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[墨西哥学龄儿童肥胖人体测量指标下降作为营养转型的一个指标]

[Decreased anthropometric indicators of adiposity in school children as an indicator of the nutritional transition in Mexico].

作者信息

Salazar-Preciado Laura Leticia, Larrosa-Haro Alfredo, Chávez-Palencia Clío, Lizárraga-Corona Elizabeth

机构信息

Unidad de Investigación en Epidemiología Clínica, Unidad Médica de Alta Especialidad Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):150-155.

Abstract

BACKGROUND

The aim of this paper was to estimate the adiposity trend in children from a public elementary school in Guadalajara, Mexico, between 2007 and 2011.

METHODS

Comparative study of two samples taken transversely in 1432 schoolchildren aged 6-12 years. Z-score of BMI and anthropometric indicators of arm adiposity (triceps skinfold, fat area and arm fat index) were calculated. Reference standards of the 2007-WHO and Frisancho were used. Analysis: Chi-square and Student t test.

RESULTS

Adiposity decreased significantly in children with normal weight (arm fat area Z-score -0.3 SD) overweight and obesity (arm fat area and index -0.4 and -0.3 z-scores respectively). An increase in the prevalence of subjects with normal weight and thinness and a decrease of overweight (4.6, -2.0 and -2.9 percentage points respectively) was observed. Obesity prevalence remained unchanged.

CONCLUSIONS

Decrease of adiposity in overweight and obese children, reduction in the prevalence of thinness and overweight and the increase in the proportion of subjects with normal weight was observed during the study period. These data probably reflect the nutritional transition in Mexico.

摘要

背景

本文旨在评估2007年至2011年间墨西哥瓜达拉哈拉一所公立小学儿童的肥胖趋势。

方法

对1432名6至12岁学童横向采集的两个样本进行比较研究。计算BMI的Z评分以及手臂肥胖的人体测量指标(肱三头肌皮褶厚度、脂肪面积和手臂脂肪指数)。采用2007年世界卫生组织和弗里桑乔的参考标准。分析:卡方检验和学生t检验。

结果

体重正常(手臂脂肪面积Z评分为-0.3标准差)、超重和肥胖(手臂脂肪面积和指数的Z评分分别为-0.4和-0.3)的儿童肥胖程度显著降低。观察到体重正常和消瘦的受试者患病率增加,超重患病率下降(分别为4.6、-2.0和-2.9个百分点)。肥胖患病率保持不变。

结论

在研究期间,观察到超重和肥胖儿童的肥胖程度降低,消瘦和超重患病率降低,体重正常的受试者比例增加。这些数据可能反映了墨西哥的营养转型。

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