Yan Yinkun, Hou Dongqing, Duan Jiali, Zhao Xiaoyuan, Sun Ying, Huang Guimin, Su Zhongjian, Cheng Hong, Meng Linghui, Chen Fangfang, Zhang Meixian, Wang Wenpeng, Yang Ping, Shan Xinying, Mi Jie
Department of Epidemiology, Capital Institute of Pediatrics, Beijing 100020, China. Graduate School of Peking Union Medical College.
Department of Epidemiology, Capital Institute of Pediatrics, Beijing 100020, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Apr;35(4):370-5.
To analyze the trends on the prevalence rates of obesity and cardiometabolic among children and adolescents in Beijing, during 2004-2013.
Data was collected from three cross-sectional studies among children and adolescents, aged 7-17 years old in Beijing. Two studies in 2004 and 2013 were conducted in general population, and one was among obese children in 2007. Data on anthropometric measurements including weight, height, and age was collected from all the subjects. The obese children from all three studies underwent a clinic examination that containing blood pressure, fasting plasma glucose, lipid profile (TC, TG, LDL-C, HDL-C), and acanthosis nigricans. Liver transaminases detection (ALT and AST) and liver ultrasound examination were performed in obese children from surveys in 2007 and 2013.
The prevalence of severe obesity increased from 1.86% in 2004 to 4.17% in 2013, with an annual increase rate as 0.26%. The proportion of severe obesity in obesity increased from 18.92% in 2004 to 25.15% in 2013. After adjusting for age and gender, the prevalence of IFG, hypertriglyceridemia and low HDL-C in both obese children and adolescents increased during 2004-2013 (all P < 0.05). The prevalence rates of hypertension, dyslipidemia, hypertriglyceridemia, and acanthosis nigricans in severe obese children were higher than those in moderate obesity. The proportion of children with 2 or more cardiometabolic risk factors in severe obese children was higher than in moderate obese children.
The prevalence rates of obesity and cardiometabolic risk factors among children and adolescents in Beijing showed an increase during 2004-2013.
分析2004 - 2013年北京儿童及青少年肥胖和心血管代谢疾病患病率的变化趋势。
数据来自于对北京7 - 17岁儿童及青少年的三项横断面研究。2004年和2013年的两项研究针对普通人群，2007年的一项研究针对肥胖儿童。收集了所有受试者的人体测量数据，包括体重、身高和年龄。三项研究中的肥胖儿童均接受了临床检查，包括血压、空腹血糖、血脂谱（总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇）以及黑棘皮症检查。2007年和2013年调查中的肥胖儿童还进行了肝转氨酶检测（谷丙转氨酶和谷草转氨酶）及肝脏超声检查。
重度肥胖患病率从2004年的1.86%增至2013年的4.17%，年增长率为0.26%。重度肥胖在肥胖人群中的比例从2004年的18.92%升至2013年的25.15%。在调整年龄和性别后，2004 - 2013年肥胖儿童及青少年中空腹血糖受损、高甘油三酯血症和低高密度脂蛋白胆固醇血症的患病率均有所上升（均P < 0.05）。重度肥胖儿童的高血压、血脂异常、高甘油三酯血症及黑棘皮症患病率高于中度肥胖儿童。重度肥胖儿童中具有两种或更多心血管代谢危险因素的儿童比例高于中度肥胖儿童。
2004 - 2013年北京儿童及青少年肥胖和心血管代谢危险因素患病率呈上升趋势。
