Aranceta-Bartrina Javier, Gianzo-Citores Marta, Pérez-Rodrigo Carmen
Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, Spain; Departamento de Fisiología, Facultad de Medicina, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición CB12/03/30038 (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain.
Biobanco Vasco, Fundación Vasca de Innovación e Investigación Sanitarias (BIOEF), Baracaldo, Vizcaya, Spain.
Rev Esp Cardiol (Engl Ed). 2020 Apr;73(4):290-299. doi: 10.1016/j.rec.2019.07.023. Epub 2020 Jan 25.
The aim of this study was to assess the prevalence of excess weight and abdominal obesity (AO), based on individual anthropometric measurements, according to various criteria in the Spanish population aged 3 to 24 years and to analyze their distribution by age and sex.
We analyzed data from the ENPE study. This analysis included the population aged 3 to 24 years (n=1601). Anthropometric measurements were taken in participants' homes by trained observers following standardized international protocols. We defined overweight and obesity according to the International Obesity Task Force, World Health Organization, and Orbegozo 2011 criteria, and AO according to a waist-to-height index ≥ 0.5, Taylor criteria, and the 90th percentile of Orbegozo 2011.
The prevalence of excess weight (overweight+obesity) exceeded 30% with all the criteria used. The prevalence of excess overweight (International Obesity Task Force) was estimated at 34.1% (95%CI, 31.8-36.4) and obesity at 10.3% (95%CI, 8.9-11.9). The estimated prevalence of AO (waist-to-height index ≥ 0.5) was 31.2% (95%CI, 29.0-33.5), and 20.9% (95%CI, 18.1-22.1) satisfied all 3 criteria. A total of 16% (95%CI, 13.8-17.8) were overweight and had concomitant AO.
The prevalence of overweight, obesity and AO in the Spanish population aged 3 to 24 years old is high and is higher in men than in women. When distinct criteria were used, the prevalence of AO was approximately 30%. Among persons classified as obese by the 3 criteria, 71.6% were also classified as having AO according to distinct cutoffs.
本研究旨在根据个体人体测量数据，依据不同标准评估西班牙3至24岁人群中超重和腹型肥胖（AO）的患病率，并分析其年龄和性别分布情况。
我们分析了ENPE研究的数据。该分析纳入了3至24岁的人群（n = 1601）。经过培训的观察员按照标准化国际协议在参与者家中进行人体测量。我们根据国际肥胖特别工作组、世界卫生组织以及2011年奥贝戈佐标准定义超重和肥胖，并根据腰高指数≥0.5、泰勒标准以及2011年奥贝戈佐标准的第90百分位数定义AO。
使用所有标准时，超重（超重 + 肥胖）的患病率均超过30%。根据国际肥胖特别工作组标准，超重患病率估计为34.1%（95%CI，31.8 - 36.4），肥胖患病率为10.3%（95%CI，8.9 - 11.9）。AO（腰高指数≥0.5）的估计患病率为31.2%（95%CI，29.0 - 33.5），20.9%（95%CI，18.1 - 22.1）符合所有三项标准。共有16%（95%CI，13.8 - 17.8）超重且伴有AO。
西班牙3至24岁人群中超重、肥胖和AO的患病率很高，且男性高于女性。使用不同标准时，AO的患病率约为30%。在按三项标准分类为肥胖的人群中，71.6%根据不同切点也被分类为患有AO。
