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[2014年秘鲁儿童肥胖与超重的空间分析]

[Spatial analysis of childhood obesity and overweight in Peru, 2014].

作者信息

Hernández-Vásquez Akram, Bendezú-Quispe Guido, Díaz-Seijas Deysi, Santero Marilina, Minckas Nicole, Azañedo Diego, Antiporta Daniel A

机构信息

Universidad de Buenos Aires. Buenos Aires, Argentina.

Facultad de Medicina, Universidad Nacional San Luis Gonzaga. Ica, Perú.

出版信息

Rev Peru Med Exp Salud Publica. 2016 Jul-Sep;33(3):489-497. doi: 10.17843/rpmesp.2016.333.2298.

Abstract

OBJECTIVES.: To estimate regional prevalence and identify the spatial patterns of the degree of overweight and obesity by districts in under five years children in Peru during 2014.

MATERIALS AND METHODS.: Analysis of the information reported by the Information System Nutritional Status (SIEN) of the number of cases of overweight and obesity in children under five years recorded during 2014. Regional prevalence for overweight and obesity, and their respective confidence intervals to 95% were calculated. Moran index was used to determine patterns of grouping districts with high prevalence of overweight and/or obesity.

RESULTS.: Data from 1834 districts and 2,318,980 children under five years were analyzed. 158,738 cases (6.84%; CI 95%: 6.81 to 6.87) were overweight, while 56,125 (2.42%; CI 95%: 2.40 to 2.44) obesity. The highest prevalence of overweight were identified in the regions of Tacna (13.9%), Moquegua (11.8%), Callao (10.4%), Lima (10.2%) and Ica (9.3%), and in the same regions for obesity with 5.3%; 4.3%; 4.0%; 4.0% and 3.8% respectively. The spatial analysis found grouping districts of high prevalence in 10% of all districts for both overweight and obesity, identifying 199 districts for overweight (126 urban and 73 rural), and 184 for obesity (136 urban and 48 rural).

CONCLUSIONS.: The highest prevalence of overweight and obesity were identified in the Peruvian coast regions. Moreover, these regions are predominantly exhibited a spatial clustering of districts with high prevalence of overweight and obesity.

摘要

目的

估算2014年秘鲁五岁以下儿童超重和肥胖程度的地区患病率,并确定各地区的空间分布模式。

材料与方法

对营养状况信息系统(SIEN)报告的2014年记录的五岁以下儿童超重和肥胖病例数信息进行分析。计算超重和肥胖的地区患病率及其95%的置信区间。使用莫兰指数确定超重和/或肥胖患病率高的地区分组模式。

结果

分析了来自1834个地区的2318980名五岁以下儿童的数据。超重病例158738例(6.84%;95%置信区间:6.81至6.87),肥胖病例56125例(2.42%;95%置信区间:2.40至2.44)。超重患病率最高的地区是塔克纳(13.9%)、莫克瓜(11.8%)、卡亚俄(10.4%)、利马(10.2%)和伊卡(9.3%),肥胖患病率最高的地区也是这些地区,分别为5.3%、4.3%、4.0%、4.0%和3.8%。空间分析发现,超重和肥胖患病率高的地区分组占所有地区的10%,超重地区有199个(126个城市地区和73个农村地区),肥胖地区有184个(136个城市地区和48个农村地区)。

结论

秘鲁沿海地区超重和肥胖患病率最高。此外,这些地区主要呈现出超重和肥胖患病率高的地区空间聚集现象。

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