Antunes Andreia, Moreira Pedro
Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Portugal.
Acta Med Port. 2011 Mar-Apr;24(2):279-84. Epub 2011 May 20.
In Portugal, there have been many studies on the prevalence of overweight and obesity in children and adolescents. However, because many of the studies are not submitted to publication in scientific journals, these results remain unknown.
To obtain recent data on the prevalence of overweight and obesity in Portuguese children and adolescents.
Database search of articles with peer-review, academic theses, websites and materials of scientific meetings on obesity; search terms included Portugal, overweight, obesity, children, and adolescents. We evaluated the procedure for collection of anthropometric data, and the year of data collection, considering only those studies that included evaluations since 2007. We rejected studies that: relied only on measures of self-declaration for the anthropometric assessment; did not present the date of assessment; or were performed on samples of small size (n < 100).
We identified 21 studies and the criteria commonly used to estimate the prevalence rates were the CDC for children, and the IOTF in adolescents. Although the values are very different between studies, the frequency of overweight and obesity have reached very high values. The prevalence of overweight varied according to the criteria: the CDC, between 8.3% and 27.4% for males and 13.4% and 35% for females, the IOTF, between 8.6% and 29 6% for males and between 8.8% and 31.4% for females, the WHO, between 21.1% and 22.1% for males and between 19.7% and 31.3% for females. Prevalence of obesity varied: considering the CDC criteria, between 5.9% and 26% for males, and 6.1% and 21.3% for females; considering the IOTF, between 3.2% and 14.6% for males, and 0.6% and 13.1% for females; and considering the WHO criteria, between 4.4% and 22.9% for males, and 3.8% and 8.2% for females.
The results confirm that overweight and obesity are a serious public health problem in Portuguese children and adolescents, and urgent measures are needed to suppress this epidemic and reverse the situation as soon as possible.
在葡萄牙，已经有许多关于儿童和青少年超重及肥胖患病率的研究。然而，由于许多研究未提交至科学期刊发表，这些结果尚不为人知。
获取葡萄牙儿童和青少年超重及肥胖患病率的最新数据。
通过数据库搜索有关肥胖的同行评审文章、学术论文、网站及科学会议资料；搜索词包括葡萄牙、超重、肥胖、儿童和青少年。我们评估了人体测量数据的收集程序以及数据收集年份，仅考虑自2007年起包含评估内容的研究。我们排除了以下研究：仅依靠自我申报进行人体测量评估；未给出评估日期；或样本量较小（n < 100）的研究。
我们识别出21项研究，常用于估计患病率的标准为儿童采用美国疾病控制与预防中心（CDC）标准，青少年采用国际肥胖工作组（IOTF）标准。尽管各研究结果差异很大，但超重和肥胖的发生率已达到很高水平。超重患病率因标准而异：采用CDC标准时，男性为8.3%至27.4%，女性为13.4%至35%；采用IOTF标准时，男性为8.6%至29.6%，女性为8.8%至31.4%；采用世界卫生组织（WHO）标准时，男性为21.1%至22.1%，女性为19.7%至31.3%。肥胖患病率也有所不同：采用CDC标准时，男性为5.9%至26%，女性为6.1%至21.3%；采用IOTF标准时，男性为3.2%至14.6%，女性为0.6%至13.1%；采用WHO标准时，男性为4.4%至22.9%，女性为3.8%至8.2%。
结果证实超重和肥胖是葡萄牙儿童和青少年严重的公共卫生问题，需要采取紧急措施抑制这一流行趋势并尽快扭转局面。
