Olds Tim, Maher Carol, Zumin Shi, Péneau Sandrine, Lioret Sandrine, Castetbon Katia, de Wilde Jeroen, Hohepa Maea, Maddison Ralph, Lissner Lauren, Sjöberg Agneta, Zimmermann Michael, Aeberli Isabelle, Ogden Cynthia, Flegal Katherine, Summerbell Carolyn
Health and Use of Time Group, Sansom Institute, University of South Australia , Adelaide , Australia.
Int J Pediatr Obes. 2011 Oct;6(5-6):342-60. doi: 10.3109/17477166.2011.605895. Epub 2011 Aug 12.
Until quite recently, there has been a widespread belief in the popular media and scientific literature that the prevalence of childhood obesity is rapidly increasing. However, high quality evidence has emerged from several countries suggesting that the rise in the prevalence has slowed appreciably, or even plateaued. This review brings together such data from nine countries (Australia, China, England, France, Netherlands, New Zealand, Sweden, Switzerland and USA), with data from 467,294 children aged 2-19 years. The mean unweighted rate of change in prevalence of overweight and obesity was +0.00 (0.49)% per year across all age ×sex groups and all countries between 1995 and 2008. For overweight alone, the figure was +0.01 (0.56)%, and for obesity alone -0.01 (0.24)%. Rates of change differed by sex, age, socioeconomic status and ethnicity. While the prevalence of overweight and obesity appears to be stabilizing at different levels in different countries, it remains high, and a significant public health issue. Possible reasons for the apparent flattening are hypothesised.
直到最近，大众媒体和科学文献中仍普遍认为儿童肥胖症的患病率正在迅速上升。然而，一些国家已出现高质量证据表明，患病率的上升已明显放缓，甚至趋于平稳。本综述汇集了来自九个国家（澳大利亚、中国、英国、法国、荷兰、新西兰、瑞典、瑞士和美国）的数据，涉及467,294名2至19岁的儿童。1995年至2008年间，所有年龄×性别组以及所有国家超重和肥胖患病率的平均未加权变化率为每年+0.00（0.49）%。仅超重方面，这一数字为+0.01（0.56）%，仅肥胖方面为-0.01（0.24）%。变化率因性别、年龄、社会经济地位和种族而异。虽然不同国家超重和肥胖的患病率似乎在不同水平趋于稳定，但仍处于高位，是一个重大的公共卫生问题。文中对这种明显趋平的可能原因进行了推测。
