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肥胖症的当前图谱

Current mapping of obesity.

作者信息

Pérez Rodrigo Carmen

出版信息

Nutr Hosp. 2013 Sep;28 Suppl 5:21-31. doi: 10.3305/nh.2013.28.sup5.6915.

DOI:10.3305/nh.2013.28.sup5.6915
PMID:24010741
Abstract

Obesity is a major risk factor for non-communicable diseases (NCDs), such as diabetes, cardiovascular diseases, and cancers. The worldwide prevalence of obesity has almost doubled between 1980 and 2008. In some regions, such as Europe, the Eastern Mediterranean and the Americas, more than 50% of women are overweight. Tonga, Nauru and the Cook Islands show the highest prevalence of obesity worldwide, above 60% in men and in women. China and the United States are the countries that experienced the largest absolute increase in the number of overweight and obese people between 1980 and 2008, followed by Brazil and Mexico. The regions with the largest increase in the prevalence of female obesity were Central Latin America, Oceania and Southern Latin America. Updated data provide evidence that the progression of the epidemic has effectively slowed for the past ten years in several countries. In low-income countries obesity is generally more prevalent among the better-off, while disadvantaged groups are increasingly affected as countries grow. Many studies have shown an overall socio-economic gradient in obesity in modern industrialized societies. Rates tend to decrease progressively with increasing socio-economic status. Children obesity rates in Spain are amongst the highest in the OECD. One in 3 children aged 13 to 14 are overweight. Overweight in infants and young children is observed in the upper middle-income countries. However, the fastest growth occurs in the group of lower middle-income countries. There is a growing body of evidence for an inverse association between SES and child obesity in developed countries. The prevalence of overweight and obesity is high in all age groups in many countries, but especially worrying in children and adolescents in developed countries and economies in transition.

摘要

肥胖是非传染性疾病(如糖尿病、心血管疾病和癌症)的主要风险因素。1980年至2008年间,全球肥胖患病率几乎翻了一番。在一些地区,如欧洲、东地中海和美洲,超过50%的女性超重。汤加、瑙鲁和库克群岛的肥胖患病率在全球最高,男性和女性均超过60%。中国和美国是1980年至2008年间超重和肥胖人数绝对增加最多的国家,其次是巴西和墨西哥。女性肥胖患病率增长最大的地区是中拉丁美洲、大洋洲和南拉丁美洲。最新数据表明,在过去十年中,几个国家的肥胖流行趋势已有效放缓。在低收入国家,肥胖在较富裕人群中普遍更为常见,而随着国家发展,弱势群体受影响的程度越来越大。许多研究表明,在现代工业化社会中,肥胖存在总体社会经济梯度。肥胖率往往随着社会经济地位的提高而逐渐下降。西班牙儿童肥胖率在经合组织国家中名列前茅。13至14岁的儿童中有三分之一超重。在中高收入国家观察到婴幼儿超重现象。然而,增长最快的是中低收入国家群体。在发达国家,越来越多的证据表明社会经济地位与儿童肥胖之间存在负相关。在许多国家,所有年龄组的超重和肥胖患病率都很高,但在发达国家和转型经济体的儿童及青少年中尤其令人担忧。

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