Peckham C S, Stark O, Simonite V, Wolff O H
Br Med J (Clin Res Ed). 1983 Apr 16;286(6373):1237-42. doi: 10.1136/bmj.286.6373.1237.
The prevalence of overweight at ages 7 and 11 years and in late adolescence was compared in two nationally representative cohorts of British children born in 1946 and 1958. Overweight was defined as weight that exceeded the standard weight for height, age, and sex by more than 20% (relative weight greater than 120%). The prevalence of overweight among 7 year olds born in 1958 was nearly twice that among those born in 1946. Changes in infant feeding practices, food supply, and level of physical activity might be responsible for this difference. By adolescence the prevalence of obesity in both cohorts had increased but the difference between cohorts had almost disappeared. Around 9% of adolescent girls and 7% of adolescent boys were overweight. If infant feeding practices have an influence on prevalence of overweight at 7 years the data from the two cohorts suggest that such an effect does not persist. In neither cohort was there a significant relation between the prevalence of obesity and social class in boys, but in girls the prevalence was higher among those from the lower socioeconomic groups. Correlation coefficients showing the strength of the relation between relative weights at different ages were remarkably similar for both cohorts. The risk of being obese later in childhood for those who had not been obese at the age of 7 was less than one in 10, whereas for those with a relative weight greater than 130% the risk exceeded six in 10.
对1946年和1958年出生的两组具有全国代表性的英国儿童队列进行了比较,以研究7岁、11岁和青春期后期超重的患病率。超重的定义为体重超过身高、年龄和性别的标准体重20%以上(相对体重超过120%)。1958年出生的7岁儿童超重患病率几乎是1946年出生者的两倍。婴儿喂养方式、食物供应和身体活动水平的变化可能是造成这种差异的原因。到青春期时,两组肥胖患病率均有所上升,但两组之间的差异几乎消失。约9%的青春期女孩和7%的青春期男孩超重。如果婴儿喂养方式对7岁时超重患病率有影响,两组数据表明这种影响不会持续。在两组男孩中,肥胖患病率与社会阶层均无显著关系,但在女孩中,社会经济地位较低群体的患病率较高。两组显示不同年龄相对体重之间关系强度的相关系数非常相似。7岁时未肥胖的儿童在童年后期肥胖的风险低于十分之一,而相对体重超过130%的儿童肥胖风险超过十分之六。