Zhou Shengsheng, Ye Bing, Fu Pengyu, Li Shan, Yuan Pu, Yang Li, Chao Feng, Zhan Xuan, Zhang Shufang
Nutrition and Food Safety Research Dep. , Institute of Public Health, Henan Center for Disease Control and Prevention, Zhengzhou 450016, China.
Wei Sheng Yan Jiu. 2019 Nov;48(6):892-897.
To analyze the height, weight and BMI of children and adolescents aged 6-17 in different sex, age and area in Henan Province from 2010 to2013.
Based on the monitoring of nutrition and health status of Chinese residents conducted in 9 urban and rural monitoring points in Henan Province from October 2010 to December 2013, 3221 aged 6-17 children and adolescents were selected by multi-stage stratification and population proportional random sampling method, including 1660 male students and 1561 female students; 420 in large cities, 628 in small and medium-sized cities, 1460 in rural areas, and 713 in poor rural areas. Family members basic information questionnaires were used to collect basic information, measured height, weight to obtain data, after weighted to analyze the height, weight, body mass index(BMI), stunting, wasting, overweight and obesity.
In 2010-2013, the development of children and adolescents aged 6-17 in Henan Province were in line with the general principles. The height and weight development of urban students were generally better than those of rural students. The difference between urban and rural areas had been narrowed in BMI. The overall malnutrition rate in the province was 6. 89%. A total of 89 children and adolescents had stunting with a stunting rate of 2. 76%. In addition to stunting, there were 59 moderate-serve wasting(1. 83%) and 74 mild wasting(2. 30%). The malnutrition of rural students was more serious than that of cities. The overweight and obesity rates of children and adolescents in big cities, small and mediumsized cities, ordinary rural areas and poor rural areas were 10. 0%, 9. 69%, 5. 47%, 4. 56%, and 9. 02%, 9. 34%, 3. 40% and 4. 10%, respectively. The overweight and obese were more serious in urban than rural areas. Especially the obesity was epidemic in low-age primary school students.
In view of the double burden coexists in stunting, wasting, overweight and obesity of children and adolescents in Henan Province, and meanwhile, the feature that malnutrition in rural students more serious, overweight and obese in urban students more critical, scientific and effective preventive measures should be carried out in time to ensure the healthy growth of children and adolescents, especially more attention on lower grade children in primary school.
分析2010年至2013年河南省6至17岁儿童青少年不同性别、年龄和地区的身高、体重及体质指数(BMI)。
基于2010年10月至2013年12月在河南省9个城乡监测点开展的中国居民营养与健康状况监测,采用多阶段分层整群随机抽样方法,选取3221名6至17岁儿童青少年,其中男学生1660名,女学生1561名;大城市420名,中小城市628名,农村1460名,贫困农村713名。采用家庭成员基本信息调查问卷收集基本信息,测量身高、体重获取数据,经加权后分析身高、体重、体质指数(BMI)、生长迟缓、消瘦、超重和肥胖情况。
2010至2013年,河南省6至17岁儿童青少年发育基本符合一般规律。城市学生身高、体重发育总体优于农村学生。城乡BMI差异有所缩小。全省总体营养不良率为6.89%。共有89名儿童青少年生长迟缓,生长迟缓率为2.76%。除生长迟缓外,有59名中重度消瘦(1.83%)和74名轻度消瘦(2.30%)。农村学生营养不良情况比城市更严重。大城市、中小城市、普通农村和贫困农村儿童青少年超重率分别为10.0%、9.69%、5.47%、4.56%,肥胖率分别为9.02%、9.34%、3.40%、4.10%。城市超重和肥胖情况比农村更严重。尤其是肥胖在低龄小学生中呈流行趋势。
鉴于河南省儿童青少年生长迟缓、消瘦、超重和肥胖双重负担并存,同时农村学生营养不良更严重、城市学生超重和肥胖更突出的特点,应及时采取科学有效的预防措施,确保儿童青少年健康成长,尤其要更加关注小学低年级儿童。