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西岸两个主要省份巴勒斯坦学龄青少年(13-15 岁)中发育迟缓、体重不足和超重的流行状况及其社会人口学相关性。

Prevalence and sociodemographic correlates of stunting, underweight, and overweight among Palestinian school adolescents (13-15 years) in two major governorates in the West Bank.

机构信息

Section of Preventive Medicine and Epidemiology, Institute of General Practice and Community Medicine, University of Oslo, Oslo, Norway.

出版信息

BMC Public Health. 2009 Dec 23;9:485. doi: 10.1186/1471-2458-9-485.

Abstract

BACKGROUND

There is little information about height and weight status of Palestinian adolescents. The objective of this paper was to assess the prevalence of stunting, underweight, and overweight/obesity among Palestinian school adolescents (13-15 years) and associated sociodemographic factors in 2 major governorates in the West Bank.

METHODS

A Cross-sectional survey was conducted in 2005 comprising 1942 students in 65 schools in Ramallah and Hebron governorates. Data was collected through self-administered questionnaires from students and parents. Weights and heights were measured. Overweight and obesity were assessed using the 2000 Centers for Disease Control and Prevention (CDC) reference and the International Obesity Task Force (IOTF) criteria. Stunting and underweight were assessed using the 2000 CDC reference.

RESULTS

Overweight/obesity was more prevalent in Ramallah than in Hebron and affected more girls than boys. Using the 2000 CDC reference, the prevalence of overweight and obesity in Ramallah among boys was 9.6% and 8.2%, respectively versus 15.6% and 6.0% among girls (P < 0.01). In Hebron, the corresponding figures were 8.5% and 4.9% for boys and 13.5% and 3.4% for girls (P < 0.01). Using the IOTF criteria, the prevalence of overweight and obesity among boys in Ramallah was 13.3% and 5.2%, respectively versus 18.9% and 3.3% for girls. The prevalence of overweight and obesity among boys in Hebron was 10.9% and 2.2%, respectively versus 14.9% and 2.0% for girls. Overweight/obesity was associated with high standard of living (STL) among boys and with the onset of puberty among girls. More boys were underweight than girls, and the prevalence was higher in Hebron (12.9% and 6.0% in boys and girls, respectively (P < 0.01)) than in Ramallah (9.7% and 3.1% in boys and girls, respectively (p < 0.01)). The prevalence of stunting was similar in both governorates, and was higher among boys (9.2% and 9.4% in Ramallah and Hebron, respectively) than among girls (5.9% and 4.2% in Ramallah and Hebron, respectively). Stunting was negatively associated with father's education among boys and with urban residence, medium STL and onset of puberty among girls.

CONCLUSION

Under- and overnutrition co-exist among Palestinian adolescents, with differences between sexes. Region, residence, STL, and onset of puberty were associated factors.

摘要

背景

关于巴勒斯坦青少年的身高和体重状况的信息很少。本文的目的是评估西岸两个主要省份 13-15 岁巴勒斯坦学校青少年的发育迟缓、体重不足和超重/肥胖的流行情况以及相关的社会人口因素。

方法

2005 年进行了一项横断面调查,包括拉马拉和希伯伦省 65 所学校的 1942 名学生。通过学生和家长的自我管理问卷收集数据。测量体重和身高。超重和肥胖使用 2000 年疾病控制和预防中心(CDC)的参考标准和国际肥胖问题工作组(IOTF)的标准进行评估。发育迟缓与体重不足使用 2000 年 CDC 的参考标准进行评估。

结果

与希伯伦相比,拉马拉的超重/肥胖更为普遍,且影响女孩多于男孩。使用 2000 年 CDC 的参考标准,拉马拉男孩的超重和肥胖患病率分别为 9.6%和 8.2%,而女孩的患病率分别为 15.6%和 6.0%(P<0.01)。在希伯伦,相应的数字是男孩 8.5%和 4.9%,女孩 13.5%和 3.4%(P<0.01)。使用 IOTF 标准,拉马拉男孩的超重和肥胖患病率分别为 13.3%和 5.2%,而女孩的患病率分别为 18.9%和 3.3%。希伯伦男孩的超重和肥胖患病率分别为 10.9%和 2.2%,女孩分别为 14.9%和 2.0%。超重/肥胖与男孩的高生活水平(STL)和女孩的青春期开始有关。男孩的体重不足人数多于女孩,且在希伯伦(男孩和女孩分别为 12.9%和 6.0%(P<0.01))的患病率高于拉马拉(男孩和女孩分别为 9.7%和 3.1%(p<0.01))。两个省份的发育迟缓患病率相似,男孩(拉马拉和希伯伦分别为 9.2%和 9.4%)高于女孩(拉马拉和希伯伦分别为 5.9%和 4.2%)。发育迟缓与男孩的父亲教育程度以及女孩的城市居住、中等 STL 和青春期开始呈负相关。

结论

巴勒斯坦青少年中存在营养不良和营养过剩并存的情况,且存在性别差异。地区、居住地、STL 和青春期开始是相关因素。

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