Evaluation of overweight and obesity rate among school-age children in Pudong New Area of Shanghai by different methods and standards

doi:10.11852/zgetbjzz2019-0983

Abstract

Abstract: Objective To analyze the status quo of overweight and obesity among school-age children in Pudong New Area of Shanghai,so as to provide direction for further screening overweight school-age children and preventing school-age children from obesity. Method A total of 1 738 school-age children in Pudong New Area of Shanghai were randomly selected for physical measurement and questionnaire survey in October 2017.Different standards of BMI,waist circumference and waist-to-height ratio were used to evaluate the overweight and obesity status of school-age children. Results Using BMI criteria for overweight and obesity assessments would leave out children at risk of central obesity,and the missing rate was 7.6%-16.2%.Moreover,2.8%-10.9% of school-age children with systemic obesity would be neglected only using the criteria of central obesity.The overweight and obesity rate of school-age children was the highest (28.6%-39.4%) in the suburban central town of Pudong New Area,Shanghai.The systemic overweight and obesity rate of boys was 26.2%-35.5%,which was apparently higher than that of girls,(18.1%-26.4%).Significantly,the study found that the proportion of girls with above-normal waists (254/766) was similar to that of boys (316/946) (χ²=0.011,P>0.05).In addition,the overweight and obesity rate of first-and second- grade children was significantly lower than that of third grade(P＜0.05). Conclusions School-age children should be screened for both systemic and central obesity criteria,so as to prevent overweight and obese as soon as possible.Besides,corresponding intervention strategies are suggested to be formulated.

Key words: standards, overweight, obesity, central obesity, school-age children

摘要： 目的分析上海市浦东新区学龄儿童超重肥胖现状,为进一步筛查学龄儿童超重、预防学龄儿童肥胖提供方向。方法采用分层随机整群抽样的方法于2017年10月抽取上海市浦东新区1 738名学龄儿童进行体格测量与问卷调查,分别采用国内外不同BMI、腰围和腰高比标准对学龄儿童超重肥胖状况进行评价。结果仅使用BMI标准进行超重肥胖评价会遗漏有中心性肥胖风险的儿童,漏查率为7.6%~16.2%;而仅使用中心性肥胖判定标准,也会漏查2.8%~10.9%的全身性肥胖学龄儿童。上海市浦东新区郊区中心镇的学龄儿童超重肥胖率最高(28.6%~39.4%)。男童全身性超重肥胖率为26.2%~35.5%,明显高于女童的18.1%~26.4%,但女童腰围高于正常值的人数(254/766)与男童(316/946)相当,差异无统计学意义(χ²=0.011,P>0.05),应引起关注。此外,一、二年级学龄儿童超重肥胖率明显低于三年级(P＜0.05)。结论应同时使用全身性肥胖和中心性肥胖标准对学龄儿童进行筛查,尽早预防学龄儿童超重肥胖,并制定相应干预策略。

关键词: 标准, 超重, 肥胖, 中心性肥胖, 学龄儿童

CLC Number:

R723.14

GAO Mei-ying, XUE Kun, GUO Hong-wei, YUAN Chen-chen, BAI Pin-qing. Evaluation of overweight and obesity rate among school-age children in Pudong New Area of Shanghai by different methods and standards[J]. journal1, 2020, 28(2): 131-134.

高梅影, 薛琨, 郭红卫, 原晨晨, 柏品清. 不同方法、标准评价上海市浦东新区学龄儿童超重肥胖率[J]. 中国儿童保健杂志, 2020, 28(2): 131-134.

References

[1] 马冠生.中国儿童肥胖报告[M].北京:人民卫生出版社,2017:5-23.
[2] 中国营养学会.中国肥胖预防和控制蓝皮书[M].北京:北京大学医学出版社,2019:1-92.
[3] 尹小俭,季成叶,季浏,等.中国儿童青少年腰围和BMI的相关性研究[J].成都体育学院学报,2013,39(12):64-70.
[4] Dong B,Wang Z,Arnold LW,et al.Simplifying the screening of abdominal adiposity in Chinese children with waist-to-height ratio[J].Am J Hum Biol,2016,28(6):945-949.
[5] 中华人民共和国国家卫生和计划生育委员会.WS/T 586-2018 中华人民共和国卫生行业标准学龄儿童青少年超重与肥胖筛查[S].北京:中国标准出版社,2018.
[6] Cole TJ,Bellizzi MC,Flegal KM,et al.Establishing a standard definition for child overweight and obesity worldwide:international survey[J].BMJ,2000,320(7244):1240-1244.
[7] 中华人民共和国国家卫生和计划生育委员会.WS/T 611-2018 中华人民共和国卫生行业标准 7~18岁儿童青少年高腰围筛查界值[S].北京:中国标准出版社,2018.
[8] 于洋,宗心南,李辉,等.基于不同体块指数筛查标准的2011年北京市儿童青少年超重和肥胖检出率比较研究[J].中国循证儿科杂志,2014,9(4):294-298.
[9] 马传伟.济南市城区6~17岁学龄儿童超重、肥胖现状及其对早期靶器官损害的影响[D].济南:山东大学,2017.
[10] 肖谋远.采用国际标准筛查中小学生超重肥胖的比较研究[J].成都体育学院学报,2014,40(8):89-94.
[11] Zhang J,Li X,Hawley N,et al.Trends in the prevalence of overweight and obesity among chinese school-age children and adolescents from 2010 to 2015[J].Child Obes,2018,14(3):182-188.
[12] Ng M,Fleming T,Robinson M,et al.Global,regional,and national prevalence of overweight and obesity in children and adults during 1980-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9945):766-781.
[13] Tchernof A,Després J.Pathophysiology of human visceral obesity:an update[J].Physiol Rev,2013,93(1):359-404.
[14] 马冠生,季成叶,马军,等.中国7～18岁学龄儿童青少年腰围界值点研究[J].中华流行病学杂志,2010,31(6):609-615.
[15] Janssen I,Katzmarzyk PT,Srinivasan SR,et al.Combined influence of body mass index and waist circumference on coronary artery disease risk factors among children and adolescents[J].Pediatrics,2005,115(6):1623-1630.