伊朗青少年的体重状况：四种不同标准的比较。

Weight status among Iranian adolescents: Comparison of four different criteria.

作者信息

Bahreini Nimah, Noor Mohd Ismail, Koon Poh Bee, Talib Ruzita Abd, Lubis Syarif Husin, Dashti Marjan Ganjali, Salehi-Abargouei Amin, Esmaillzadeh Ahmad

机构信息

Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ; Department of Nutrition and Dietetics, Faculty of Health Sciences, MARA University of Technology, Puncak Alam, Malaysia, Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Department of Nutrition and Dietetics, Faculty of Health Sciences, MARA University of Technology, Puncak Alam, Malaysia, Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

出版信息

J Res Med Sci. 2013 Aug;18(8):641-6.

PMID:24379838

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3872601/

Abstract

BACKGROUND

Obesity or being overweight is a major health problem in Iran. Only few studies are available that compare the obesity prevalence by four different available criteria. The aim of this study was to determine the prevalence of overweight and obesity among Isfahani adolescents based on four different definitions.

MATERIALS AND METHODS

This cross-sectional study was conducted on 3002 Isfahani students (1377 males; 1625 females) aged 11-18 years. Anthropometric measurements including weight and height were measured and body mass index (BMI) was calculated. Sex-specific BMI-for-age reference data of the Iranian national data, Center for Disease Control data (CDC2000), International Obesity taskforce data (IOTF), and recent World Health Organization (WHO) data was used to define overweight and obesity.

RESULTS

The mean age of the studied population was 14.8 years and the mean BMI was 20.3 kg/m(2). Girls were on an average 1.4 years older and had almost one unit higher BMI than boys. Underweight was prevalent among almost 38.5% and 25.5% of adolescents as per WHO2007 and national Iranian cut-off points, respectively. The prevalence rates reached 39.5% and 45.8% by IOTF and CDC2000 criteria, respectively. The highest prevalence of overweight was obtained by IOTF cut-points (30.5%), while CDC2000 criteria, WHO2007, and national Iranian cut-points gave similar prevalence results (4.7%, 4.0%, and 4.4%); 2.4% of the studied population were found to be obese by WHO2007 definition, while this rate was 0.8%, 0.5%, and 0.8% by IOTF, CDC2000, and national Iranian cut-points.

CONCLUSION

Almost all definitions revealed coexistence of underweight, overweight, and obesity among Isfahani adolescents. Huge differences exist between different criteria for assessing weight status among children. To understand the best appropriate criteria for Iranian adolescents, future studies should focus on the predictability of obesity related co-morbidities by these criteria.

摘要

背景

肥胖或超重是伊朗的一个主要健康问题。仅有少数研究比较了四种不同现有标准下的肥胖患病率。本研究的目的是根据四种不同定义确定伊斯法罕青少年中超重和肥胖的患病率。

材料与方法

本横断面研究对3002名年龄在11 - 18岁的伊斯法罕学生（1377名男性；1625名女性）进行。测量了包括体重和身高在内的人体测量指标，并计算了体重指数（BMI）。使用伊朗国家数据、疾病控制中心数据（CDC2000）、国际肥胖特别工作组数据（IOTF）以及世界卫生组织（WHO）最新数据中按年龄和性别的BMI参考数据来定义超重和肥胖。

结果

研究人群的平均年龄为14.8岁，平均BMI为20.3kg/m²。女孩平均比男孩大1.4岁，BMI比男孩高近一个单位。按照WHO2007和伊朗国家切点标准，分别有近38.5%和25.5%的青少年体重过轻。按照IOTF和CDC2000标准，患病率分别达到39.5%和45.8%。超重患病率最高的是IOTF切点（30.5%），而CDC2000标准、WHO2007和伊朗国家切点给出的患病率结果相似（4.7%、4.0%和4.4%）；按照WHO2007定义，2.4%的研究人群被发现肥胖，而按照IOTF、CDC2000和伊朗国家切点标准，这一比例分别为0.8%、0.5%和0.8%。