Mansori Kamyar, Khateri Sorour, Moradi Yousef, Khazaei Zaher, Mirzaei Hossein, Hanis Shiva Mansouri, Aliabadi Mehran Asadi, Ranjbaran Mehdi, Varse Fatemeh, Parang Serveh
Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran.
Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Korean J Pediatr. 2019 Jun;62(6):206-212. doi: 10.3345/kjp.2018.07255. Epub 2019 Apr 23.
The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years of age using a systematic review and meta-analysis.
We searched MEDLINE (PubMed), Web of Science, Google Scholar, Scopus, CINHAL, and the Iranian databases, including Scientific Information Database (www.sid.ir), Iranian Research Institute for Information Science and Technology (Irandoc.ac.ir), Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com), for all articles published between January 1989 and August 2017. Sources of heterogeneity were determined using subgroup analysis and meta-regression.
Six articles were ultimately included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8% (95% confidence interval [CI], 6%-10%) and 9% (95% CI, 7%-11%), respectively. The results of the subgroup analysis showed that the prevalence of obesity in boys and girls was 9% (95% CI, 6%-13%) and 7% (95% CI, 4-10%), respectively, and the prevalence of overweight in boys and girls was 10% (95% CI, 5%-15%) and 9% (95% CI, 5%-13%), respectively.
Despite high heterogeneity among the results of the articles included in the meta-analysis, the prevalence of obesity and overweight is higher in Iranian children under 5 years of age. Therefore, parents and the health system must pay more attention to the lifestyle, nutritional habits, and physical activity of these children.
本研究旨在通过系统评价和荟萃分析确定伊朗5岁以下儿童肥胖和超重的患病率。
我们检索了MEDLINE（PubMed）、科学引文索引、谷歌学术、Scopus、护理学与健康领域数据库，以及伊朗数据库，包括科学信息数据库（www.sid.ir）、伊朗信息科学与技术研究所（Irandoc.ac.ir）、伊朗医学数据库（www.iranmedex.com）和伊朗科学数据库（www.magiran.com），以查找1989年1月至2017年8月发表的所有文章。使用亚组分析和元回归确定异质性来源。
最终有6篇文章纳入荟萃分析以估计合并患病率，据此估计肥胖和超重的患病率分别为8%（95%置信区间[CI]，6%-10%）和9%（95%CI，7%-11%）。亚组分析结果显示，男孩和女孩的肥胖患病率分别为9%（95%CI，6%-13%）和7%（95%CI，4%-10%），男孩和女孩的超重患病率分别为10%（95%CI，5%-15%）和9%（95%CI，5%-13%）。
尽管纳入荟萃分析的文章结果存在高度异质性，但伊朗5岁以下儿童肥胖和超重的患病率较高。因此，家长和卫生系统必须更加关注这些儿童的生活方式、营养习惯和体育活动。
