中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
3期
219-221
,共3页
体重指数%超重%肥胖%儿童
體重指數%超重%肥胖%兒童
체중지수%초중%비반%인동
Body mass index%Overweight%Obesity%Children
目的 了解宁波地区7岁以下儿童单纯性肥胖发生情况,探讨BMI不同参照标准在儿童超重、肥胖筛查的应用.方法 随机整群抽样调查64 038名儿童的身高、体重,按WHO 2006年推荐的身高标准体重值,体重达身高标准体重≥10%为超重、≥20%为肥胖,剔除伴肥胖的遗传性疾病和内分泌疾病.并分别采用WHO与国际肥胖工作组(IOTF)推荐的超重、肥胖BMI参照值对同一人群计算超重、肥胖检出率.结果 按WHO身高标准体重值宁波市7岁以下儿童超重和单纯性肥胖检出率分别为4.25%和2.88%,其中男童分别为4.45%和3.01%,女童分别为3.86%和2.56%,男童与女童的超重和肥胖检出率差异有统计学意义(P<0.01).儿童超重和肥胖检出率随年龄增长而逐渐上升,6岁时男童分别达到11.84%和9.68%、女童分别达到10.14%和9.46%.不同年龄组和性别超重/肥胖比在1.15～1.94:1之间.调查人群BMI的P85、P95均低于WHO与IOTF标准中"超重"、"肥胖"的BMI判断界值,使用WHO与IOTF推荐的BMI参照值宁波市7岁以下儿童超重、肥胖检出率分别为9.72%、2.83%和6.11%、0.55%.结论 儿童早期是预防日后肥胖的关键时期,男童是预防和控制肥胖发生、发展的重点人群,应将预防和控制儿童肥胖工作列入儿童保健服务之中,建议尽快建立适合中国7岁以下儿童超重、肥胖筛查的BMI参考值.
目的 瞭解寧波地區7歲以下兒童單純性肥胖髮生情況,探討BMI不同參照標準在兒童超重、肥胖篩查的應用.方法 隨機整群抽樣調查64 038名兒童的身高、體重,按WHO 2006年推薦的身高標準體重值,體重達身高標準體重≥10%為超重、≥20%為肥胖,剔除伴肥胖的遺傳性疾病和內分泌疾病.併分彆採用WHO與國際肥胖工作組(IOTF)推薦的超重、肥胖BMI參照值對同一人群計算超重、肥胖檢齣率.結果 按WHO身高標準體重值寧波市7歲以下兒童超重和單純性肥胖檢齣率分彆為4.25%和2.88%,其中男童分彆為4.45%和3.01%,女童分彆為3.86%和2.56%,男童與女童的超重和肥胖檢齣率差異有統計學意義(P<0.01).兒童超重和肥胖檢齣率隨年齡增長而逐漸上升,6歲時男童分彆達到11.84%和9.68%、女童分彆達到10.14%和9.46%.不同年齡組和性彆超重/肥胖比在1.15～1.94:1之間.調查人群BMI的P85、P95均低于WHO與IOTF標準中"超重"、"肥胖"的BMI判斷界值,使用WHO與IOTF推薦的BMI參照值寧波市7歲以下兒童超重、肥胖檢齣率分彆為9.72%、2.83%和6.11%、0.55%.結論 兒童早期是預防日後肥胖的關鍵時期,男童是預防和控製肥胖髮生、髮展的重點人群,應將預防和控製兒童肥胖工作列入兒童保健服務之中,建議儘快建立適閤中國7歲以下兒童超重、肥胖篩查的BMI參攷值.
목적 료해저파지구7세이하인동단순성비반발생정황,탐토BMI불동삼조표준재인동초중、비반사사적응용.방법 수궤정군추양조사64 038명인동적신고、체중,안WHO 2006년추천적신고표준체중치,체중체신고표준체중≥10%위초중、≥20%위비반,척제반비반적유전성질병화내분비질병.병분별채용WHO여국제비반공작조(IOTF)추천적초중、비반BMI삼조치대동일인군계산초중、비반검출솔.결과 안WHO신고표준체중치저파시7세이하인동초중화단순성비반검출솔분별위4.25%화2.88%,기중남동분별위4.45%화3.01%,녀동분별위3.86%화2.56%,남동여녀동적초중화비반검출솔차이유통계학의의(P<0.01).인동초중화비반검출솔수년령증장이축점상승,6세시남동분별체도11.84%화9.68%、녀동분별체도10.14%화9.46%.불동년령조화성별초중/비반비재1.15～1.94:1지간.조사인군BMI적P85、P95균저우WHO여IOTF표준중"초중"、"비반"적BMI판단계치,사용WHO여IOTF추천적BMI삼조치저파시7세이하인동초중、비반검출솔분별위9.72%、2.83%화6.11%、0.55%.결론 인동조기시예방일후비반적관건시기,남동시예방화공제비반발생、발전적중점인군,응장예방화공제인동비반공작렬입인동보건복무지중,건의진쾌건립괄합중국7세이하인동초중、비반사사적BMI삼고치.
Objective To investigate the occurrence of simple obesity among children under age 7 in Ningbo and to analyze the data regarding body mass index (BMI) from overweight screening under different standards. Methods Randomized cluster sampling was adopted and 64 038 children under 7 years old in Ningho were chosen and their length/height and weight were measured but pathological and secondary obesity cases were excluded. According to the Standardized Height and Weight set by WHO, more than 10% referring to overweight and more than 20% referring to obesity. Moreover, results of this study were compared with growth standards with WHO' s 2006 and IOTF standards. Results According to the Standardized Height and Weight set by WHO, the prevalence rates of overweight and obesity of children under age 7 were 4.25% and 2.88%. The ratio for boys were 4.45% and 3.01%, while for girls as 3.86% and 2.56%, with significant difference (P<0.01). Data showed that the rates for overweight and obesity increased along with age, reaching 11.84% and 9.68% for boys and 10.14% and 9.46% for girls at the age of 6. The ratios of overweight/obesity among different age groups and sex were 1.15-1.94:1. The critical value for P85, P95 were lower than the standards set by WHO and IOTE The rates for overweight and obesity for latter were 9.72%, 2.83% and 6.11%, 0.55% respectively. Conclusion Early childhood is the key period for obesity prevention, with boys in particular. Prevention and control for childhood obesity should be included in the programs for children' s health. Value of classification standards for the BMI screening of overweight and obesity for children under age 7 should be established in no time.
