University of São Paulo School of Medicine - Children Institute - Post-Graduate Program in Science, São Paulo, Brazil.
Obes Rev. 2011 Feb;12(2):69-77. doi: 10.1111/j.1467-789X.2010.00753.x.
The objectives of this study were to (i) review extant literature on the prevalence of abdominal obesity (AO) in adolescents of both sex (10-19 years old); (ii) analyse the cut-off points used for the diagnosis of AO and (iii) compare its prevalence between developed and developing countries. The search was carried out using online databases (MEDLINE, Web of Science, EMBASE, SPORTDiscus, SCIELO and BioMed Central), references cited by retrieved articles and by contact with the authors, considering articles published from the establishment of the databanks until 19 October 2009. Only original articles and those using waist circumference in the diagnosis were considered. Twenty-nine studies met the inclusion criteria. Fourteen of these studies were performed in developed countries. The prevalence of AO varied from 3.8% to 51.7% in adolescents from developing countries. The range of results was smaller among developed countries; with values from 8.7% to 33.2%. Eighteen different cut-off points were used. It was concluded the AO prevalence is high among adolescents, but is not clear what sex has a higher proportion and it is greater in adolescents from developing countries; however, there is no consensus in the literature about the criteria to be used.
（一）综述现有的关于青少年腹型肥胖（10-19 岁）流行率的文献；（二）分析用于诊断腹型肥胖的切点，并（三）比较发达国家和发展中国家的腹型肥胖流行率。检索使用了在线数据库（MEDLINE、Web of Science、EMBASE、SPORTDiscus、SCIELO 和 BioMed Central），并查阅了检索到的文章的参考文献，以及通过与作者联系，考虑了从数据库建立到 2009 年 10 月 19 日发表的文章。仅纳入了原始文章和使用腰围进行诊断的文章。有 29 项研究符合纳入标准。其中 14 项研究在发达国家进行。发展中国家青少年的腹型肥胖流行率从 3.8%到 51.7%不等。发达国家的结果范围较小，为 8.7%至 33.2%。使用了 18 个不同的切点。研究结论认为，青少年腹型肥胖的流行率较高，但尚不清楚男女哪个性别比例更高，且发展中国家青少年的腹型肥胖比例更高；然而，文献中对于切点的选择尚无共识。
