Yamborisut Uruwan, Mo-Suwan Ladda
J Med Assoc Thai. 2014 Jan;97(1):44-51.
Obesity in children and adolescents is a major public health problem in many countries including Thailand However the use of different growth references applied to the data could contribute to the difference in magnitude of problem.
To examine the prevalence rate of overweight and obesity among Thai children and adolescents between 1995 and 2012.
Relevant published articles and nutrition survey reports were obtained by a systematic search through multiple electronic databases published between 1995 and 2012.
Of 627 published articles and reports retrieved, six national surveys were examined for the trend of childhood obesity. With the use of Thai growth references, the trends of obesity among preschool, school-age children, and adolescents were found to fluctuate between 1995 and 2009. This might be due to the difference in age categorization and use of dissimilar growth references. The use of the 2000 International Obesity Task Force (IOTF) reference provided a lower estimate of prevalence of obesity when compared to that from Thai growth reference. However similar fluctuating pattern and trends were observed
A standard protocol using a single set of child growth standard, similar age categorization, obesity indices, and cut-points for defining high-risk children should be applied to track trend of childhood obesity effectively.
在包括泰国在内的许多国家，儿童和青少年肥胖是一个主要的公共卫生问题。然而，将不同的生长参考标准应用于数据可能会导致问题严重程度的差异。
研究1995年至2012年泰国儿童和青少年中超重和肥胖的患病率。
通过系统检索1995年至2012年期间发表的多个电子数据库，获取相关的已发表文章和营养调查报告。
在检索到的627篇已发表文章和报告中，对六项全国性调查进行了儿童肥胖趋势研究。使用泰国生长参考标准时，发现1995年至2009年期间，学龄前儿童、学龄儿童和青少年的肥胖趋势有所波动。这可能是由于年龄分类的差异和使用了不同的生长参考标准。与泰国生长参考标准相比，使用2000年国际肥胖特别工作组（IOTF）参考标准得出的肥胖患病率估计值较低。然而，观察到了相似的波动模式和趋势。
应采用一套单一的儿童生长标准、相似的年龄分类、肥胖指数和定义高危儿童的切点的标准方案，以有效跟踪儿童肥胖趋势。
