Secular Trends of Overweight and Obesity in Young Southern Californians 2008-2013
Secular Trends of Overweight and Obesity in Young Southern Californians 2008-2013
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DOI：
10.1016/j.jpeds.2015.08.039
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发表时间：
2015-12-01
影响因子：
5.1
通讯作者：
Young, Deborah R.
中科院分区：
文献类型：
--
作者：
Koebnick, Corinna;Mohan, Yasmina D.;Young, Deborah R.
目的探讨2008 - 2013年南加州儿童肥胖的长期趋势。研究设计：采用基于人群的队列研究，收集2008 - 2013年参加综合预付健康计划的1 331 931例2-19岁儿童的电子健康记录，测量其体重和身高。结果2008年肥胖患病率为19.1%，到2013年下降了1.6%（95%CI，1.7%-1.5%），相对下降了8.4%。在所有年龄、性别、种族和社会经济群体中都观察到了显著下降，但下降的幅度各不相同。男孩的肥胖率相对下降幅度更大（-9.3%）高于女孩（-7.2%），2-5岁儿童（-15.4%）和6-11岁（-11.8%），而12-19岁的青少年（-4.5%），穿着白色的（-12.6%）和亚洲人（-12.2%）比西班牙裔（-6.9%）和非裔美国人（-7.5%）.结论从这个庞大的人口的长期趋势-基于队列的研究表明，男孩和女孩的超重和肥胖在不同年龄和种族/族裔群体中正在下降。然而，与儿童、女孩和一些少数群体相比，青少年的下降幅度较小。解决儿童肥胖问题的方案可能需要有针对性。
Objective To investigate secular trends in pediatric obesity in Southern California between 2008 and 2013.Study design In a population-based cohort study, measured weight and height were extracted from electronic health records of 1 331 931 patients aged 2-19 years who were enrolled in an integrated prepaid health plan between 2008 and 2013. Outcomes were the prevalence of overweight and obesity (body mass index-for-age >= 85th percentile).Results The prevalence of obesity was 19.1% in 2008 and decreased by 1.6% (95% CI, 1.7%-1.5%) by 2013, corresponding to a relative decline of 8.4%. A significant decline was observed across all ages, sexes, races, and socioeconomic groups, but the magnitude of the decrease varied. The relative decline in obesity was stronger in boys (-9.3%) than in girls (-7.2%), in children aged 2-5 years (-15.4%) and 6-11 years (-11.8%) than in adolescents aged 12-19 years (-4.5%), and in whites (-12.6%) and Asians (-12.2%) than in Hispanics (-6.9%) and African Americans (-7.5%).Conclusion Secular trends from this large population-based cohort suggest that overweight and obesity in boys and girls are declining across age and racial/ethnic groups. However, the declines are less pronounced in adolescents compared with children, in girls, and in some minority groups. Programs addressing childhood obesity may need to be targeted.