中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (5): 496-499.DOI: 10.11852/zgetbjzz2018-26-05-09

• 科研论著 • 上一篇    下一篇

济南市城区7~17岁儿童青少年腹型肥胖流行现状分析

陈华1, 杨丽丽1, 梁亚军2,3, 席波1   

  1. 1 山东大学公共卫生学院流行病学系,山东 济南 250012;
    2 济宁医学院公共卫生学院流行病与卫生统计学系,山东 济宁 272067;
    3 瑞典卡罗林斯卡医院公共卫生系,瑞典 斯德哥尔摩 17177
  • 收稿日期:2017-10-05 发布日期:2018-05-10 出版日期:2018-05-10
  • 通讯作者: 席波,E-mail: xibo2010@sdu.edu.cn
  • 作者简介:陈华(1992-),女,陕西人,硕士研究生在读,研究方向儿童心血管病流行病学。
  • 基金资助:
    国家自然科学青年基金项目(81302496);国家自然科学基金面上项目(81673195);国家科技支撑计划 (2012BAI03B03)

Prevalence of abdominal obesity among children and adolescents aged 7~17 in urban region of Jinan

CHEN Hua1, YANG Li-li1, LIANG Ya-jun2,3, XI Bo1   

  1. 1 Department of Epidemiology, School of Public Health, Shandong University, Jinan,Shandong 250012, China;
    2 Department of Epidemiology and Biostatistics, School of Public Health, Jining Medical College, Jining, Shandong 272067, China;
    3 Department of Public Health, Karolinska University Hospital, Stockholm, 17177,Sweden
  • Received:2017-10-05 Online:2018-05-10 Published:2018-05-10
  • Contact: XI Bo,E-mail: xibo2010@sdu.edu.cn

摘要: 目的 采用腰围和腰围身高比的不同诊断标准,全面描述济南市城区儿童青少年腹型肥胖流行状况,为儿童青少年肥胖的防治提供基础依据。方法 数据来源于2012年9月-2014年9月进行的十二五国家科技支撑计划项目“儿童心血管疾病的预警、诊治技术研究”分课题济南调查点。腹型肥胖分别采用腰围和腰围身高比的不同标准进行评价。采用χ2检验比较不同年龄段男女的腹型肥胖检出率差异,并计算kappa值,比较腰围与腰围身高比(WHtR)不同诊断标准之间的一致性。结果 济南市城区7~17岁儿童青少年的腹型肥胖检出率分别为28.1%(WC-中国标准)、22.2%(WC-北京标准)、17.7%(WHtR-国际标准)和27.3%(WHtR-中国标准)。低学龄组(7~11岁)腹型肥胖检出率随年龄增加表现为上升趋势,高学龄组(12~17岁)腹型肥胖检出率随年龄增加呈现下降趋势。无论采用何种标准,高学龄组(12~17岁)中男生腹型肥胖检出率明显高于女生。结论 济南市城区7~17岁儿童青少年腹型肥胖处于流行状态,应当引起政府和教育相关部门的重点关注。

关键词: 儿童青少年, 腰围, 腰围身高比, 腹型肥胖

Abstract: Objective To comprehensively describe the prevalence of abdominal obesity among children and adolescents in the urban area of Jinan, using different definitions of waist circumference (WC) and waist to height ratio (WHtR), in order to provide a scientific evidence for obesity prevention in children and adolescents.Methods Data were from the Twelfth Five-year National Science and Technology Support Program "Early Warning, Diagnosis and Treatment of Cardiovascular Disease in Children" conducted in Jinan from September, 2012 to September, 2014. Abdominal obesity was evaluated using different WC and WHtR standards. Chi-Squared test was used to compare the sex-difference on prevalence of abdominal obesity within different ages and the kappa value was calculated to compare the agreements of different definitions using WC and WHtR. Results The prevalence of abdominal obesity was 28.1% (WC-Chinese standard), 22.2% (WC-Beijing standard), 17.7% (WHtR-International standard) and 27.3% (WHtR-Chinese standard) respectively. In children aged 7~11 years, there was an upward trend in the prevalence of abdominal obesity with age. In adolescents aged 12~17 years, there was a downward trend with age. Regardless of the used standards, the prevalence of abdominal obesity in adolescent boys was significantly higher than that in adolescent girls. Conclusions In urban area of Jinan, abdominal obesity in children and adolescents is prevalent, and more attentions should be paid by related government and education departments.

Key words: children and adolescent, waist circumference, waist-to-height ratio, abdominal obesity

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