Zhu Lijun, Chen Yan, Ding Lingling, Guo Daoxia, Wang Linghong, Ren Xiaohua, Gu Qijun, Nie Zhognhua, He Lianping, Jin Yuelong, Yao Yingshui
School of Public Health, Wannan Medical College. Wuhu,Anhui 241002 China..
Nutr Hosp. 2015 May 1;31(5):2006-10. doi: 10.3305/nh.2015.31.5.8532.
Prevalence of overweight and obesity in adolescents has been increasing during recent decades. The present study aimed to assess the prevalence of obesity in 14-18 years old Anhui Secondary school children, and provide more comprehensive guidelines for intervention programs.
This cross-sectional study was conducted among 4788 children in secondary school, and date from the routine health survey was analyzed. Trained health workers took anthropometric measures, height and weight, at the school. Definition of children overweight and obesity children was based on the international age-and sex-specific body mass index reference standards proposed by the International Obesity Task Force and National Center for Health Statistics.
According to the IOTF standard the prevalence of overweight (including obesity) and obesity revealed decreasing trend with age in male (overweight, from 17.3% at 14-y to 5.3% at 18-y; obesity, from 3.8% at 14-y to 2.3% at 18-y). Depending on the NCHS references used, the overall prevalence of overweight (including obesity) and obesity in male aged 14 to 18 decreases from 16.4% to 11.7% and from 4.6% to 2.8%, respectively.
The overweight (including obesity) and obesity from 14 to 18 years old have a decreasing trend, and more attention should be taken to male students in China. These findings suggest secondary school and government need to design appropriate guidelines to keep healthy for adolescents in China.
近几十年来,青少年超重和肥胖的患病率一直在上升。本研究旨在评估安徽省14 - 18岁中学生的肥胖患病率,并为干预项目提供更全面的指导方针。
本横断面研究在4788名中学生中进行,并对常规健康调查的数据进行了分析。经过培训的卫生工作者在学校测量了人体测量指标,身高和体重。儿童超重和肥胖儿童的定义基于国际肥胖特别工作组和国家卫生统计中心提出的国际年龄和性别特异性体重指数参考标准。
根据国际肥胖特别工作组(IOTF)标准,男性超重(包括肥胖)和肥胖患病率随年龄呈下降趋势(超重,从14岁时的17.3%降至18岁时的5.3%;肥胖,从14岁时的3.8%降至18岁时的2.3%)。根据所使用的美国国家卫生统计中心(NCHS)参考标准,14至18岁男性超重(包括肥胖)和肥胖的总体患病率分别从16.4%降至11.7%,从4.6%降至2.8%。
14至18岁的超重(包括肥胖)和肥胖呈下降趋势,在中国应更多关注男学生。这些发现表明中学和政府需要制定适当的指导方针,以促进中国青少年保持健康。