Bendixen Hanne, Holst Claus, Sørensen Thorkild I A, Raben Anne, Bartels Else Marie, Astrup Arne
The Department of Human Nutrition, Centre of Advanced Food Research, The Royal Veterinary and Agricultural University, Frederksberg, Denmark.
Obes Res. 2004 Sep;12(9):1464-72. doi: 10.1038/oby.2004.183.
The aim of the study was to examine the secular trends in the prevalence of obesity (BMI >or= 30.0 kg/m(2)) and overweight (25.0 <or= BMI < 30.0 kg/m(2)) in Danish adults between 1987 and 2001.
The study included self-reported weight and height of 10,094 men and 9897 women 16 to 98 years old, collected in a series of seven independent cross-sectional surveys. Prevalence and changes in prevalence of obesity and overweight stratified by sex and age groups were determined.
The prevalence of obesity more than doubled between 1987 and 2001, in men from 5.6% to 11.8% [odds ratio (OR) = 2.3, 95% confidence interval (CI) = 1.9 to 2.8, p < 0.0001] and in women from 5.4% to 12.5% (OR = 2.6, 95% CI = 2.1 to 3.2, p < 0.0001), with the largest increase among the 16- to 29-year-old subjects (men, from 0.8% to 7.5%, OR = 10.2, 95% CI = 4.1 to 25.3, p < 0.0001; women, from 1.4% to 9.0% OR = 7.0, 95% CI = 3.5 to 14.1, p < 0.0001). Between 1987 and 2001, the prevalence of overweight increased from 34% to 40% in men and from 17% to 27% in women.
The prevalence of overweight and obesity in Denmark has increased substantially between 1987 and 2001, particularly among young adults, a development that resembles that of other countries. There is clearly a need for early preventive efforts in childhood to limit the number of obesity-related complications in young adults.
本研究旨在调查1987年至2001年间丹麦成年人肥胖(体重指数[BMI]≥30.0kg/m²)和超重(25.0≤BMI<30.0kg/m²)患病率的长期趋势。
该研究纳入了10094名年龄在16至98岁之间的男性以及9897名年龄在16至98岁之间的女性自我报告的体重和身高数据,这些数据收集于一系列七次独立的横断面调查中。确定了按性别和年龄组分层的肥胖和超重患病率及患病率变化情况。
1987年至2001年间,肥胖患病率增加了一倍多,男性从5.6%增至11.8%[优势比(OR)=2.3,95%置信区间(CI)=1.9至2.8,p<0.0001],女性从5.4%增至12.5%(OR = 2.6,95%CI = 2.1至3.2,p<0.0001),其中16至29岁人群中增幅最大(男性从0.8%增至7.5%,OR = 10.2,95%CI = 4.1至25.3,p<0.0001;女性从1.4%增至9.0%,OR = 7.0,95%CI = 3.5至14.1,p<0.0001)。1987年至2001年间,超重患病率男性从34%增至40%,女性从17%增至27%。
1987年至2001年间,丹麦超重和肥胖患病率大幅上升,尤其是在年轻人中,这一发展趋势与其他国家类似。显然有必要在儿童期尽早开展预防工作,以减少年轻人中与肥胖相关并发症的数量。