He Yuan, Pan An, Yang Ying, Wang Yuanyuan, Xu Jihong, Zhang Ya, Liu Dujia, Wang Qiaomei, Shen Haiping, Zhang Yiping, Yan Donghai, Peng Zuoqi, Hu Frank B, Ma Xu
Yuan He, Ying Yang, Yuanyuan Wang, Jihong Xu, Ya Zhang, Dujia Liu, Zuoqi Peng, and Xu Ma are with the National Research Institute for Family Planning, Beijing, People's Republic of China. An Pan is with the Department of Epidemiology and Biostatistics, Ministry of Education and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China. Qiaomei Wang, Haiping Shen, Yiping Zhang, and Donghai Yan are with the Department of Maternal and Child Health, National Health and Family Planning Commission, Beijing. Frank B. Hu is with Harvard T.H. Chan School of Public Health, Boston, MA.
Am J Public Health. 2016 Dec;106(12):2103-2110. doi: 10.2105/AJPH.2016.303499.
To provide prevalence and trends of underweight, overweight, and obesity among reproductive-age women and adolescent girls in rural China.
We measured weight and height in 16 742 344 women aged 20 to 49 years and 178 556 girls aged 15 to 19 years from the National Free Preconception Health Examination Project between 2010 and 2014.
Among women, the prevalence of underweight was 7.8% (95% confidence interval [CI] = 7.7%, 7.9%), and overweight or obesity was 16.5% (95% CI = 16.4%, 16.6%; World Health Organization criteria). Among adolescents, prevalence of underweight was 6.0% (95% CI = 5.7%, 6.2%; Centers for Disease Control and Prevention criteria) and overweight or obesity was 8.3% (95% CI = 7.9% to 8.8%; International Obesity Task Force criteria). According to Chinese criteria, overweight and obesity prevalence was 24.8% (95% CI = 24.7%, 24.9%) for women and 17.2% (95% CI = 16.6%, 17.8%) for adolescents, and underweight prevalence was 2.9% (95% CI = 2.8%, 3.1%) for adolescents. Considerable disparities existed in prevalence and trends within subpopulations (age groups, parity, region, education levels, and socioeconomic status).
Our results reveal coexisting underweight and overweight or obesity among rural women and adolescents of reproductive age, which requires public health attention.
提供中国农村育龄妇女和少女中体重过轻、超重和肥胖的患病率及趋势。
我们测量了2010年至2014年间参加国家免费孕前健康检查项目的16742344名20至49岁女性和178556名15至19岁女孩的体重和身高。
在女性中，体重过轻的患病率为7.8%（95%置信区间[CI]=7.7%，7.9%），超重或肥胖的患病率为16.5%（95%CI=16.4%，16.6%；世界卫生组织标准）。在青少年中，体重过轻的患病率为6.0%（95%CI=5.7%，6.2%；疾病控制和预防中心标准），超重或肥胖的患病率为8.3%（95%CI=7.9%至8.8%；国际肥胖特别工作组标准）。根据中国标准，女性超重和肥胖的患病率为24.8%（95%CI=24.7%，24.9%），青少年为17.2%（95%CI=16.6%，17.8%），青少年体重过轻的患病率为2.9%（95%CI=2.8%，3.1%）。亚人群（年龄组、胎次、地区、教育水平和社会经济地位）在患病率和趋势上存在相当大的差异。
我们的结果显示，农村育龄妇女和青少年中存在体重过轻与超重或肥胖并存的情况，这需要公共卫生方面的关注。
