Krassas G E, Tzotzas T, Tsametis C, Konstantinidis T
Department of Endocrinology and Metabolism, Panagia Hospital, Thessaloniki, Greece.
J Pediatr Endocrinol Metab. 2001;14 Suppl 5:1319-26; discussion 1365.
Obesity is the most prevalent nutrition-related problem in Western societies. Childhood obesity is rapidly emerging as a global epidemic that will have profound public health consequences, as overweight children become overweight adults. The aim of this study was to investigate the prevalence of overweight and obesity among children and adolescents in the city of Thessaloniki, and evaluate the trends in Greece by comparing our results to those of other cross-sectional studies. Data concerning the height and weight of 2,458 schoolchildren aged 6 to 17 years (1,226 6-10 years, 1,232 11-17 years) of 27 primary and secondary public schools were collected. BMI was calculated from the two measurements. In the analyses, the estimations of the prevalence of overweight and obesity are based on recently established international BMI percentile curves and cut-off points from 2-18 years. To investigate the secular trends in obesity in Greece, data of schoolchildren from four successive surveys were used. In the younger group (6-10 yr), the prevalence of overweight and obesity were 25.3% and 5.6%, while for adolescents (11-17 yr) they were 19.0% and 2.6%, respectively. The prevalence was 25.9% and 5.1% for all males, and 19.1% and 3.2% for all females, respectively. As far as trends are concerned, an increase of BMI was found among males when the results of our survey were compared with those of the previous three. However, the trends for girls are different. An increase was found when the results of our study were compared with 1942. A decrease of BMI at most ages was found when the results of our study were compared with those of the 1982 survey, while an increase was recorded only for younger girls below 13 years compared to the 1984-5 study. This study demonstrates that the prevalence of overweight and obesity among schoolchildren is 22.2% and 4.1%, respectively, and has been increasing in the last decades, especially among boys.
肥胖是西方社会最普遍的营养相关问题。儿童肥胖正迅速成为一种全球流行病，随着超重儿童成长为超重成年人，这将产生深远的公共卫生后果。本研究的目的是调查塞萨洛尼基市儿童和青少年中超重和肥胖的患病率，并通过将我们的结果与其他横断面研究的结果进行比较来评估希腊的趋势。收集了27所公立中小学2458名6至17岁学童（1226名6至10岁，1232名11至17岁）的身高和体重数据。根据这两项测量计算身体质量指数（BMI）。在分析中，超重和肥胖患病率的估计基于最近制定的2至18岁国际BMI百分位数曲线和临界点。为了调查希腊肥胖的长期趋势，使用了连续四次调查的学童数据。在较年轻组（6至10岁）中，超重和肥胖的患病率分别为25.3%和5.6%，而青少年（11至17岁）的患病率分别为19.0%和2.6%。所有男性的患病率分别为25.9%和5.1%，所有女性的患病率分别为19.1%和3.2%。就趋势而言，将我们的调查结果与前三次调查结果进行比较时，发现男性的BMI有所增加。然而，女孩的趋势不同。将我们的研究结果与1942年的结果进行比较时发现有所增加。将我们的研究结果与1982年的调查结果进行比较时，发现大多数年龄段的BMI有所下降，而与1984 - 1985年的研究相比，仅13岁以下的年轻女孩BMI有所增加。这项研究表明，学童中超重和肥胖的患病率分别为22.2%和4.1%，并且在过去几十年中一直在增加，尤其是在男孩中。
