中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
2期
125-128
,共4页
张迎修%周景洋%马吉祥%张俊黎%解力%闫静弋%魏霞%席庆兰
張迎脩%週景洋%馬吉祥%張俊黎%解力%閆靜弋%魏霞%席慶蘭
장영수%주경양%마길상%장준려%해력%염정익%위하%석경란
腰围%臀围%腰臀比%腰围身高比%儿童
腰圍%臀圍%腰臀比%腰圍身高比%兒童
요위%둔위%요둔비%요위신고비%인동
Waist circumference%Hip circumference%Waist-to-hip ratio%Waist-to-stature ratio%Child
目的 了解山东省儿童少年腰围(WC)和臀围(HC)发育水平,为建立中心性肥胖筛查标准提供参考.方法 以2010年山东省学生体质健康调查研究中42 275名7～18岁中小学生为研究对象,测量身高、WC和HC,分析WC、HC、腰臀比(腰围/臀围,WHR)和腰围身高比(腰围/身高,WHtR)的发育状况,并与国内文献资料比较.结果 山东省7～18岁中小学生WC随年龄的增长而增加,各年龄组男生显著高于女生(P＜0.01).男女生HC的发育曲线存在两次交叉:在11岁前男生大于女生,进入青春发育突增期后(12 ～ 14岁)女生超过男生,15岁后男生再次超过女生.山东省7～18岁中小学生WC第50百分位数(P50)比2008年国内15省调查数据高1.3～3.1 cm(男)、1.2 ～ 2.0 cm(女),比2005年香港调查数据高1.9～5.4 cm(男)、2.0～6.5 cm(女).以2008年国内15省调查WC Pgo为界值,山东省7～18岁中小学生中心性肥胖总检出率男生为20.20％,女生为16.57％,男生显著高于女生(P＜0.01)；以WHtR≥0.5为界值,中心性肥胖总检出率男生为15.73％,女生为7.38％,男生同样显著高于女生(P＜0.01).结论 山东省7～18岁中小学生WC发育水平较高.
目的 瞭解山東省兒童少年腰圍(WC)和臀圍(HC)髮育水平,為建立中心性肥胖篩查標準提供參攷.方法 以2010年山東省學生體質健康調查研究中42 275名7～18歲中小學生為研究對象,測量身高、WC和HC,分析WC、HC、腰臀比(腰圍/臀圍,WHR)和腰圍身高比(腰圍/身高,WHtR)的髮育狀況,併與國內文獻資料比較.結果 山東省7～18歲中小學生WC隨年齡的增長而增加,各年齡組男生顯著高于女生(P＜0.01).男女生HC的髮育麯線存在兩次交扠:在11歲前男生大于女生,進入青春髮育突增期後(12 ～ 14歲)女生超過男生,15歲後男生再次超過女生.山東省7～18歲中小學生WC第50百分位數(P50)比2008年國內15省調查數據高1.3～3.1 cm(男)、1.2 ～ 2.0 cm(女),比2005年香港調查數據高1.9～5.4 cm(男)、2.0～6.5 cm(女).以2008年國內15省調查WC Pgo為界值,山東省7～18歲中小學生中心性肥胖總檢齣率男生為20.20％,女生為16.57％,男生顯著高于女生(P＜0.01)；以WHtR≥0.5為界值,中心性肥胖總檢齣率男生為15.73％,女生為7.38％,男生同樣顯著高于女生(P＜0.01).結論 山東省7～18歲中小學生WC髮育水平較高.
목적 료해산동성인동소년요위(WC)화둔위(HC)발육수평,위건립중심성비반사사표준제공삼고.방법 이2010년산동성학생체질건강조사연구중42 275명7～18세중소학생위연구대상,측량신고、WC화HC,분석WC、HC、요둔비(요위/둔위,WHR)화요위신고비(요위/신고,WHtR)적발육상황,병여국내문헌자료비교.결과 산동성7～18세중소학생WC수년령적증장이증가,각년령조남생현저고우녀생(P＜0.01).남녀생HC적발육곡선존재량차교차:재11세전남생대우녀생,진입청춘발육돌증기후(12 ～ 14세)녀생초과남생,15세후남생재차초과녀생.산동성7～18세중소학생WC제50백분위수(P50)비2008년국내15성조사수거고1.3～3.1 cm(남)、1.2 ～ 2.0 cm(녀),비2005년향항조사수거고1.9～5.4 cm(남)、2.0～6.5 cm(녀).이2008년국내15성조사WC Pgo위계치,산동성7～18세중소학생중심성비반총검출솔남생위20.20％,녀생위16.57％,남생현저고우녀생(P＜0.01)；이WHtR≥0.5위계치,중심성비반총검출솔남생위15.73％,녀생위7.38％,남생동양현저고우녀생(P＜0.01).결론 산동성7～18세중소학생WC발육수평교고.
Objective To study the development of waist circumterence (WC) and hip circumference (HC) in children and adolescents in Shandong province,and to provide scientific data for developing related reference values for screening central obesity in Chinese children and adolescents.Methods Using data from ‘Student physical fitness and health surveillance 2010 project' in Shandong province,a total of 42 275 students aged 7-18 years were selected to participate in this study.WC,HC,waist-to-hip ratio (WHR) and wrist-to-stature ratio (WSR) of subjects were measured.Comparison of data from the current study and other similar studies was made.Results The mean values of WC increased with age,and boys all significantly higher than girls in all age categories (P＜0.01).There were two crosses on gender regarding the HC curves:before the age of 11 years,with mean HC higher in boys than in girls,but girls were higher than boys between the age of 12 to 14 while boys were also higher than girls after the age of 15 years.The 50th percentiles (P50)of WC of children and adolescents aged 7 to 18 years in Shandong appeared above the figures by 1.3-3.1 cm (boys) and 1.2-2.0 cm(girls) from 15 provinces in China as well as above the data from Hong Kong by 1.9-5.4 cm (boys) and 2.0-6.5 cm (girls),respectively.Overall,20.20％ of the boys and 16.57％ of the girls had a WC of ≥90th percentile and 15.73％ and 7.38％ of the boys and girls had a WHtR of ≥0.5 which both showed significant differences between genders (P＜0.01).Conclusion Children and adolescents from Shandong province had a high level of WC.
