National Diabetes, Obesity and Cholesterol Diseases Foundation (N-DOC), SDA, New Delhi, India.
PLoS One. 2011 Feb 23;6(2):e17221. doi: 10.1371/journal.pone.0017221.
The present study examines the secular trends in prevalence of overweight and obesity among urban Asian Indian adolescents in New Delhi (North India). The data were derived from cross-sectional sampling of children, 3493 in year 2006 and 4908 in year 2009, aged 14-17 years studying in privately-funded and government-funded schools. Age, gender and Asian Indian-specific cut offs of body mass index (BMI) were used to define overweight and obesity. The prevalence of obesity increased significantly from 9.8% in 2006 to 11.7% in 2009 (p<0.01), whereas underweight decreased from 11.3% to 3.9% (p<0.001). There was a significantly higher risk of being overweight (OR 1.28; 95% CI, 1.15-1.42) and obese (OR 1.44; 95% CI, 1.24-1.66) in year 2009 than 2006, after adjusting for age, gender and type of school. Males and privately-funded school children had significantly higher increase in prevalence and risk of being overweight and obese over the three years. In conclusion, this study showed an increasing trend in prevalence of overweight and obesity in urban Asian Indian adolescents. More specifically, the study showed the association of this increasing trend of overweight and obesity prevalence with male gender and high socio-economic status, calling for an urgent need for immediate and targeted preventive measures.
本研究考察了新德里(印度北部)城市印度裔青少年超重和肥胖的流行趋势。这些数据来自于对 2006 年 3493 名和 2009 年 4908 名年龄在 14-17 岁的、在私立和政府资助学校就读的儿童进行的横断面抽样调查。使用年龄、性别和印度裔特有的体重指数(BMI)切点来定义超重和肥胖。肥胖的患病率从 2006 年的 9.8%显著上升到 2009 年的 11.7%(p<0.01),而消瘦的患病率从 11.3%下降到 3.9%(p<0.001)。与 2006 年相比,2009 年超重(OR 1.28;95%CI,1.15-1.42)和肥胖(OR 1.44;95%CI,1.24-1.66)的风险显著更高,调整年龄、性别和学校类型后依然如此。男性和私立学校儿童超重和肥胖的患病率和风险在这三年中显著增加。总之,本研究显示城市印度裔青少年超重和肥胖的患病率呈上升趋势。更具体地说,研究表明这种超重和肥胖患病率上升的趋势与男性性别和高社会经济地位有关,这迫切需要立即采取有针对性的预防措施。