哈萨克斯坦儿童的身体脂肪模式与肥胖患病率

Childhood Body Fat Patterns and Obesity Prevalence in Kazakhstan.

作者信息

Abdrakhmanova Shynar, Aringazina Altyn, Kalmakova Zhanar, Utemissova Laura, Heinen Mirjam, Buoncristiano Marta, Williams Julianne, Wickramasinghe Kremlin, Hudda Mohammed T

机构信息

The National Center of Public Healthcare of the Ministry of Health of the Republic of Kazakhstan Almaty Kazakhstan.

KMU "Kazakhstan School of Public Health" Almaty Kazakhstan.

出版信息

Obes Sci Pract. 2024 Nov 26;10(6):e70024. doi: 10.1002/osp4.70024. eCollection 2024 Dec.

DOI:10.1002/osp4.70024

PMID:39600534

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11589656/

Abstract

BACKGROUND

In Kazakhstan the pediatric population levels of obesity based on fat mass (FM) assessment are currently unknown. The present work aimed to assess average childhood FM levels and the prevalence of high levels of adiposity (based upon FM levels).

METHODS

Cross-sectional data from 2015 to 2020 nationally representative Childhood obesity surveillance initiative and 2022 regional surveys were used for this study of children aged 8 years ( = 4770) and 9 years ( = 3863). Childhood FM assessment was made using a validated prediction model using height, weight, age, sex and ethnicity. Average levels of FM, fat mass percent (FM%) and the prevalence of overfat and obesity were estimated.

RESULTS

Amongst 8-year-olds, the population average FM% was 32.3% (95% CI: 31.7%-32.8%) for boys and 35.2% (95% CI: 34.8-35.6) for girls (2015) and 32.7% (95% CI: 32.3-33.1) for boys and 35.1% (95% CI: 34.7-35.5) for girls in 2020. The Almaty region had the average FM% 32.7% (95% CI: 32.1-33.2) and 34.8% (95% CI: 34.3-35.4) for boys and girls respectively in 2022. The similar pattern was observed for 9 year old children.

CONCLUSIONS

The present study reveals high FM% levels in primary school age children from Kazakhstan across study years. Understanding patterns of FM levels is important for preventing and addressing childhood obesity.

摘要

背景

在哈萨克斯坦，目前尚不清楚基于脂肪量（FM）评估的儿童肥胖人口水平。本研究旨在评估儿童期FM的平均水平以及肥胖高水平的患病率（基于FM水平）。

方法

本研究使用了2015年至2020年具有全国代表性的儿童肥胖监测倡议的横断面数据以及2022年的区域调查数据，研究对象为8岁（n = 4770）和9岁（n = 3863）的儿童。使用经过验证的预测模型，根据身高、体重、年龄、性别和种族对儿童期FM进行评估。估计FM、脂肪量百分比（FM%）的平均水平以及超重和肥胖的患病率。

结果

在8岁儿童中，2015年男孩的总体平均FM%为32.3%（95%置信区间：31.7%-32.8%），女孩为35.2%（95%置信区间：34.8%-35.6%）；2020年男孩为32.7%（95%置信区间：32.3%-33.1%），女孩为35.1%（95%置信区间：34.7%-35.5%）。2岁时，阿拉木图地区男孩和女孩的平均FM%分别为32.7%（95%置信区间：32.1%-33.2%）和34.8%（95%置信区间：34.3%-35.4%）。9岁儿童也观察到类似模式。