Rural-urban comparison in prevalence of overweight and obesity among adolescents in Shandong, China
Rural-urban comparison in prevalence of overweight and obesity among adolescents in Shandong, China
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DOI：
10.3109/03014460.2013.772654
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发表时间：
2013-05-01
影响因子：
1.7
通讯作者：
Wang, Shu-Rong
中科院分区：
文献类型：
--
作者：
Zhang, Ying-Xiu;Wang, Shu-Rong
背景：超重和肥胖的流行率在发达国家和发展中国家都有所增加。全球儿童和青少年超重和肥胖患病率的增加构成了公共卫生危机目的：本研究评估了1985- 2010年中国山东省青少年超重和肥胖患病率的城乡差异。7-18岁青少年的BMI是使用来自五个国家重复交叉的数据计算的。采用1985年、1995年、2000年、2005年和2010年山东省学生体质与健康状况的横断面调查资料。根据WGOC获得超重和肥胖的患病率结果：在过去的25年中，超重和肥胖的患病率呈快速上升趋势：WGOC参考常模的超重肥胖率由3.60%上升到1.00%，（城市男性），3.03%（城市女性），0.77%（农村男性）和1.47% 1985年，农村女性的这一比例分别为36.57%（城市男性）、19.39%（城市女性）、29.59%（农村男性）和18.76%（农村女性），2010年这一比例分别为36.57%、19.39%（城市女性）、29.59%（农村男性）和18.76%（农村女性）。使用IOTF临界值，增长趋势相似。结论：1985-2010年山东省青少年超重和肥胖呈明显上升趋势，已成为严重的公共卫生问题。应采用全面的循证干预战略，包括定期监测。
Background: Prevalence of overweight and obesity has increased in both developed and developing countries. The increasing global prevalence of overweight and obesity among children and adolescents constitutes a public health crisisAim: The present study assessed the rural-urban differences in prevalence of overweight and obesity among adolescents in Shandong Province, China from 1985-2010.Subjects and methods: The BMI of adolescents aged 7-18 years was calculated using data from five national repeated cross-sectional surveys on students' constitution and health carried out by the government in 1985, 1995, 2000, 2005 and 2010 in Shandong Province, China. The prevalence of overweight and obesity was obtained according to the WGOC (Working Group on Obesity in China) reference norm and the International Obesity Task Force (IOTF) cut-offs.Results: In the past 25 years, The prevalence of overweight and obesity increased rapidly: The rate of overweight plus obesity by WGOC reference norm increased from 3.60% (Urban male), 3.03% (Urban female), 0.77% (Rural male) and 1.47% (Rural female) in 1985 to 36.57% (Urban male), 19.39% (Urban female), 29.59% (Rural male) and 18.76% (Rural female) in 2010, respectively. The increasing trend is similar using IOTF cut-offs. Differences in prevalence by year of overweight and obesity between urban and rural areas were observed.Conclusion: Overweight and obesity increased remarkably among Shandong adolescents from 1985-2010 and has become a serious public health problem. Comprehensive evidence-based strategies of intervention should be introduced, including periodic monitoring.