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[巴伐利亚青少年肥胖症:流行趋势、社会人口结构特征及主观健康状况]

[Obesity in Bavarian adolescents: prevalence in trend, sociodemographic structural features and subjective health].

作者信息

Schulz R, Güther B, Mutert S, Kuhn J

机构信息

Ludwigs-Maximilians-Universität, München, Postgradualer Studiengang Offentliche Gesundheit und Epidemiologie.

出版信息

Gesundheitswesen. 2010 Feb;72(2):88-98. doi: 10.1055/s-0029-1214402. Epub 2009 Jun 2.

Abstract

INTRODUCTION

The World Health Organization counts the increase in obesity as one of the most important public health challenges of the 21 (st) century. In Germany the prevention of obesity among children and adolescents currently holds a high priority on the political public health agenda. There is, however, relatively little empirical evidence for the development of obesity prevalence among adolescents. The objective of this work is to analyse data relating to juvenile obesity in Bavaria and to study its relevance for the health of adolescents.

METHODS

The basis for this work is a representative survey among adolescents in the age group 12-24 years. Available are data from three time periods (1995, 2000, 2005). The data were calculated descriptively as well as in relation to the impact of obesity on general health with multiple binary logistic regression analysis.

RESULTS

The obesity prevalence among Bavarian adolescents of the age group 12-24 years has steadily increased from 1995 (2.1%) to 2000 (3.1%) and to 2005 (4%). The obesity prevalence grows with age; it shows a clear social gradient which has become stronger from 2000 to 2005. Obesity as well as the feeling of being overweight emerges from the regression analysis as independent factors influencing the general health.

DISCUSSION

Data from medical checks at primary school enrolment in various German regions indicate that obesity in children of that age is no longer increasing. Among adolescents, however, obesity is still growing. This would recommend an age-specific monitoring of this development.

摘要

引言

世界卫生组织将肥胖率上升视为21世纪最重要的公共卫生挑战之一。在德国,预防儿童和青少年肥胖目前在政治公共卫生议程上占据高度优先地位。然而,关于青少年肥胖患病率发展的实证证据相对较少。这项工作的目的是分析巴伐利亚州青少年肥胖相关数据,并研究其与青少年健康的相关性。

方法

这项工作的基础是对12至24岁年龄组青少年进行的代表性调查。有来自三个时间段(1995年、2000年、2005年)的数据。数据进行了描述性计算,并通过多元二元逻辑回归分析研究了肥胖对总体健康的影响。

结果

巴伐利亚州12至24岁年龄组青少年的肥胖患病率从1995年的2.1%稳步上升至2000年的3.1%,并在2005年达到4%。肥胖患病率随年龄增长;呈现出明显的社会梯度,且从2000年到2005年这种梯度变得更强。回归分析显示,肥胖以及超重感是影响总体健康的独立因素。

讨论

德国不同地区小学入学时体检的数据表明,该年龄段儿童的肥胖率不再上升。然而,青少年中的肥胖率仍在上升。这建议针对这一发展进行特定年龄的监测。

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