The spread of the obesity epidemic in the United States, 1991-1998
The spread of the obesity epidemic in the United States, 1991-1998
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DOI：
10.1001/jama.282.16.1519
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发表时间：
1999-10-27
影响因子：
120.7
通讯作者：
Koplan, JP
中科院分区：
文献类型：
--
作者：
Mokdad, AH;Serdula, MK;Koplan, JP
背景 肥胖患病率的增加是一个主要的公共卫生问题，因为肥胖与多种慢性疾病有关。目的 监测州特定数据的趋势并检查成人肥胖患病率的变化。设计由疾病控制和预防中心和州卫生部门从 1991 年至 1998 年对 18 岁或以上的非机构化成年人进行横断面随机数字电话调查（行为危险因素监测系统）。设置参与行为风险因素调查的州。危险因素监测系统。 主要结果指标 根据自我报告的体重和身高计算出的体重指数。 结果 肥胖症（定义为体重指数大于或等于 30 kg/m(2)）的患病率从 1991 年的 12.0% 增加到 1998 年的 17.9%。男女皆宜；跨年龄组、种族、教育水平；无论吸烟状况如何，都会发生这种情况。增加幅度最大的是以下群体：18 至 29 岁的人（7.1% 至 12.1%）、受过大学教育的人（10.6% 至 17.8%）和西班牙裔人（11.6% 至 20.8%）。 患病率增加的幅度因地区而异（从大西洋中部地区的 31.9% 到南大西洋地区的 67.2%）。增幅最大）并按州划分（从特拉华州的 11.3% 到增幅最大的佐治亚州的 101.8%）。 结论 美国肥胖率继续快速增长。为了改变这一趋势，维持体重和减轻体重的策略和计划必须成为公共卫生优先事项。
Context The increasing prevalence of obesity is a major public health concern, since obesity is associated with several chronic diseases.Objective To monitor trends in state-specific data and to examine changes in the prevalence of obesity among adults.Design Cross-sectional random-digit telephone survey (Behavioral Risk Factor Surveillance System) of noninstitutionalized adults aged 18 years or older conducted by the Centers for Disease Control and Prevention and state health departments from 1991 to 1998.Setting States that participated in the Behavioral Risk Factor Surveillance System.Main Outcome Measures Body mass index calculated from self-reported weight and height.Results The prevalence of obesity (defined as a body mass index greater than or equal to 30 kg/m(2)) increased from 12.0% in 1991 to 17.9% in 1998. A steady increase was observed in all states; in both sexes; across age groups, races, educational levels; and occurred regardless of smoking status. The greatest magnitude of increase was found in the following groups: 18- to 29-year-olds (7.1% to 12.1%), those with some college education (10.6% to 17.8%), and those of Hispanic ethnicity (11.6% to 20.8%), The magnitude of the increased prevalence varied by region (ranging from 31.9% for mid Atlantic to 67.2% for South Atlantic, the area with the greatest increases) and by state (ranging from 11.3% for Delaware to 101.8% for Georgia, the state with the greatest increases).Conclusions Obesity continues to increase rapidly in the United States. To alter this trend, strategies and programs for weight maintenance as well as weight reduction must become a higher public health priority.