北京市通州区2012-2017年7~17岁儿童青少年超重肥胖流行趋势及预测研究

doi:10.11852/zgetbjzz2019-0539

摘要/Abstract

摘要： 目的分析2012-2017学年北京市通州区7~17岁儿童青少年超重肥胖变化趋势,为做好本区中小学肥胖防控工作提供科学依据。方法应用2012-2017年间5学年学生体检数据,分析超重、肥胖变化趋势。结果 2017年学生超重、肥胖检出率为14.90%、18.00%,男生高于女生。5年超重、肥胖检出率城镇高于乡村、男生高于女生,二者平均增长速度乡村高于城镇。超重检出率初、高中高于小学,肥胖检出率初中、小学高于高中。高中超重、肥胖平均增长速度最快,分别为1.99%和5.23%。利用社会时间序列建模分析预测,2022年通州区中小学生超重肥胖检出率为14.42%、14.07%。结论北京市通州区7~17岁儿童青少年超重肥胖检出率呈上升趋势,2016-2017学年超重、肥胖检出率较前四年明显升高,需分析原因并采取综合措施进行干预,有效降低超重肥胖检出率,控制平均增速水平。

关键词: 超重, 肥胖, 儿童, 青少年

Abstract: Objective To analyze the trend of overweight and obesity in children aged 7 to 17 years in Tongzhou district of Beijing during the 2012-2017 school year,in order to provide scientific basis for prevention and control of obesity in primary and secondary schools in this district. Method The physical examination data of students from 2012 to 2017 were used to analyze the trend of overweight and obesity. Results The detection rate of overweight and obesity among students was 14.90%,and 18.00% in 2017 which was higher in boys than that in girls.In 5 years,the two relevance ratios were higher in urban areas than those in rural areas,boys than girls,and the average growth rate of overweight and obesity were higher in rural areas than those in urban areas.The detection rate of overweight in middle and high schools was higher than that in primary schools,and the detection rate of obesity in middle and primary schools was higher than that in high schools.The average growth rate of overweight and obesity in high school was the fastest,1.99% and 5.23% respectively.Using time series analysis,it was predicted that the detection rate of overweight and obesity among students in this district was 14.42% and 14.07% in 2022. Conclusion The detection rate of overweight and obesity among adolescents is on the rise in Tongzhou district,especially in 2016-2017.And the two relevance ratios were significantly higher than those in the past four years.Measures should be taken to reduce the two relevance ratios and control the average growth rate.

Key words: overweight, obesity, children, adolescents

中图分类号:

R723.14

张垚. 北京市通州区2012-2017年7~17岁儿童青少年超重肥胖流行趋势及预测研究[J]. 中国儿童保健杂志, 2020, 28(2): 178-182.

ZHANG Yao. Study on the prevalence and prediction of overweight and obesity among children and adolescent aged 7 to 17 years from 2012 to 2017 in Tongzhou district,Beijing[J]. journal1, 2020, 28(2): 178-182.

参考文献

[1] Wang Z,Xu F,Ye Q,et al.Childhood obesity prevention through a community-based cluster randomized controlled physical activity intervention among schools in China:the health legacy project of the 2nd world summer youth Olympic Games (YOG-Obesity study)[J].Int J Obes (Lond),2018,42(4):625-633.
[2] Afshin A,Alam T,Estep K,et al.Global,regional,and national comparative risk assessment of 84 behavioral,environmental and occupational,and metabolic risks or clusters of risks,1990-2016:a systematic analysis for the Global Burden of Disease Study 2016[J].Lancet,2017,390(10100):1345-1422.
[3] Jang Y,Kim S,Kim K,et al.Deep learning-based classification with improved time resolution for physical activities of children[J].Peer J,2018,6:e5764.
[4] 段佳丽,郑茹,孙颖,等.2000－2014年北京市儿童青少年肥胖流行趋势[J].首都公共卫生,2017,11(3):103-105.
[5] Wang L,Hui SS.Diagnostic accuracy of different body weig ht and height-based definitions of childhood obesity in identifying over fat among Chinese children and adolescents:a cross-sectional study[J].BMC Public Health,2015,15:802.
[6] Popkin BM,Reardon T.Obesity and the food system transformation in Latin America[J].Obes Rev,2018,19(8):1028-1064.
[7] Benjamin EJ,.Blaha MJ,Chiuve SE,et al.Heart disease and stroke statistics-2017 Update:a report from the american heart association[J].Circulation,2017,135(10):e146-e603.
[8] He Y,Pan A,Yang Y,et al.Prevalence of underweight,overweight,and obesity among reproductive-age women and adolescent girls in rural China[J].Am J Public Health,2016,106(12):2103-2110.
[9] Jaacks LM,Slining MM,Popkin BM.Recent trends in the prevalence of under-and overweight among adolescent girls in low-and middle-income countries[J].Pediatric Obese,2015,10(6):428－435.
[10] 杜彬,陶芳标.单纯性肥胖儿童饮食与静坐少动生活习惯的病例对照研究[J].中国学校卫生,2016,37(4):511-513.
[11] 郭锡熔.维生素D缺乏与儿童肥胖[J].中国儿童保健,2018,26(12):1280-1283.
[12] 王艳,王瑞,卓志鹏,等.深圳市某小学青少年超重及肥胖现况调查分析[J].当代医学,2014,20(11):3-4.
[13] 陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].Chin J Dis Control Prev 2017,21(9):866-869.
[14] 杨忠平,董彦会,王政和,等.中国汉族中学生2014年与2010年体质健康比较[J].中国学校卫生,2017,38(6):806-808.
[15] Liang Y,Hou D,Zhao X,et al.Childhood obesity affects adult metabolic syndrome and diabetes[J].Endocrine,2015,50(1):87-92.
[16] Kau J,Klumbiene J,Kriaucioniene V,et al.Anthropometric measurements in childhood and prediction of cardiovascular risk factors in adulthood:Kaunas cardiovascular risk cohort study [J].BMC Public Health,2015,15:218.