Keane Eimear, Kearney Patricia M, Perry Ivan J, Kelleher Cecily C, Harrington Janas M
Department of Epidemiology and Public Health, University College Cork, Fourth Floor, Western Gateway Building, Western Road, Cork, Republic of Ireland.
BMC Public Health. 2014 Oct 14;14:974. doi: 10.1186/1471-2458-14-974.
The prevalence of childhood overweight and obesity in developed countries appears to be levelling off. As trends in childhood obesity prevalence have not been examined over the past decade in the Republic of Ireland, this systematic review aims to compile and synthesise all available information on the prevalence of overweight and obesity in primary school aged children between 2002 and 2012.
Systematic review of published and grey literature containing data on objectively measured height and weight. Inclusion criteria included studies where data was collected between 2002 and 2012 from at least 200 primary school aged children in the Republic of Ireland. Database searching, Google searching, reference searching and contact with obesity experts was undertaken. Overweight, obesity and morbid obesity were defined using standard International Obesity Taskforce definitions. Study quality was assessed.
Fourteen studies (16 prevalence estimates) met the inclusion criteria. The combined prevalence of overweight and obesity within the studies ranged from 20-34%. No significant trend in overweight prevalence over time was observed (p=0.6). However, there was evidence of a slight decrease in obesity prevalence over the period (p=0.01), with a similar though non-significant decline in the prevalence of morbid obesity (p=0.2).
The findings of this systematic review require cautious interpretation though the prevalence of childhood overweight and obesity in the Republic of Ireland has reached a plateau and may be falling. These findings provide some ground for optimism though the current plateau is at an unacceptably high level. Thus current population based preventive strategies need to be sustained and intensified.
发达国家儿童超重和肥胖的患病率似乎趋于平稳。由于过去十年爱尔兰共和国未对儿童肥胖患病率趋势进行研究，本系统评价旨在汇总和综合2002年至2012年期间关于小学适龄儿童超重和肥胖患病率的所有可用信息。
对包含客观测量身高和体重数据的已发表及灰色文献进行系统评价。纳入标准包括2002年至2012年期间从爱尔兰共和国至少200名小学适龄儿童收集数据的研究。进行了数据库检索、谷歌检索、参考文献检索并与肥胖专家进行了联系。超重、肥胖和病态肥胖采用国际肥胖特别工作组的标准定义。评估了研究质量。
14项研究（16项患病率估计值）符合纳入标准。这些研究中超重和肥胖的综合患病率在20%至34%之间。未观察到超重患病率随时间的显著趋势（p = 0.6）。然而，有证据表明在此期间肥胖患病率略有下降（p = 0.01），病态肥胖患病率也有类似但不显著的下降（p = 0.2）。
本系统评价的结果需要谨慎解读，尽管爱尔兰共和国儿童超重和肥胖的患病率已达到平稳状态且可能正在下降。这些发现提供了一些乐观的依据，尽管目前的平稳状态处于不可接受的高水平。因此，当前基于人群的预防策略需要持续并加强。
