de Munter Jeroen S, Friedl Andrea, Lind Simon, Kark Malin, Carlberg Magdalena, Andersson Niklas, Georgellis Antonis, Rasmussen Finn
Child and Adolescent Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Child and Adolescent Health Unit, Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden.
Acta Paediatr. 2016 Oct;105(10):1173-80. doi: 10.1111/apa.13351. Epub 2016 Feb 29.
We aimed to explore the prevalence and determinants of overweight including obesity among children in Sweden in 2003 and 2011.
Two population-based cross-sectional surveys included 7728 and 12 882 12-year-old children in Sweden, and 1198 and 2699 eight-year-old children in Stockholm County, in 2003 and 2011. Weighted prevalence of overweight including obesity and multivariate-adjusted relative risks (RRs) with 95% confidence intervals (CIs) was calculated.
In 2011, the overweight prevalence was lower for 12-year-old girls than boys (RR=0.84, CI=0.77-0.92), lower for girls and boys with a higher rather than a lower educated mother (for example, RRgirls =0.76, CI=0.65-0.88), but higher for girls and boys in smaller rather than main cities (RRgirls =1.52, CI=1.28-1.82). There was no difference in overweight prevalence between 2003 and 2011 among the 12-year-old children. However, eight-year-old girls had a lower overweight prevalence in 2011 than in 2003 (RR=0.76, CI=0.59-0.97). The strongest decrease in overweight was among eight-year-old girls with mothers with lower levels of education (RR=0.63, CI=0.47-0.86).
The prevalence of overweight including obesity was stable among Swedish children between 2003 and 2011. Gradients in the determinants of overweight persisted. There was some evidence of a less steep socio-economic gradient in overweight in eight-year-old girls over time.
我们旨在探究2003年和2011年瑞典儿童中超重（包括肥胖）的患病率及其决定因素。
2003年和2011年开展了两项基于人群的横断面调查，分别纳入了瑞典7728名和12882名12岁儿童，以及斯德哥尔摩县1198名和2699名8岁儿童。计算了超重（包括肥胖）的加权患病率以及经多变量调整的相对风险（RRs）及其95%置信区间（CIs）。
2011年，12岁女孩的超重患病率低于男孩（RR = 0.84，CI = 0.77 - 0.92），母亲受教育程度较高而非较低的女孩和男孩超重患病率较低（例如，女孩RR = 0.76，CI = 0.65 - 0.88），但在小城市而非主要城市的女孩和男孩超重患病率较高（女孩RR = 1.52，CI = 1.28 - 1.82）。2003年至2011年期间，12岁儿童的超重患病率没有差异。然而，2011年8岁女孩的超重患病率低于2003年（RR = 0.76，CI = 0.59 - 0.97）。超重下降最明显的是母亲受教育程度较低的8岁女孩（RR = 0.63，CI = 0.47 - 0.86）。
2003年至2011年期间，瑞典儿童中超重（包括肥胖）的患病率保持稳定。超重决定因素的梯度依然存在。有证据表明，随着时间推移，8岁女孩超重的社会经济梯度不那么明显。
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