Prevalence of overweight and obesity among young people in Great Britain

Prevalence of overweight and obesity among young people in Great Britain
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DOI:
10.1079/phn2003539
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发表时间:
2004-05-01
影响因子:
3.2
通讯作者:
Cole, TJ
Cole, TJ
中科院分区:
医学3区
文献类型:
--
作者:
Jebb, SA;Rennie, KL;Cole, TJ

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目的:确定英国年轻人超重和肥胖的患病率设计:对英国全国青少年饮食和营养调查的横断面分析,研究对象:1836名青少年的全国代表性样本(4-18岁)。基于体重指数的肥胖患病率(体重/身高(2)),国际肥胖工作组的临界值为4.0%,另有15.4%被确定为超重。亚洲人肥胖的可能性几乎是白色人的四倍(13.6%对3.5%,P < 0.001)。在白色受试者中,女孩和男孩的肥胖患病率没有显著差异,也没有随年龄增长而变化。来自社会阶层IV和V的受试者的肥胖风险显著高于来自社会阶层I-III的受试者(6.5%对2.7%,P = 0.003)。生活在苏格兰和威尔士的受试者比生活在英格兰的受试者更容易肥胖(分别为7.6%和6.5%对2.9%,P < 0.01)。多元逻辑回归显示,在白色受试者中,生活在威尔士和苏格兰的IV和V类社会阶层的儿童肥胖的可能性是调查中其他儿童的三倍(比值比3.3,95%可信区间1.1-9.8)。这些数据提供了关于英国超重和肥胖的全国流行率的信息,以及监测未来肥胖的基线数据。趋势这项分析提供了关于最有可能患肥胖症的人群的重要人口统计信息,可用于为预防年轻人肥胖症的公共卫生战略提供信息。
Objective: To determine the prevalence of overweight and obesity in British young people (4-18 years) in 1997.Design: Cross-sectional analysis of the National Diet and Nutrition Survey of young people.Setting: Great Britain.Subjects: Nationally representative sample of 1836 young people (age 4-18 years).Results: The prevalence of obesity based on body mass index (weight/height(2)) and the international Obesity Task Force cut-offs was 4.0%, with a further 15.4% identified as overweight. Asians were almost four times as likely to be obese as white subjects (13.6 vs. 3.5%, P < 0.001). Among white subjects there was no significant difference in the prevalence of obesity between girls and boys, or with age. The risk of obesity was significantly higher in subjects from social classes IV and V than from social classes I-III (6.5 vs. 2.7%, P = 0.003). Subjects living in Scotland and Wales were significantly more likely to be obese than those in England (7.6 and 6.5 vs. 2.9%, respectively, P < 0.01). Multiple logistic regression showed that, among white subjects, those in social classes IV and V living in Wales and Scotland were three times more likely to be obese than the other children in the survey (odds ratio 3.3, 95% confidence interval 1.1-9.8).Conclusion: These data provide information on the national prevalence of overweight and obesity in Great Britain and baseline data from which to monitor future trends. This analysis provides important demographic information on those most at risk of obesity, which may be used to inform public health strategies to prevent obesity in young people.