上海市10~17岁青少年超重肥胖检出率及相关因素研究

中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (8): 703-705.

上海市10~17岁青少年超重肥胖检出率及相关因素研究

张丹¹,赵正言²,林穗青³,吴巧玲¹,彭咏梅¹

1 复旦大学附属儿科医院儿童保健科,上海 201102;
2 浙江大学医学院附属儿童医院,浙江杭州 310003;
3 中国福利会国际和平妇幼保健院产科,上海 200233

收稿日期:2012-01-04 发布日期:2012-08-06 出版日期:2012-08-06
通讯作者: 彭咏梅,E-mail:ympeng99@yahoo.com.cn
作者简介:张丹(1987-),女,在读硕士研究生,研究方向为儿童营养与生长发育
基金资助:
“十一五”国家科技支撑项目(2009BAI80B03)

Incidence of overweight and obesity of 10~17 years old teenagers and the influencing factors in Shanghai

ZHANG Dan¹,ZHAO Zheng-yan³,LIN Sui-qing²,WU Qiao-ling¹,PENG Yong-mei¹

1 Department of Child Health Care,Children's Hospital,Fudan University,Shanghai 201102,China;
2 Children's Hospital of Medical College of Zhejiang University,Hangzhou,Zhejiang 310003,China;
3 Department of Obstetrics,Chinese Welfare Association International Peace Maternity and Child Care Hospital,Shanghai 200233,China

Received:2012-01-04 Online:2012-08-06 Published:2012-08-06

摘要/Abstract

摘要： 【目的】调查上海市10~17岁青少年超重及肥胖检出率及分布情况,分析相关影响因素。【方法】用国家“十一五”支撑代谢综合征项目样本中上海市横向部分7 737名青少年体格评估数据,分别采用中国(WGOC)及国际(IOTF)青少年超重肥胖标准计算超重肥胖检出率,比较两标准差异,并分析超重肥胖的影响因素。【结果】上海市10~17岁青少年超重、肥胖检出率分别为:11.9%、6.2%,总超重率18.1%(WGOC标准);13.6%、3.6%,总超重率17.2%(IOTF标准)。按WGOC标准,男女生超重、肥胖检出率分别为男:17.5%、7.7%; 女6.0%、4.6%。单因素中性别、年龄、出生体重、家庭收入、父母生育年龄、父母吸烟史、父母超重史、母饮酒史、父亲学历、父系高血压/糖尿病/高血脂/冠心病/脂肪肝史及母系脂肪肝史等17项是青少年超重的影响因素,多因素分析:性别(OR＝3.376,P＜0.001)、年龄(OR＝1.736,P＜0.001)、家庭收入(OR＝1.467,P＝0.001,)、母生育年龄(OR＝0.704,P＝0.023)、父超重(OR＝1.545,P＜0.001)、母超重(OR＝3.14,P＜0.001)、父系高血脂史(OR＝1.293,P＝0.018)是青少年超重的影响因素。【结论】上海市有近1/5的青少年超重肥胖,居国内较高水平。性别、年龄、家族史等是青少年超重肥胖的主要危险因素。

关键词: 青少年, 超重, 肥胖, 影响因素, 家族疾病史, 青春期

Abstract: 【Objective】 To analyze the incidence of overweight and obesity of 10~17 years old teenagers in Shanghai in 2011 and identify the influencing factors. 【Methods】 With the samples of 7 737 youth physical assessment data in Shanghai horizontal research part of the Metabolic Syndrome Project supported by national The Eleventh Five Year Plan,adopt China (WGOC) and the International Obesity Task Force (IOTF) childhood BMI standard used to calculated the incidence of overweight and obesity,compared the difference of this two standard,and analyzed the influencing factors of childhood overweight and obesity. 【Results】 Among 7 737 teenagers of 10~17 years old investigated,the incidence of overweight and obesity was 11.9%,6.2%(WGOC); and 13.6%,3.6%(IOTF).Boys' incidence of overweight and obesity was 17.5%,7.7%;being 6.0%,and 4.6% in girls.The results of Chi-square test suggested that gentle,age,birth weight,family revenue,father childbearing age and mother childbearing age,father's degree,father smoking,mother smoking,mother drinking,father overweight,mother overweight,patriarchal history of hypertension,diabetes,hyperlipaemia,coronary disease,fatty liver and matrilineal history of fatty liver were associated with teenagers' overweight and obesity.The results of Logistic regression analysis suggested that gentle(P＜0.001,OR＝3.376),age(P＜0.001,OR＝1.736),family revenue(P＝0.001,OR＝1.467),mother childbearing age(P＝0.023,OR＝0.704),father overweight(P＜0.001,OR＝1.545),mother overweight(P＜0.001,OR＝3.14),patriarchal history of hyperlipaemia(P＝0.018,OR＝1.293)were associated with overweight and obesity of teenagers. 【Conclusions】 Nearly 20% of the teenagers in Shanghai has overweight and obesity,being a high level in China.The major risk factors for teenagers' overweight and obesity are gender,age,family history,etc.

Key words: teenagers, overweight, obesity, influencing factors, family history, puberty

中图分类号:

R153.2

张丹,赵正言,林穗青,吴巧玲,彭咏梅. 上海市10~17岁青少年超重肥胖检出率及相关因素研究[J]. 中国儿童保健杂志, 2012, 20(8): 703-705.

ZHANG Dan,ZHAO Zheng-yan,LIN Sui-qing,WU Qiao-ling,PENG Yong-mei. Incidence of overweight and obesity of 10~17 years old teenagers and the influencing factors in Shanghai[J]. journal1, 2012, 20(8): 703-705.

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