美国儿童和青少年腰围及腰高比的近期趋势。

Recent trends in waist circumference and waist-height ratio among US children and adolescents.

作者信息

Li Chaoyang, Ford Earl S, Mokdad Ali H, Cook Stephen

机构信息

Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, GA 30341, USA.

出版信息

Pediatrics. 2006 Nov;118(5):e1390-8. doi: 10.1542/peds.2006-1062.

DOI:10.1542/peds.2006-1062

PMID:17079540

Abstract

OBJECTIVES

Abdominal obesity may be a better predictor than overall obesity for the risk of cardiovascular disease and type 2 diabetes. Waist circumference and waist-height ratio are 2 simple, yet effective, surrogate measures of abdominal obesity. We sought to examine the recent trends in mean waist circumference and waist-height ratio and prevalence of abdominal obesity among children and adolescents aged 2 to 19 years in the United States.

METHODS

Representative samples of the civilian, noninstitutionalized US population from the National Health and Nutrition Examination Survey conducted during 4 time periods, 1988-1994 (ie, National Health and Nutrition Examination Survey III), 1999-2000, 2001-2002, and 2003-2004, were examined to estimate the mean waist circumference and waist-height ratio of boys and girls in 4 different age groups. Data from the 3 most recent National Health and Nutrition Examination Surveys were combined to establish a National Health and Nutrition Examination Survey 1999-2004 category.

RESULTS

Categorized by age group, the unadjusted mean waist circumference for boys increased between National Health and Nutrition Examination Survey III and National Health and Nutrition Examination Survey 1999-2004 from 50.7 cm (aged 2-5 years), 61.9 cm (aged 6-11 years), 76.8 cm (aged 12-17 years), and 81.3 cm (aged 18-19 years) to 51.9, 64.5, 79.8, and 86.6 cm, respectively. During the same time periods and within the same age groups, the unadjusted mean waist circumference for girls increased from 51.0, 61.7, 75.0, and 77.7 cm to 51.8, 64.7, 78.9, and 83.9 cm, respectively. The relative change in waist-height ratio was similar to waist circumference at each age group for both boys and girls. Using the 90th percentile values of waist circumference for gender and age, the prevalence of abdominal obesity increased by 65.4% (from 10.5% to 17.4%) and 69.4% (from 10.5% to 17.8%) for boys and girls, respectively.

CONCLUSIONS

Mean waist circumference and waist-height ratio and the prevalence of abdominal obesity among US children and adolescents greatly increased between 1988-1994 and 1999-2004.

摘要

目的

对于心血管疾病和2型糖尿病风险而言，腹部肥胖可能比总体肥胖是更好的预测指标。腰围和腰高比是腹部肥胖的两种简单却有效的替代测量指标。我们试图研究美国2至19岁儿童及青少年的平均腰围、腰高比以及腹部肥胖患病率的近期趋势。

方法

对来自国家健康和营养检查调查（NHANES）在四个时间段（1988 - 1994年，即国家健康和营养检查调查III；1999 - 2000年；2001 - 2002年；2003 - 2004年）的美国非机构化平民代表性样本进行检查，以估计四个不同年龄组男孩和女孩的平均腰围和腰高比。将最近三次国家健康和营养检查调查的数据合并，建立1999 - 2004年国家健康和营养检查调查类别。

结果

按年龄组分类，在国家健康和营养检查调查III与1999 - 2004年国家健康和营养检查调查之间，男孩未经调整的平均腰围从2至5岁的50.7厘米、6至11岁的61.9厘米、12至17岁的76.8厘米以及18至19岁的81.3厘米分别增加到51.9、64.5、79.8和86.6厘米。在相同时间段且同一年龄组内，女孩未经调整的平均腰围分别从51.0、61.7、75.0和77.7厘米增加到51.8、64.7、78.9和83.9厘米。男孩和女孩在各年龄组的腰高比相对变化与腰围相似。采用按性别和年龄划分的腰围第90百分位数，男孩腹部肥胖患病率增加了65.4%（从10.5%增至17.4%），女孩增加了69.4%（从10.5%增至17.8%）。