CAJ | 학술논문

目的分析近10年北京市儿童青少年肥胖及相关代谢异常流行趋势.方法研究对象来源于2004-2013年3次现况调查,年龄7～17岁.2004年和2013年调查为一般人群,2007年调查为肥胖人群.3个人群均进行身高、体重测量及对肥胖儿童健康评估,项目包括血压、FPG和血脂四项(TC、TG、LDL-C、HDL-C)及黑棘皮症检测.其中2次调查还加测2项肝酶学指标(ALT、AST)和肝脏B超(检查脂肪肝).结果北京市7～17岁儿童重度肥胖的患病率分别从2004年1.86％上升至2013年的4.17％,年增长率为0.26％;肥胖人群中重度肥胖的比例从2004年的18.92％上升至2013年的25.15％.调整年龄、性别后,近10年肥胖儿童中IFG、血脂异常、高TG血症及高HDL-C血症患病率呈上升趋势(均P＜0.05).协方差分析调整年龄和性别,重度肥胖儿童高血压、血脂异常、高TG 血症及和黑棘皮症的患病率均高于轻中度肥胖儿童(均P＜0.05),3次调查重度肥胖儿童代谢异常个数≥2的比例高于轻中度肥胖儿童.结论 2004-2013年北京市儿童青少年肥胖及相关代谢异常呈不断上升趋势.
목적 분석근10년북경시인동청소년비반급상관대사이상류행추세.방법 연구대상래원우2004-2013년3차현황조사,년령7～17세.2004년화2013년조사위일반인군,2007년조사위비반인군.3개인군균진행신고、체중측량급대비반인동건강평고,항목포괄혈압、FPG화혈지사항(TC、TG、LDL-C、HDL-C)급흑극피증검측.기중2차조사환가측2항간매학지표(ALT、AST)화간장B초(검사지방간).결과 북경시7～17세인동중도비반적환병솔분별종2004년1.86％상승지2013년적4.17％,년증장솔위0.26％;비반인군중중도비반적비례종2004년적18.92％상승지2013년적25.15％.조정년령、성별후,근10년비반인동중IFG、혈지이상、고TG혈증급고HDL-C혈증환병솔정상승추세(균P＜0.05).협방차분석조정년령화성별,중도비반인동고혈압、혈지이상、고TG 혈증급화흑극피증적환병솔균고우경중도비반인동(균P＜0.05),3차조사중도비반인동대사이상개수≥2적비례고우경중도비반인동.결론 2004-2013년북경시인동청소년비반급상관대사이상정불단상승추세.
Objective To analyze the trends on the prevalence rates of obesity and cardiometabolic among children and adolescents in Beijing,during 2004-2013.Methods Data was collected from three cross-sectional studies among children and adolescents,aged 7-17 years old in Beijing.Two studies in 2004 and 2013 were conducted in general population,and one was among obese children in 2007.Data on anthropometric measurements including weight,height,and age was collected from all the subjects.The obese children from all three studies underwent a clinic examination that containing blood pressure,fasting plasma glucose,lipid profile (TC,TG,LDL-C,HDL-C),and acanthosis nigricans.Liver transaminases detection(ALT and AST) and liver ultrasound examination were performed in obese children from surveys in 2007 and 2013.Results The prevalence of severe obesity increased from 1.86％ in 2004 to 4.17％ in 2013,with an annual increase rate as 0.26％.The proportion of severe obesity in obesity increased from 18.92％ in 2004 to 25.15％ in 2013.After adjusting for age and gender,the prevalence of IFG,hypertriglyceridemia and low HDL-C in both obese children and adolescents increased during 2004-2013 (all P＜0.05).The prevalence rates of hypertension,dyslipidemia,hypertriglyceridemia,and acanthosis nigricans in severe obese children were higher than those in moderate obesity.The proportion of children with 2 or more cardiometabolic risk factors in severe obese children was higher than in moderate obese children.Conclusion The prevalence rates of obesity and cardiometabolic risk factors among children and adolescents in Beijing showed an increase during 2004-2013.