Children's Hospital Los Angeles, Department of Pediatrics, University of Southern California, Los Angeles, California, USA.
Obesity (Silver Spring). 2010 Jan;18(1):210-3. doi: 10.1038/oby.2009.185. Epub 2009 Jun 11.
New evidence suggests that children with chronic conditions may be predisposed to overweight and obesity. This study provides prevalence estimate of obesity for children and adolescents with select chronic conditions. We analyzed reported height and weight and the corresponding BMI from 46,707 subjects aged 10-17 years collected by the National Survey of Children's Health (NSCH-2003). Our main outcome measure was the prevalence of obesity (defined as >/=95th percentile of the sex-specific BMI for age growth charts), adjusted for underlying demographic and socioeconomic factors. We found that the prevalence of obesity among children 10-17 years of age without a chronic condition was 12.2% (95% confidence interval (CI) 11.5-13.0); the prevalence of obesity for children with asthma was 19.7% (19.5-19.9); with a hearing/vision condition was 18.4% (18.2-18.5); with learning disability was 19.3% (19.2-19.4); with autism was 23.4% (23.2-23.6); and with attention-deficit/hyperactivity disorder was 18.9% (18.7-19.0). Our findings suggest that children 10-17 years of age with select chronic conditions were at increased risk for obesity compared to their counterparts without a chronic condition.
新证据表明,患有慢性疾病的儿童可能更容易超重和肥胖。本研究提供了患有特定慢性疾病的儿童和青少年肥胖的患病率估计。我们分析了由国家儿童健康调查(NSCH-2003)收集的 46707 名 10-17 岁儿童的报告身高、体重和相应的 BMI。我们的主要观察指标是肥胖的患病率(定义为性别特异性 BMI 年龄生长图表>/=第 95 百分位数),调整了潜在的人口统计学和社会经济因素。我们发现,无慢性疾病的 10-17 岁儿童肥胖的患病率为 12.2%(95%置信区间(CI)为 11.5-13.0);哮喘儿童的肥胖患病率为 19.7%(19.5-19.9);听力/视力障碍的儿童为 18.4%(18.2-18.5);学习障碍的儿童为 19.3%(19.2-19.4);自闭症儿童为 23.4%(23.2-23.6);注意力缺陷/多动障碍的儿童为 18.9%(18.7-19.0)。我们的研究结果表明,与无慢性疾病的同龄人相比,患有特定慢性疾病的 10-17 岁儿童肥胖的风险增加。