Choi Jung Eun, Lee Hye Ah, Park Sung Won, Lee Jung Won, Lee Ji Hyen, Park Hyesook, Kim Hae Soon
Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul 07804, Republic of Korea.
Clinical Trial Center, Ewha Womans University Mokdong Hospital, Seoul 07985, Republic of Korea.
Children (Basel). 2023 Jun 23;10(7):1105. doi: 10.3390/children10071105.
(1) Background: The aim of this study was to evaluate the prevalence of obesity and metabolic syndrome since the COVID-19 pandemic outbreak utilizing representative data on youth aged 2-18 years from the Korean National Health and Nutrition Examination Surveys (KNHANES) conducted in 2019-2020. (2) Methods: The survey consists of three parts: health interviews, health examinations, and nutrition surveys. From the 2019 and 2020 surveys, 1371 (2-9 years = 702 and 10-18 years = 669) and 1124 (2-9 years = 543 and 10-18 years = 581) individuals were included in the analysis. (3) Results: The mean body mass index (BMI) increased significantly among youth aged 2-9 years from 16.53 kg/m in 2019 to 17.1 kg/m in 2020 ( < 0.01). In youth aged 10-18 years, the BMI was found to increase slightly from 21.25 kg/m in 2019 to 21.41 kg/m in 2020 ( = 0.64). The increasing prevalence of extreme obesity was significant in girls, especially those aged 2-9 years ( < 0.01). However, extreme obesity had increased in 10-18-year-old boys ( = 0.08). The overall prevalence of metabolic syndrome in adolescents increased from 3.79% to 7.79% during the COVID-19 pandemic ( = 0.01). (4) Conclusions: We observed that the prevalence of obesity and metabolic syndrome among children and adolescents has increased after the COVID-19 outbreak. This is believed to be associated with an increase in the rate of early comorbidities in adulthood. The prevention of the progression of pediatric obesity has recently become an urgent public health concern in Korea.
(1) 背景：本研究旨在利用2019 - 2020年韩国国民健康与营养检查调查（KNHANES）中2至18岁青少年的代表性数据，评估新冠疫情爆发以来肥胖和代谢综合征的患病率。(2) 方法：该调查包括三个部分：健康访谈、健康检查和营养调查。在2019年和2020年的调查中，分别有1371名（2至9岁 = 702名，10至18岁 = 669名）和1124名（2至9岁 = 543名，10至18岁 = 581名）个体纳入分析。(3) 结果：2至9岁青少年的平均体重指数（BMI）从2019年的16.53kg/m显著增加至2020年的17.1kg/m（<0.01）。在10至18岁青少年中，BMI从2019年的21.25kg/m略微增加至2020年的2,1.41kg/m（=0.64）。极端肥胖的患病率上升在女孩中尤为显著，尤其是2至9岁的女孩（<0.01）。然而，10至18岁男孩的极端肥胖情况也有所增加（=0.08）。在新冠疫情期间，青少年代谢综合征的总体患病率从3.79%增至7.79%（=0.01）。(4) 结论：我们观察到新冠疫情爆发后，儿童和青少年肥胖及代谢综合征的患病率有所上升。这被认为与成年期早期合并症发生率的增加有关。预防儿童肥胖的进展最近已成为韩国紧迫的公共卫生问题。
