Martín Juan José Díaz, Hernández Laura Somalo, Gonzalez Mónica García, Mendez Carmen Perillán, Rey Galán Corsino, Guerrero Serafín Málaga
Servicio de Pediatría, Hospital San Agustín, Avilés, Spain.
Acta Paediatr. 2008 Jul;97(7):955-8. doi: 10.1111/j.1651-2227.2008.00828.x. Epub 2008 May 7.
To analyse obesity and overweight prevalence trend in Oviedo (Spain) during the last 14 years.
Two cross-sectional studies were conducted in the same five public schools of the urban area of Oviedo in 1992 and 2004-06. One thousand one hundred sixty-five children and young adults between the age of 6 and 17 years were studied in 1992 and 1312 in 2004-06. Obesity and overweight were defined according to the International Obesity Task Force cut-off values.
Body mass index (BMI) values (20.5+/-3.6 vs. 20.1+/-3.3 p=0.02) and obesity prevalence (6.3% vs. 4.5% p<0.05) were significantly higher in the 2004-06 cohort, while overweight prevalence showed a non-significant increase. Obesity prevalence increased in both sexes in the 6-11-year group. In adolescent females, a four-fold increase was observed, from 0.9% in 1992 (95% CI: -0.1 to 1.9) to 3.8% in 2004-06 (95% CI: 1.8-6). A slight non-significant decrease was observed in adolescent males (6.6% in 1992 to 5.8% in 2004-06).
Obesity and overweight are increasing in children and adolescents in Oviedo at a level similar to that observed in studies conducted in developed countries. This obesity epidemic is becoming an important public health issue.
分析过去14年西班牙奥维耶多市肥胖和超重患病率的趋势。
1992年以及2004 - 2006年在奥维耶多市区相同的五所公立学校进行了两项横断面研究。1992年对1165名6至17岁的儿童和青少年进行了研究,2004 - 2006年研究了1312名。根据国际肥胖特别工作组的临界值定义肥胖和超重。
2004 - 2006年队列的体重指数(BMI)值(20.5±3.6 vs. 20.1±3.3,p = 0.02)和肥胖患病率(6.3% vs. 4.5%,p < 0.05)显著更高,而超重患病率呈非显著增加。6 - 11岁组的肥胖患病率在男女中均有所增加。在青春期女性中,观察到患病率增加了四倍,从1992年的0.9%(95%可信区间:-0.1至1.9)增至2004 - 2006年的3.8%(95%可信区间:1.8 - 6)。青春期男性患病率略有非显著下降(从1992年的6.6%降至2004 - 2006年的5.8%)。
奥维耶多市儿童和青少年的肥胖和超重现象正在增加,与发达国家开展的研究中观察到的水平相似。这一肥胖流行正成为一个重要的公共卫生问题。