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印度尼西亚的超重与肥胖:患病率及风险因素——文献综述

Overweight and obesity in Indonesia: prevalence and risk factors-a literature review.

作者信息

Rachmi C N, Li M, Alison Baur L

机构信息

Discipline of Child & Adolescent Health, The Children's Hospital at Westmead, University of Sydney Clinical School, Sydney, Australia; Fakultas Kedokteran Universitas Padjadjaran, Bandung, Indonesia.

Sydney School of Public Health, The University of Sydney, Sydney, Australia.

出版信息

Public Health. 2017 Jun;147:20-29. doi: 10.1016/j.puhe.2017.02.002. Epub 2017 Mar 6.

Abstract

OBJECTIVES

Overweight/obesity is a problem faced by both high- and low- and middle-income countries. This review aimed to report published data on the prevalence of overweight and obesity in Indonesian children, adolescents, and adults, along with the associated risk factors.

STUDY DESIGN

Literature review.

METHODS

We conducted a literature search for articles published in English (through Medline via OvidSP, Scopus, Global Health via OvidSP and Web of Science electronic databases) and Indonesian languages (several websites, direct contact with Indonesian public health researchers, practitioners and Ministry of Health staff) from earliest to March 2016. We screened the results and ensured the quality of included studies with Loney's tools for critically appraising prevalence or incidence studies.

RESULTS

We included 17 papers on the topic which were available in full text and passed the critical appraisal process. The prevalence of overweight/obesity has increased over the past two decades in Indonesian children, adolescents and adults. Prevalence rates are higher in boys than girls among children, but higher in females in the adolescent and adult age groups. The prevalence of overweight/obesity is also higher in those living in urban areas and with higher income or education.

CONCLUSIONS

Overweight/obesity is a serious public health problem in Indonesia with a continuing increase in its prevalence. Interventions at the household level and beyond are needed to successfully lower the prevalence of overweight/obesity in the country.

摘要

目标

超重/肥胖是高收入国家和低收入及中等收入国家都面临的一个问题。本综述旨在报告已发表的关于印度尼西亚儿童、青少年和成年人超重与肥胖患病率的数据,以及相关风险因素。

研究设计

文献综述。

方法

我们对2016年3月之前发表的英文文章(通过OvidSP检索Medline、Scopus、通过OvidSP检索的全球健康以及科学网电子数据库)和印尼语文章(几个网站、与印尼公共卫生研究人员、从业者和卫生部工作人员直接联系)进行了文献检索。我们筛选了结果,并使用洛尼批判性评价患病率或发病率研究的工具确保纳入研究的质量。

结果

我们纳入了17篇关于该主题的全文文章,这些文章通过了批判性评价过程。在过去二十年中,印度尼西亚儿童、青少年和成年人超重/肥胖的患病率有所上升。儿童中男孩的患病率高于女孩,但在青少年和成年人年龄组中女性的患病率更高。超重/肥胖在城市地区居民、高收入或高学历人群中的患病率也更高。

结论

超重/肥胖在印度尼西亚是一个严重的公共卫生问题,其患病率持续上升。需要在家庭层面及其他层面采取干预措施,以成功降低该国超重/肥胖的患病率。

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