O'Dea Jennifer A, Dibley Michael J
Faculty of Education and Social Work, University of Sydney, Building A35, Sydney, NSW, 2006, Australia,
Int J Public Health. 2014 Oct;59(5):819-28. doi: 10.1007/s00038-014-0605-3. Epub 2014 Sep 5.
To study the prevalence of obesity, overweight and thinness, by sex, SES and ethnic background in 2006 and 2012.
Large national surveys of school students were conducted. Height/weight was measured. The outcomes were height, weight, BMI, thinness, overweight and obesity (IOTF), SES and ethnicity.
Obesity in 2006 and 2012 in boys and girls was 7.5 and 7.1 %, and 5.8 and 5.6 %; being overweight was 17.7 and 18.5 %, and 18.9 and 18.7 %; thinness was 3.8 and 4.6 %, and 5.0 and 6.0 %. Independent predictors of obesity in 2006 and 2012 were being Pacific Islander (OR 5.03, 5.66), Middle Eastern (OR 3.64, 1.50), aboriginal (OR 2.43 in 2012 only), African (OR 1.99 2012 only), Southern European (OR 1.75, 1.72), low SES (OR 2.22, 2.20), middle SES (OR 1.52, 1.60), female (OR 0.77, 0.82) and adolescent (OR 1.08, 2012 only). Predictors of thinness in 2006 and 2012 were ethnicity: Indian (OR 5.29, 1.96), African (OR 2.71, 2006 only), Asian (OR 1.69, 1.57) and female (OR 1.30, 1.27).
The predictors of obesity and thinness were ethnically based, suggesting culturally appropriate interventions in socially and economically disadvantaged communities.
研究2006年和2012年按性别、社会经济地位(SES)和种族背景划分的肥胖、超重和消瘦的患病率。
对在校学生进行了大规模的全国性调查。测量身高/体重。结果指标包括身高、体重、体重指数(BMI)、消瘦、超重和肥胖(国际肥胖工作组标准)、社会经济地位和种族。
2006年和2012年男孩和女孩的肥胖率分别为7.5%和7.1%,以及5.8%和5.6%;超重率分别为17.7%和18.5%,以及18.9%和18.7%;消瘦率分别为3.8%和4.6%,以及5.0%和6.0%。2006年和2012年肥胖的独立预测因素包括:太平洋岛民(比值比[OR]5.03、5.66)、中东人(OR 3.64、1.50)、原住民(仅2012年为OR 2.43)、非洲人(仅2012年为OR 1.99)、南欧人(OR 1.75、1.72)、低社会经济地位(OR 2.22、2.20)、中等社会经济地位(OR 1.52、1.60)、女性(OR 0.77、0.82)和青少年(仅2012年为OR 1.08)。2006年和2012年消瘦的预测因素包括种族:印度人(OR 5.29、1.96)、非洲人(仅2006年为OR 2.71)、亚洲人(OR 1.69、1.57)和女性(OR 1.30、1.27)。
肥胖和消瘦的预测因素基于种族,这表明在社会和经济处境不利的社区应采取符合文化背景的干预措施。