂志,2012,46(9):776-780.
[2] 曹向红,王红娟,于国伟.兰州市2008年儿童青少年超重肥胖流行状况[J].中国学校卫生,2011,32(6):695.
[3] 王璐,孙明晓,汪明芳,等.不同干预方式对超重、肥胖青少年体重指数和体脂含量的影响[J].中华临床营养杂志,2011,19(1):16-18.
[4] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[5] 顾昉,章荣华,方跃强,等.浙江省儿童青少年超重肥胖流行现况[J].中国学校卫生,2013,34(7):838-840.
[6] 马军,蔡赐河,王海俊,等.1985～2010年中国学生超重与肥胖流行趋势[J].中华预防医学杂志,2012,46(9):776-780.
[7] 张丹,赵正言,林穗青,等.上海市10～7岁青少年超重肥胖检出率及相关因素研究[J].中国儿童保健杂志,2012,20(8):703-705,724.
[8] 高爱钰,潘勇平,石晓燕,等.北京市中小学生超重肥胖与生活方式的关系[J].中国学校卫生,2013,34(5):619-620,622.
[9] 中国学生体质与健康研究组.2010年中国学生体质与健康调研报告[M].北京:高等教育出版社,2012:77.
[10] 周泉,王培席,周志衡,等.佛山地区7～17岁儿童肥胖的流行现状及影响因素[J].实用预防医学,2014,21(11):1 394-1 396.
[11] Ogden CL,Carroll MD,Curtin LR,et al.Prevalence of overweight and obesity in the United States,1999-2004[J].JAMA,2006,295(13):1 549-1 555.
[12] 陈志燕.909名小学生肥胖现状调查[J].浙江预防医学,2012,24(2):54.
[13] 仇君,吴晓丽.长沙市13～18岁青少年超重和肥胖流行现状[J].中国儿童保健杂志,2014,22(5):517-520.
[14] 季成叶,孙军玲,陈天娇.中国学龄儿童青少年1985～2000年超重、肥胖流行趋势动态分析[J].中华流行病学杂志,2004,25(2):103-108.
[15] 吕兰秋,钱莹莹,徐翠青,等.学龄前儿童单纯性肥胖发生率及与生活环境相关性的研究[J].中国儿童保健杂志,2008,16(6):707-708.
[16] 季成叶.儿童肥胖流行和肥胖易感环境[J].中国学校卫生,2006,27(6):464-466.
[2] 曹向红,王红娟,于国伟.兰州市2008年儿童青少年超重肥胖流行状况[J].中国学校卫生,2011,32(6):695.
[3] 王璐,孙明晓,汪明芳,等.不同干预方式对超重、肥胖青少年体重指数和体脂含量的影响[J].中华临床营养杂志,2011,19(1):16-18.
[4] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[5] 顾昉,章荣华,方跃强,等.浙江省儿童青少年超重肥胖流行现况[J].中国学校卫生,2013,34(7):838-840.
[6] 马军,蔡赐河,王海俊,等.1985～2010年中国学生超重与肥胖流行趋势[J].中华预防医学杂志,2012,46(9):776-780.
[7] 张丹,赵正言,林穗青,等.上海市10～7岁青少年超重肥胖检出率及相关因素研究[J].中国儿童保健杂志,2012,20(8):703-705,724.
[8] 高爱钰,潘勇平,石晓燕,等.北京市中小学生超重肥胖与生活方式的关系[J].中国学校卫生,2013,34(5):619-620,622.
[9] 中国学生体质与健康研究组.2010年中国学生体质与健康调研报告[M].北京:高等教育出版社,2012:77.
[10] 周泉,王培席,周志衡,等.佛山地区7～17岁儿童肥胖的流行现状及影响因素[J].实用预防医学,2014,21(11):1 394-1 396.
[11] Ogden CL,Carroll MD,Curtin LR,et al.Prevalence of overweight and obesity in the United States,1999-2004[J].JAMA,2006,295(13):1 549-1 555.
[12] 陈志燕.909名小学生肥胖现状调查[J].浙江预防医学,2012,24(2):54.
[13] 仇君,吴晓丽.长沙市13～18岁青少年超重和肥胖流行现状[J].中国儿童保健杂志,2014,22(5):517-520.
[14] 季成叶,孙军玲,陈天娇.中国学龄儿童青少年1985～2000年超重、肥胖流行趋势动态分析[J].中华流行病学杂志,2004,25(2):103-108.
[15] 吕兰秋,钱莹莹,徐翠青,等.学龄前儿童单纯性肥胖发生率及与生活环境相关性的研究[J].中国儿童保健杂志,2008,16(6):707-708.
[16] 季成叶.儿童肥胖流行和肥胖易感环境[J].中国学校卫生,2006,27(6):464-466.
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