Ji C-Y
Institute of Child and Adolescent Health, Peking University Health Science Center, Beijing, China.
Obes Rev. 2008 Mar;9 Suppl 1:78-81. doi: 10.1111/j.1467-789X.2007.00443.x.
This paper describes the nationwide prevalence of childhood overweight/obesity in Chinese urban population. Data sets of boys and girls aged 7-18 yrs were collected from the series of Chinese national surveillance on students' constitution and health between 1985 and 2000 were divided into five socioeconomic groups, while WGOC BMI-reference was used as definitions of overweight and obesity. In 2000, the prevalence of childhood obesity/overweight in the coastal big cities, followed by that of the coastal middle/small cities, had reached the average level of the developed countries. The prevalence of obesity was low in most of the inland cities at an early stage of epidemic overweight. The epidemic manifested a gradient distribution in groups, which was closely related to socioeconomic status of the populations. A dramatic and steady increasing trend was witnessed among all sex-age subgroups in these urban groups, and the increments in obesity/overweight are exceptionally high in recent 5 years, and the prospect of epidemic obesity in China is in no way optimistic. Preventive program should be focused on the improvement of the balance between caloric intake and energy expenditure, and interventions aimed at changing children's life styles.
本文描述了中国城市人口中儿童超重/肥胖的全国患病率。收集了1985年至2000年间中国学生体质与健康系列全国监测中7至18岁男孩和女孩的数据集，将其分为五个社会经济群体，同时采用世界卫生组织儿童生长标准体重指数（WGOC BMI-reference）作为超重和肥胖的定义。2000年，沿海大城市儿童肥胖/超重患病率已达到发达国家平均水平，其次是沿海中小城市。大多数内陆城市在超重流行早期肥胖患病率较低。这种流行在群体中呈梯度分布，与人群的社会经济地位密切相关。在这些城市群体的所有性别年龄亚组中都出现了显著且稳定的上升趋势，最近5年肥胖/超重的增幅异常高，中国肥胖流行的前景不容乐观。预防计划应侧重于改善热量摄入与能量消耗之间的平衡，并采取旨在改变儿童生活方式的干预措施。
