2012 - 2018年参加“领先开端计划”的儿童中超重和肥胖的患病率

Prevalence of Overweight and Obesity Among Children Enrolled in Head Start, 2012-2018.

作者信息

Imoisili Omoye, Dooyema Carrie, Kompaniyets Lyudmyla, Lundeen Elizabeth A, Park Sohyun, Goodman Alyson B, Blanck Heidi M

机构信息

Division of Nutrition, Physical Activity, and Obesity, Obesity Prevention and Control Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Center for Surveillance, Epidemiology, and Laboratory Services, 1242Centers for Disease Control and Prevention, Epidemic Intelligence Service, Atlanta, GA, USA.

出版信息

Am J Health Promot. 2021 Mar;35(3):334-343. doi: 10.1177/0890117120958546. Epub 2020 Sep 30.

DOI:10.1177/0890117120958546

PMID:32996321

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10864127/

Abstract

PURPOSE

Determine prevalence of overweight and obesity as reported in Head Start Program Information Reports.

DESIGN

Serial cross-sectional census reports from 2012-2018.

SETTING

Head Start programs countrywide, aggregated from program level to state and national level.

SUBJECTS

Population of children enrolled in Head Start with reported weight status data.

MEASURES

Prevalence of overweight (body mass index [BMI] ≥85th percentile to <95th percentile) and obesity (BMI ≥95th percentile).

ANALYSIS

Used descriptive statistics to present the prevalence of overweight and obesity by state. Performed unadjusted regression analysis to examine annual trends or average annual changes in prevalence.

RESULTS

In 2018, the prevalence of overweight was 13.7% (range: 8.9% in Alabama to 20.4% in Alaska). The prevalence of obesity was 16.6% (range: 12.5% in South Carolina to 27.1% in Alaska). In the unadjusted regression model, 34 states and the District of Columbia did not have a linear trend significantly different from zero. There was a statistically significant positive trend in obesity prevalence for 13 states and a negative trend for 3 states.

CONCLUSION

The prevalence of obesity and overweight in Head Start children remained stable but continues to be high. Head Start reports may be an additional source of surveillance data to understand obesity prevalence in low-income young children.

摘要

目的

根据“启智计划信息报告”确定超重和肥胖的患病率。

设计

2012 - 2018年的系列横断面普查报告。

背景

全国范围内的“启智计划”项目，从项目层面汇总到州和国家层面。

研究对象

有报告体重状况数据的参加“启智计划”的儿童群体。

测量指标

超重（体重指数[BMI]≥第85百分位数至<第95百分位数）和肥胖（BMI≥第95百分位数）的患病率。

分析

使用描述性统计方法按州呈现超重和肥胖的患病率。进行未调整的回归分析以检验患病率的年度趋势或平均年度变化。

结果

2018年，超重患病率为13.7%（范围：阿拉巴马州为8.9%至阿拉斯加州为20.4%）。肥胖患病率为16.6%（范围：南卡罗来纳州为12.5%至阿拉斯加州为27.1%）。在未调整的回归模型中，34个州和哥伦比亚特区没有显著不同于零的线性趋势。13个州的肥胖患病率有统计学显著的正趋势，3个州有负趋势。