3至10岁儿童超重和肥胖的患病率：世界卫生组织儿童生长标准中不同界值标准的评估
Prevalence of overweight and obesity in 3-to-10-year-old children: assessment of different cut-off criteria WHO-IOTF.
作者信息
Gama Augusta, Rosado-Marques VÍtor, Machado-Rodrigues Aristides M, Nogueira Helena, MourÃo Isabel, Padez Cristina
机构信息
Departamento de Biologia Animal, Universidade de Lisboa, Lisboa, Portugal.
Centro de Investigação em Antropologia e Saúde, Universidade de Coimbra, Coimbra, Portugal.
出版信息
An Acad Bras Cienc. 2020;92(2):e20190449. doi: 10.1590/0001-3765202020190449. Epub 2020 Aug 7.
This study compares the prevalence of overweight and obesity between WHO/IOTF criteria. A total of 17,277 Portuguese children aged 3-10 years old were analysed. The prevalences of overweight-obesity were higher at WHO classification (19.8%-20.7%) than at IOTF classification (8.2%-16.1%), (p<0.001). Agreement between the criteria were substantial for overweight (Kappa= 0.67, p<0.001) and moderate for obesity (Kappa= 0.47, p<0.001). The prevalences ratio for inequality between criteria were greater for boys than for girls and lesser for children aged 6-7 than children aged 8-10 years old. The disparities between the two criteria and the higher overweight obesity prevalences highlight the needs to develop more studies.
本研究比较了世界卫生组织（WHO）/国际肥胖工作组（IOTF）标准下超重和肥胖的患病率。共分析了17277名3至10岁的葡萄牙儿童。超重-肥胖的患病率在WHO分类中（19.8%-20.7%）高于IOTF分类（8.2%-16.1%），（p<0.001）。超重标准之间的一致性较高（Kappa=0.67，p<0.001），肥胖标准之间的一致性中等（Kappa=0.47，p<0.001）。标准之间不平等的患病率比值男孩高于女孩，6至7岁儿童低于8至10岁儿童。这两个标准之间的差异以及较高的超重肥胖患病率凸显了开展更多研究的必要性。
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