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儿童超重率呈上升趋势的现象已基本得到扭转:30 年来对斯洛文尼亚青少年的持续监测结果。

Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth.

机构信息

Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia.

Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia.

出版信息

Sci Rep. 2020 Jul 3;10(1):11022. doi: 10.1038/s41598-020-68102-2.

DOI:10.1038/s41598-020-68102-2
PMID:32620828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7335166/
Abstract

The aim of this study is to describe trends in overweight and obesity among Slovenian youth for the period 1989-2018. Nearly all schoolchildren in Slovenia had their height and weight measured annually, which lead to a total of 6,738,510 data-points during the 30-year period. The IOTF cut-off points and Joinpoint regression were used to examine annual percent change (APC) in overweight and obesity prevalence across 3 age groups (7-10, 11-14 and 15-18 years). Obesity approximately tripled, while overweight doubled between 1989 and late 2000s in both genders. Since then overweight has been steadily decreasing in all 3 age groups for boys and in 7-10-year-old girls. Obesity has also been declining since 2009, but only in the youngest boys and girls (APC = - 1.9, 95% CI = - 3.2 to - 0.6 and APC = - 1.6, 95% CI = - 3.0 to - 0.2, respectively). Unfavourable trends were noted only in 15-18-year-old girls, with obesity rising at an unchanged rate over the past 30 years (APC = 4.8, 95% CI = 4.5-5.1). Overweight and obesity among Slovenian youth has increased dramatically over the last 3 decades. Still, during the last decade this rise has been reversed or at least stopped. This reversal of trends was more marked in boys than in girls, and in young children compared to adolescents.

摘要

本研究旨在描述 1989 年至 2018 年期间斯洛文尼亚青少年超重和肥胖趋势。斯洛文尼亚几乎所有的学童都每年测量身高和体重,这使得在 30 年期间总共获得了 6738510 个数据点。使用 IOTF 截断点和 Joinpoint 回归来检查超重和肥胖流行率在 3 个年龄组(7-10 岁、11-14 岁和 15-18 岁)中的年度百分比变化(APC)。在两性中,肥胖率大约增加了两倍,而超重率在 1989 年至 2000 年代后期增加了一倍。从那时起,超重率在所有 3 个年龄组的男孩中以及 7-10 岁的女孩中一直稳步下降。肥胖率自 2009 年以来也一直在下降,但仅在最小的男孩和女孩中下降(APC=−1.9,95%CI=−3.2 至−0.6 和 APC=−1.6,95%CI=−3.0 至−0.2)。仅在 15-18 岁的女孩中注意到不利趋势,肥胖率在过去 30 年中以不变的速度上升(APC=4.8,95%CI=4.5-5.1)。过去 30 年来,斯洛文尼亚青少年的超重和肥胖率急剧上升。尽管如此,在过去十年中,这种上升趋势已经逆转或至少停止。这种趋势的逆转在男孩中比在女孩中更为明显,在幼儿中比在青少年中更为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/7335166/b18eb7cd8f36/41598_2020_68102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/7335166/b18eb7cd8f36/41598_2020_68102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/7335166/b18eb7cd8f36/41598_2020_68102_Fig1_HTML.jpg

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