Gauthier B M, Hickner J M, Noel M M
Upper Peninsula Research Network, Michigan State University College of Human Medicine, Upper Peninsula Campus, Escanaba 49829, USA.
J Fam Pract. 2000 Jan;49(1):73-6.
Our goal was to determine whether the prevalence of obesity in children who receive care in Michigan primary care practices is greater than national and state prevalences.
We compared prevalences of overweight children and adolescents in primary care practices with the results of the National Health Examination Survey (NHES), the National Health and Nutrition Examination surveys, and a contemporary survey of Michigan schoolchildren. We collected data from 19 rural family practice offices and 2 urban clinics. We measured the heights and weights of 993 consecutive patients aged 4 to 17 years who visited one of the participating practices during the spring of 1996.
Obesity prevalences were the main outcome measure. Of the boys, 38% were above the 85th percentile of the NHES, and 16% were above the 95th percentile. Of the girls, 33% were above the 85th percentile, and 13% were above the 95th percentile. Prevalences of obesity were much higher among the primary care patients than in the results of the national surveys and the contemporary Michigan schoolchildren survey.
The prevalences of obesity for children and adolescents presenting for care in Michigan primary care practices are higher than the prevalences documented in state and national surveys. A larger systematic study is needed to confirm or refute these findings. If this prevalence of obesity in primary care patients is confirmed, explanations for the differences should be explored.
我们的目标是确定在密歇根州初级保健机构接受治疗的儿童中肥胖症的患病率是否高于全国和该州的患病率。
我们将初级保健机构中超重儿童和青少年的患病率与国家健康检查调查（NHES）、国家健康和营养检查调查以及密歇根州学童的当代调查结果进行了比较。我们从19个农村家庭医疗办公室和2个城市诊所收集了数据。我们测量了1996年春季访问其中一家参与机构的993名4至17岁连续患者的身高和体重。
肥胖症患病率是主要的结果指标。在男孩中，38%高于NHES的第85百分位，16%高于第95百分位。在女孩中，33%高于第85百分位，13%高于第95百分位。初级保健患者中的肥胖症患病率远高于全国调查和当代密歇根州学童调查的结果。
在密歇根州初级保健机构接受治疗的儿童和青少年的肥胖症患病率高于该州和全国调查记录的患病率。需要进行更大规模的系统性研究来证实或反驳这些发现。如果初级保健患者中的这种肥胖症患病率得到证实，应该探索差异的原因。
