Trends in Obesity and Metabolic Status in Northern and Southern China Between 2012 and 2020.
Trends in Obesity and Metabolic Status in Northern and Southern China Between 2012 and 2020.
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2012-2020年中国南北地区肥胖及代谢状况变化趋势
DOI：
10.3389/fnut.2021.811244
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发表时间：
2021
影响因子：
5
通讯作者：
Huang X
中科院分区：
文献类型：
--
作者：
Li Y;Yang L;Yin L;Liu Q;Wang Y;Yang P;Wang J;Chen Z;Li X;Yang Q;He Y;Huang X
背景：中国人群肥胖相关代谢状态的变化趋势缺乏研究，尤其是不同地区人群。目的：了解2012-2020年中国人群肥胖和代谢状况的变化趋势。研究方法：在一项系列横断面研究中，分析了2014年至2020年在中国北方北京调查的256，782名参与者和2012年至2020年在中国南方湖南调查的697，170名参与者的数据。根据标准方案进行人体测量、血压测量和血液检查。使用Joinpoint软件评估肥胖和代谢状态的趋势。结果如下：基于年龄和性别标准化值，北方和南方参与者的平均BMI值分别为23.94（95% CI：23.93，23.95）和23.68（95% CI：23.67，23.69）kg/m2。2014 - 2020年间，北方参与者的总体肥胖患病率从12.70%（95%CI：12.17，13.23%）上升至14.33%（95%CI：13.97，14.70%）（P = 0.009），主要来源于20-39岁和40-59岁年龄段。此外，北方人代谢健康肥胖的患病率从2.07%（95%CI：1.84，2.30%）显著增加到4.33%（95%CI：4.13，4.53%）。在2012年至2020年期间，总体南方参与者中没有发现肥胖的显著趋势，但代谢不健康肥胖的患病率从5.36%（95%CI：5.18，5.54%）显著增加到7.35%（95%CI：7.11，7.58%），主要来自20-39岁和40-59岁年龄组。结论：中国南方和北方人群的肥胖趋势和代谢状况存在差异。中国需要一个全国性的体重控制计划，重点是年轻人和中年人。
Background: The trends of obesity-associated metabolic status in Chinese are lacking, especially those from different regions. Objectives: To examine the trends of obesity and metabolic status among Chinese population in 2012–2020. Methods: In a series cross-sectional study, data on 256,782 participants surveyed between 2014 and 2020 in Beijing, northern China, and 697,170 participants surveyed between 2012 and 2020 in Hunan, southern China were analyzed. Anthropometrics, blood pressure measurements, and blood tests were performed according to standard protocols. Trends in obesity and metabolic status were evaluated using the Joinpoint software. Results: Based on age- and sex-standardized values, the mean BMI values in northern and southern participants were 23.94 (95% CI: 23.93, 23.95) and 23.68 (95% CI: 23.67, 23.69) kg/m2, respectively. Between 2014 and 2020, the overall obesity prevalence among northern participants increased from 12.70% (95% CI: 12.17, 13.23%) to 14.33% (95% CI: 13.97, 14.70%) (P = 0.009), mainly derived by the 20–39 and 40–59 age groups. Moreover, the prevalence of metabolically healthy obese significantly increased from 2.07% (95% CI: 1.84, 2.30%) to 4.33% (95% CI: 4.13, 4.53%) in Northerners. Between 2012 and 2020, no significant trend in obesity was found among overall southern participants, but the prevalence of metabolically unhealthy obese significantly increased from 5.36% (95% CI: 5.18, 5.54%) to 7.35% (95% CI: 7.11, 7.58%), mainly derived by the 20–39 and 40–59 age groups. Conclusions: The trends in obesity and metabolic status were different between southern and northern Chinese. A national weight control plan is needed in China, focusing on young and middle-aged population.
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DOI：
10.1111/obr.12120
发表时间：
2014-01
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Popkin BM
通讯作者：
Popkin BM
DOI：
10.1016/s0140-6736(16)30054-x
发表时间：
2016-04-02
期刊：
Lancet (London, England)
影响因子：
--
作者：
NCD Risk Factor Collaboration (NCD-RisC)
通讯作者：
NCD Risk Factor Collaboration (NCD-RisC)
影响因子：
5.5
作者：
Mi YJ;Zhang B;Wang HJ;Yan J;Han W;Zhao J;Liu DW;Tian QB
通讯作者：
Tian QB
影响因子：
5.8
作者：
Ko, Sun-Hye;Baeg, Myong Ki;Choi, Myung-Gyu
通讯作者：
Choi, Myung-Gyu
影响因子：
5.2
作者：
Kim HS;Lee J;Cho YK;Park JY;Lee WJ;Kim YJ;Jung CH
通讯作者：
Jung CH