Zhang Jing, Li Xinyue, Hawley Nicola, Zheng Zhijie, Zou Zhen, Tan Linglin, Chen Qian, Shi Hong, Zhao Hongyu, Zhang Zhiruo
1 School of Public Health, Shanghai Jiao Tong University , School of Medicine, Shanghai, China .
2 Department of Biostatistics, Yale School of Public Health , New Haven, Connecticut.
Child Obes. 2018 Apr;14(3):182-188. doi: 10.1089/chi.2017.0309. Epub 2018 Apr 5.
In China, recent rapid economic growth has been associated with increasing prevalence of childhood obesity. This study aimed to provide the most updated prevalence and trends in overweight and obesity among school-age children and adolescents in Shanghai, China, in 2010-2015.
Annual physical examination data were collected from 66,410, 43,812, 104,887, 113,667, 119,401, and 109,068 school children and adolescents aged 6-17 in Minhang District, Shanghai, in 2010-2015. The outcome of interest was the prevalence of overweight and obesity based on the body mass index (BMI) criteria from the International Obesity Task Force.
In 2010-2015, the age-adjusted prevalence of overweight and obesity among boys increased from 21.2% to 31.7% and from 10.6% to 16.9% among girls. In 2015, the prevalence of obesity among boys was 9.3% higher than among girls (3.5%). The prevalence for boys was consistently higher than that for girls at each age and across years. The prevalence of overweight and obesity was highest at 11 years: 37.3% for boys and 19.8% for girls.
The prevalence of overweight and obesity among Chinese urban children and adolescents is comparable to that in developed countries and was still increasing in 2010-2015. The prevalence among boys was alarmingly high. The findings highlight the need to develop public intervention strategies targeting urban children to stop the increasing trend in childhood obesity in China.
在中国，近期经济的快速增长与儿童肥胖患病率的上升有关。本研究旨在提供2010 - 2015年中国上海学龄儿童和青少年超重与肥胖的最新患病率及趋势。
收集了2010 - 2015年上海市闵行区66410名、43812名、104887名、113667名、119401名和109068名6 - 17岁学童及青少年的年度体检数据。感兴趣的结果是基于国际肥胖特别工作组的体重指数（BMI）标准得出的超重与肥胖患病率。
2010 - 2015年，男孩超重与肥胖的年龄调整患病率从21.2%增至31.7%，女孩从10.6%增至16.9%。2015年，男孩肥胖患病率比女孩高9.3%（女孩为3.5%）。各年龄组及各年份男孩的患病率始终高于女孩。超重与肥胖患病率在11岁时最高：男孩为37.3%，女孩为19.8%。
中国城市儿童和青少年超重与肥胖的患病率与发达国家相当，且在2010 - 2015年仍在上升。男孩的患病率高得惊人。研究结果凸显了制定针对城市儿童的公共干预策略以遏制中国儿童肥胖上升趋势的必要性。
