Motlagh Mohammad Esmaeil, Ziaodini Hasan, Qorbani Mostafa, Taheri Majzoubeh, Aminaei Tahereh, Goodarzi Azam, Ataie-Jafari Asal, Rezaei Fatemeh, Ahadi Zeinab, Shafiee Gita, Shahsavari Ali, Heshmat Ramin, Kelishadi Roya
Bureau of Family, Population, Youth and School Health, Ministry of Health and Medical Education, Tehran, Iran; Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Health Psychology Department, Research Center of Education Ministry Studies, Tehran, Iran.
Int J Prev Med. 2017 Jan 23;8:4. doi: 10.4103/2008-7802.198915. eCollection 2017.
This paper presents the methodology and early findings of the fifth survey of a school-based surveillance program in Iran.
This nationwide study was conducted in 2015 as the fifth survey of a surveillance program entitled "Childhood and Adolescence Surveillance and PreventIon of Adult Non- communicable disease" (CASPIAN-V) study. The protocol was mainly based on the World Health Organization-Global School student Health Survey. We studied 14400 students, aged 7-18 years, and their parents living in 30 provinces in Iran. Fasting blood was obtained from a sub-sample of 4200 randomly selected students.
The participation rate for the whole study and for blood sampling were 99% and 91.5%, respectively. The mean (SD) age of participants was 12.3 (3.2) years, consisting of 49.4% girls and 71.4% urban residents. Overall, 16.1% were underweight (17.4% of boys and 14.8% of girls), and 20.8% had excess weight consisting of 9.4% (8.7% of boys and 10.2% of girls) of overweight and 11.4% (12.5% of boys and 10.3% of girls) of obesity. Abdominal obesity was documented in 21.1% of students (21.6% of boys and 20.5% of girls). Low HDL-C was the most prevalent abnormality of the lipid profile (29.5%) followed by high serum triglycerides (27.7%). Of students, 59.9% consumed whole wheat bread; and 57% reported that they never or rarely added salt to table. The reported daily consumption of fresh fruits, vegetables, and milk was about 60%, 32% and 40%, respectively. 13.7% of participants had at least 30-min daily leisure-time physical activity.
The current findings provide an overview of the current health status and lifestyle habits of children and adolescents. This surveillance program would help planning preventive programs at individual and community levels.
本文介绍了伊朗一项基于学校的监测项目第五次调查的方法和早期结果。
这项全国性研究于2015年开展，是名为“儿童和青少年成人非传染性疾病监测与预防”（CASPIAN-V）研究的第五次调查。该方案主要基于世界卫生组织全球学生健康调查。我们研究了伊朗30个省份中14400名7至18岁的学生及其父母。从4200名随机抽取的学生子样本中采集空腹血样。
整个研究的参与率和血样采集率分别为99%和91.5%。参与者的平均（标准差）年龄为12.3（3.2）岁，其中女孩占49.4%，城市居民占71.4%。总体而言，16.1%的人体重过轻（男孩为17.4%，女孩为14.8%），20.8%的人体重超标，其中超重的占9.4%（男孩为8.7%，女孩为10.2%），肥胖的占11.4%（男孩为12.5%，女孩为10.3%）。21.1%的学生有腹部肥胖（男孩为21.6%，女孩为20.5%）。高密度脂蛋白胆固醇降低是血脂异常中最常见的情况（29.5%），其次是高血清甘油三酯（27.7%）。59.9%的学生食用全麦面包；57%的学生表示他们从不或很少往食物中加盐。报告的新鲜水果、蔬菜和牛奶的每日摄入量分别约为60%、32%和40%。13.7%的参与者每天至少有30分钟的休闲体育活动。
当前研究结果概述了儿童和青少年目前的健康状况和生活方式习惯。该监测项目将有助于在个人和社区层面规划预防项目。
