Tarqui-Mamani Carolina, Alvarez-Dongo Doris, Espinoza-Oriundo Paula
CT: Obstetra. M. Sc. Epidemiología. Ph. D. Salud Pública. Instituto Nacional de Salud. Departamento Académico de Medicina Preventiva y Salud Pública. Facultad de Medicina Humana, Universidad Nacional Mayor de San Marcos. Lima, Perú.
DA: Nutricionista. Instituto Nacional de Salud. Lima, Perú.
Rev Salud Publica (Bogota). 2018 Mar-Apr;20(2):171-176. doi: 10.15446/rsap.V20n2.68082.
To determine the prevalence and factors associated with overweight and obesity in Peruvian schoolchildren.
Cross-sectional study carried out between 2013 and 2014. The probabilistic, multistage stratified sampling included 1 191 conglomerates with 7 914 dwellings (4 842 in the urban area and 3 072 in the rural area) of Peru. A total of 2 801 schoolchildren aged between 5 and 13 years were evaluated. The Z score of the body mass index by age (ZBMI) was used according to the WHO. Overweight was considered (ZBMI> 1 and ≤2) and obesity (ZBMI >2).
18.1% of the sample was overweight and 14.1% were obese. Overweight predominated in males (18.7%), schoolchildren aged 8 to 10 years (19.6%), non-poor (21.2%), residing in the urban area (21.6%), from Metropolitan Lima (22.8%) and Costa (22.7%). The factors associated with overweight included non-poverty (OR=1.9), living in urban areas (OR=1.7), Metropolitan Lima (OR=1.9) and Costa (OR=1.6). On the other hand, factors associated with obesity included male sex (OR=3.1), secondary education level of the head of the household (OR=1.8), higher education (OR=2.5), non-poor (OR=9.2), residing in an urban area (OR=3.4), Metropolitan Lima (OR=4.8) and Costa (OR=2.9).
The prevalence of obesity or overweight in schoolchildren is high. Non-poverty, living in urban areas, Metropolitan Lima and Costa are associated with overweight. Being a man, non-poor, the highest educational level of the head of the household, living in the urban area, Metropolitan Lima and Costa were associated with obesity.
确定秘鲁学童超重和肥胖的患病率及其相关因素。
2013年至2014年进行的横断面研究。概率性多阶段分层抽样涵盖秘鲁的1191个群体,共7914处住所(城市地区4842处,农村地区3072处)。共评估了2801名5至13岁的学童。根据世界卫生组织的标准,采用年龄别体重指数Z评分(ZBMI)。超重定义为(ZBMI>1且≤2),肥胖定义为(ZBMI>2)。
样本中18.1%超重,14.1%肥胖。超重情况在男性(18.7%)、8至10岁学童(19.6%)、非贫困人群(21.2%)、居住在城市地区(21.6%)、来自利马都会区(22.8%)和沿海地区(22.7%)中更为普遍。与超重相关的因素包括非贫困(OR=1.9)、居住在城市地区(OR=1.7)、利马都会区(OR=1.9)和沿海地区(OR=1.6)。另一方面,与肥胖相关的因素包括男性(OR=3.1)、户主的中等教育水平(OR=1.8)、高等教育(OR=2.5)、非贫困(OR=9.2)、居住在城市地区(OR=3.4)、利马都会区(OR=4.8)和沿海地区(OR=2.9)。
学童肥胖或超重的患病率较高。非贫困、居住在城市地区、利马都会区和沿海地区与超重有关。男性、非贫困、户主的最高教育水平、居住在城市地区、利马都会区和沿海地区与肥胖有关。