Policy Section, World Obesity Federation, London, UK.
The Boden Group, University of Sydney, Sydney, New South Wales, Australia.
Obes Rev. 2022 Feb;23(2):e13363. doi: 10.1111/obr.13363. Epub 2021 Sep 28.
Categories such as "low" and "high" have been used for several decades to describe the prevalence of stunting and wasting in populations of children aged under 5 years. They provide support for public health risk assessment and policy-making, including alerting health departments and aid agencies to national trends and local needs. In the light of the need for monitoring progress to meet globally agreed targets for overweight and obesity, the classification of their prevalence will be a valuable to aid in policy development, to target resources, and to promote public health interventions. This paper reviews the current use of categories to describe obesity prevalence in policy, advocacy, and research literature. Where prevalence categories have been formally proposed, this paper compares their application on large-scale datasets. The paper then develops a set of recommended threshold values to classify prevalence levels for overweight and obesity among children under age 5 years, children aged 5-19 years, and adults.
几十年来，“低”和“高”等类别一直被用于描述 5 岁以下儿童人群中发育迟缓症和消瘦症的流行情况。这些类别为公共卫生风险评估和决策提供了支持，包括提醒卫生部门和援助机构注意国家趋势和当地需求。鉴于需要监测实现超重和肥胖全球商定目标的进展情况，对其流行情况进行分类将有助于政策制定、针对资源以及促进公共卫生干预措施。本文回顾了目前在政策、宣传和研究文献中使用类别来描述肥胖症流行情况的情况。在正式提出流行类别情况下，本文比较了它们在大型数据集上的应用。然后，本文制定了一套建议的阈值，用于分类 5 岁以下儿童、5-19 岁儿童和成年人超重和肥胖的流行水平。
