The Public Health Center, the First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Obesity (Silver Spring). 2010 Mar;18(3):588-92. doi: 10.1038/oby.2009.296. Epub 2009 Sep 24.
This study investigated a possible association between early nutritional status during the famine, and the risk of overweight and obesity in adulthood in Chongqing Chinese population. The body weight, height, and BMI data were obtained from records of population (17,023) that had annual physical evaluations in the Public Health Center (in our hospital). Subjects born during 1956-1964 were divided into three groups: toddler group, all subjects who were born 1-3 years before the famine (1956-1958); gestational group, who were born during the famine period (1959-1961), and control group, who were born after the famine (1962-1964). The body weight and BMI were significantly higher, but the body height was significantly lower in the toddler and gestational groups (P < 0.05) in the female population as compared to the control group. The odds ratio of being overweight in females is more pronounced in the toddler group (1.48 times, 95% confidence interval (CI): 1.288-1.689) than in the gestational group (1.26 times, 95% CI: 1.089-1.457). The odds ratio of being obese in females is significantly higher in the toddler group (1.46 times, 95% CI: 1.288-1.689) than the control group. For males, the famine had no impact at all on the adulthood body weight in males. The Great Chinese Famine that affected the Chongqing population during 1959-1961 leads to shorter and overweight females, and the former is a risk factor for increased BMI in Chongqing. Second, the famine seems to be producing shorter but slimmer males in Chongqing. Furthermore, toddler's and maternal's malnutrition during the famine had important late consequences on the health status.
本研究旨在探讨中国重庆人群在饥荒期间早期营养状况与成年后超重和肥胖风险之间的可能关联。体重、身高和 BMI 数据来自我院公共卫生中心(Population Health Center)记录的(17023 名)人群年度体检数据。将 1956-1964 年出生的人群分为三组:幼儿组,所有出生于饥荒前 1-3 年(1956-1958 年)的个体;胎儿期组,出生于饥荒期间(1959-1961 年)的个体;对照组,出生于饥荒之后(1962-1964 年)的个体。与对照组相比,女性幼儿组和胎儿组的体重和 BMI 显著较高,但身高显著较低(P < 0.05)。与对照组相比,女性幼儿组超重的比值比更高(1.48 倍,95%置信区间(CI):1.288-1.689),而胎儿组的比值比为 1.26 倍(95%CI:1.089-1.457)。与对照组相比,女性肥胖的比值比在幼儿组显著更高(1.46 倍,95%CI:1.288-1.689)。对于男性,饥荒对成年男性体重没有任何影响。1959-1961 年影响重庆人群的中国大饥荒导致女性身高更矮和超重,前者是重庆 BMI 增加的危险因素。其次,饥荒似乎导致重庆的男性更矮但更苗条。此外,饥荒期间幼儿和母亲的营养不良对健康状况有重要的后期影响。