Trends of overweight and obesity among children and adolescents in Baoshan District of Shanghai from 2013 to 2019

doi:10.11852/zgetbjzz2022-1237

Abstract

Abstract: Objective To investigate the prevalence of overweight and obesity among children and adolescents aged 7 to 18 in Baoshan District of Shanghai from 2013 to 2019, and to explore the variation trend, so as to provide a scientific foundation for effective prevention and control of overweight and obesity. Methods The physical examination census data of primary and middle school students from 2013 to 2019 were used, including a total of 533 419 children and adolescents. The prevalence of overweight and obesity was estimated based on the Screening Standard for Overweight and Obesity of School-age Children and Adolescents (WS/T 586-2018). The variation trends of overweight and obesity among children and adolescents were analyzed. Results The rates of overweight and obesity were 16.37% and 14.26% respectively in 2013, followed by a slight decrease in the next two years and an increase from 2016 to 2019. In 2019, these rates reached to 16.97% for overweight and 16.50% for obesity. There was a significant upward trend in overweight and obesity rates from 2013 to 2019 (χ²_trend= 62.65, 504.82, P<0.001), with the fastest fixed-base ratio of growth rate in 2017 (overweight: 6.18%, obesity: 15.60%). The average growth rate of overweight was 0.66% over the seven-year period, while this rate for obesity was 2.29%. Students in elementary school had a higher tendency to become obese, whereas those in middle school tended to be overweight. Additionally, the overweight and obesity rates increased at a faster pace in high school. Conclusion The increasing trend of overweight and obesity rates among students aged 7 to 18 in Baoshan District of Shanghai from 2013 to 2019 calls for comprehensive prevention and control measures to reduce the risk.

Key words: children, adolescents, overweight, obesity

摘要： 目的了解上海市宝山区2013—2019年7~18岁儿童青少年超重肥胖流行情况,分析流行趋势,为有效防控提供依据。方法数据来源于上海市宝山区2013—2019年中小学生普查体检数据,共纳入533 419名7~18岁儿童青少年,以中国《学龄儿童青少年超重与肥胖筛查》(WS/T 586-2018)的体质量指数(BMI)参考值作为判定标准,计算不同性别、不同学段的超重率和肥胖率,分析儿童青少年超重肥胖变化趋势。结果 2013年超重和肥胖率分别为16.37%和14.26%,随后两年略有下降,2016—2019年有所增长,至2019年超重和肥胖率分别为16.97%和16.50%。2013—2019年超重和肥胖率均呈上升趋势(χ²_趋势= 62.65、504.82,P＜0.001),2017年定基比增长速度最快(超重:6.18%,肥胖:15.60%)。7年超重、肥胖平均增长速度分别为0.66%、2.29%。小学阶段肥胖率较高,初中阶段超重率突出,高中阶段超重率和肥胖率增速最快。结论 2013—2019年上海市宝山区7~18岁儿童青少年超重率和肥胖率呈增长趋势,应积极采取综合防控措施,预防儿童青少年肥胖的发生及发展。

关键词: 儿童, 青少年, 超重, 肥胖

CLC Number:

XIANG Man, ZHAO Hailei, JI Wei, LUO Ying, LIU Guoping, LI Guangping, RONG Fen. Trends of overweight and obesity among children and adolescents in Baoshan District of Shanghai from 2013 to 2019[J]. Chinese Journal of Child Health Care, 2023, 31(10): 1070-1075.

向蔓, 赵海磊, 吉伟, 罗颖, 刘国萍, 李光萍, 戎芬. 上海市宝山区2013—2019年儿童青少年超重肥胖流行趋势分析[J]. 中国儿童保健杂志, 2023, 31(10): 1070-1075.

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