Liou Tsan-Hon, Huang Yi-Ching, Chou Pesus
Taipei Medical University, Shuang Ho Hospital, Taipei, Taiwan.
Ann Hum Biol. 2009 Mar-Apr;36(2):176-85. doi: 10.1080/03014460802691174.
To describe recent trends in overweight and obese schoolchildren in Taiwan using international cut-off points.
Three independent cross-sectional surveys were used.
The study enrolled 157 485 students in 1991, 130 770 students in 1997 and 72 789 students in 2003, all aged 6-18 years, from elementary schools, secondary high schools and senior vocational high schools.
The prevalence of overweight and obese students increased significantly between 1991 and 2003. During this period, the percentage of male overweight and obese students increased from 5.7% to 14.2% and from 7.9% to 17.4%, respectively. The prevalence of female overweight and obese students increased from 11.1% to 13.4% and from 3.1% to 4.1%, respectively. Covariance analysis indicates that both sexes in 2003 had significantly higher percentages of overweight and obese subjects than those in 1991 and 1997 (p<0.001). Additionally, the prevalence of overweight and obese boys was higher than that for girls in each survey (p<0.001).
Analytical results demonstrate that prevalence and secular trends in overweight and obese Taiwanese children and adolescents increased significantly from 1991 to 2003. Taiwanese boys are more likely to become overweight and obese than their female counterparts.
采用国际标准描述台湾超重及肥胖学童的近期趋势。
采用三项独立的横断面调查。
该研究纳入了1991年的157485名学生、1997年的130770名学生以及2003年的72789名学生，所有学生年龄在6至18岁之间，来自小学、初中和高中。
1991年至2003年间，超重及肥胖学生的患病率显著上升。在此期间，男性超重及肥胖学生的比例分别从5.7%增至14.2%，从7.9%增至17.4%。女性超重及肥胖学生的患病率分别从11.1%增至13.4%，从3.1%增至4.1%。协方差分析表明，2003年两性超重及肥胖受试者的比例均显著高于1991年和1997年（p<0.001）。此外，每次调查中超重及肥胖男孩的患病率均高于女孩（p<0.001）。
分析结果表明，1991年至2003年，台湾儿童及青少年超重及肥胖的患病率和长期趋势显著增加。台湾男孩比女孩更易超重及肥胖。
