Li Y, Yang X, Zhai F, Piao J, Zhao W, Zhang J, Ma G
National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing, China.
Obes Rev. 2008 Mar;9 Suppl 1:82-6. doi: 10.1111/j.1467-789X.2007.00444.x.
Analyses of data from the representative 2002 National Nutrition and Health Survey were used to assess the likelihood of metabolic complications of overweight and obesity in Chinese children aged 7-17 years. Chinese criteria for body mass index classification were used for overweight and obesity with the 75th percentile US adolescent values for waist circumferences and all the metabolic criteria for blood pressure, lipids, fasting glucose established for US adolescents. Diabetes in 7-12-year-olds was 0.2% and 0.4% in children aged 12-18 years. Prevalences of dyslipidaemia (61.9%), hypertriglyceridaemia (18.2%) and low high-density lipoprotein cholesterol (56.1%) were high and 16.0% of 15-18 years had hypertension. The overall prevalence of the metabolic syndrome was 3.3% with more than half the children having at least one metabolic abnormality and 19.8% having at least two. All the metabolic parameters were significantly elevated in the overweight and obese children except high-density lipoprotein cholesterol. These data emphasize the marked sensitivity of Chinese children to the metabolic complications of overweight and obesity and amplify the need for early preventive measures.
对具有代表性的2002年全国营养与健康调查数据进行分析，以评估7至17岁中国儿童超重和肥胖的代谢并发症发生可能性。超重和肥胖采用中国体重指数分类标准，腰围采用美国青少年第75百分位数标准，血压、血脂、空腹血糖等所有代谢指标采用美国青少年标准。7至12岁儿童糖尿病患病率为0.2%，12至18岁儿童为0.4%。血脂异常（61.9%）、高甘油三酯血症（18.2%）和低高密度脂蛋白胆固醇血症（56.1%）患病率较高，15至18岁儿童高血压患病率为16.0%。代谢综合征总体患病率为3.3%，半数以上儿童至少有一项代谢异常，19.8%儿童至少有两项代谢异常。除高密度脂蛋白胆固醇外，超重和肥胖儿童所有代谢参数均显著升高。这些数据强调了中国儿童对超重和肥胖代谢并发症的显著敏感性，并凸显了早期预防措施的必要性。
