Tzotzas T, Kapantais E, Tziomalos K, Ioannidis I, Mortoglou A, Bakatselos S, Kaklamanou M, Lanaras L, Kaklamanou D
Hellenic Medical Association for Obesity (HMAO), Athens, Greece.
Hippokratia. 2011 Jan;15(1):48-53.
To provide estimates of overweight (OW), obesity (OB) and abdominal obesity (AO) in a sample of children throughout the whole of Greece.
This epidemiological, cross-sectional survey examined 3,140 children aged 6-12 y (1,589 boys and 1,551 girls) who were selected by stratified sampling through household family members of Greek adolescents attending school. Participants reported data on height, weight and waist circumference (WC). BMI and Waist-to-Height ratio (WHtR) were calculated. AO was estimated using WC and WHtR.
Overall prevalence of OW including OB was 31.2% in boys and 26.5% in girls, while OB prevalence was 9.4% and 6.4% respectively. The prevalence of AO based on WC (AO-WC), was similar in girls (14.2%) and boys (12.5%) while the prevalence of AO, based on WHtR (AO-WHtR), was higher in boys than in girls (25.6% vs 20.0%, p<0.0001). With increasing age, the prevalence of OW and OB decreases in both genders, and AO-WHtR only in girls. Rates of OW were significantly more prevalent in Greeks than in immigrants.
Overweight and obesity in Greek children is very prevalent, particularly in boys, comparable with that reported for Mediterranean European countries. Abdominal obesity also appears high. Preventive and treatment strategies are urgently needed to combat this national epidemic.
对全希腊儿童样本中的超重、肥胖及腹型肥胖情况进行评估。
这项横断面流行病学调查研究了3140名6至12岁的儿童（1589名男孩和1551名女孩），这些儿童是通过对就读于希腊学校的青少年的家庭成员进行分层抽样选取的。参与者报告了身高、体重和腰围数据。计算了体重指数（BMI）和腰高比（WHtR）。使用腰围和腰高比评估腹型肥胖。
包括肥胖在内的超重总体患病率在男孩中为31.2%，在女孩中为26.5%，而肥胖患病率分别为9.4%和6.4%。基于腰围的腹型肥胖患病率（AO-WC）在女孩（14.2%）和男孩（12.5%）中相似，而基于腰高比的腹型肥胖患病率（AO-WHtR）在男孩中高于女孩（25.6%对20.0%，p<0.0001）。随着年龄增长，超重和肥胖患病率在两性中均下降，而腹型肥胖患病率仅在女孩中基于腰高比的情况下下降。希腊儿童中超重率在希腊儿童中比在移民中显著更高。
希腊儿童超重和肥胖非常普遍，尤其是在男孩中，与地中海欧洲国家报告的情况相当。腹型肥胖似乎也很普遍。迫切需要采取预防和治疗策略来应对这一全国性的流行问题。
