Schober Edith, Rami Birgit, Kirchengast Sylvia, Waldhör Thomas, Sefranek Reinhart
University Children's Hospital, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Eur J Pediatr. 2007 Jul;166(7):709-14. doi: 10.1007/s00431-006-0312-z. Epub 2006 Oct 25.
The aim of the study was to provide current estimates of the prevalence of overweight and obesity in young Austrian men and to determine both the trend over the study period and regional differences.
Data extracted from the database containing the nation-wide compulsory conscription health examinations were analysed. Four cohorts of 18-year-old males (1986-1990: n=252,799; 1991-1995: n=209,266; 1996-2000: n=208,427; 2001-2005: n=209,168) were investigated. Measurements of height and weight were taken and, and body mass index (BMI) was calculated. Overweight was defined as a BMI >or=25.00 kg//m2 and obesity as a BMI >or=30.00 kg//m2. Information on place of residence of the young men was also collected. The t-test and Cochran-Armitage test were used for statistical analysis.
During the study period, the prevalence of overweight among the study population increased from 12.9 to 15.5%, while that of obesity increased from 2.5 to 5.8%. A significant regional trend was found, with the highest proportion of overweight and obesity occurring among young male residents of the eastern part of Austria (p<0.001). Mean BMI was 22.38+/-3.05 kg/m2 in 1986-1990, increasing significantly (p<0.001) during the study period to 22.89+/-3.88 kg/m2. Overweight and obesity increased remarkably in young males in Austria between 1986 and 2005. The prevalence of obesity doubled during the whole study period.
Even in a small country as Austria, significant regional differences with respect to overweight and obesity can be found. Although limited to just one gender and a single age group, data from the nation-wide compulsory conscription health examinations could be a useful tool for public health monitoring.
本研究旨在提供奥地利年轻男性超重和肥胖患病率的当前估计值,并确定研究期间的趋势以及地区差异。
对从包含全国义务征兵健康检查的数据库中提取的数据进行分析。调查了四组18岁男性(1986 - 1990年:n = 252,799;1991 - 1995年:n = 209,266;1996 - 2000年:n = 208,427;2001 - 2005年:n = 209,168)。测量身高和体重,并计算体重指数(BMI)。超重定义为BMI≥25.00 kg/m²,肥胖定义为BMI≥30.00 kg/m²。还收集了这些年轻男性的居住地点信息。采用t检验和 Cochr an - Armitage检验进行统计分析。
在研究期间,研究人群中超重患病率从12.9%增至15.5%,肥胖患病率从2.5%增至5.8%。发现存在显著的地区趋势,超重和肥胖比例最高的是奥地利东部的年轻男性居民(p < 0.001)。1986 - 1990年平均BMI为22.38±3.05 kg/m²,在研究期间显著增加(p < 0.001)至22.89±3.88 kg/m²。1986年至2005年奥地利年轻男性超重和肥胖显著增加。在整个研究期间肥胖患病率翻倍。
即使在像奥地利这样的小国,超重和肥胖方面也存在显著的地区差异。尽管仅限于单一性别和单一年龄组,但全国义务征兵健康检查的数据可能是公共卫生监测的有用工具。