Prevalence of extreme obesity in a multiethnic cohort of children and adolescents.

Prevalence of extreme obesity in a multiethnic cohort of children and adolescents.
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DOI:
10.1016/j.jpeds.2010.01.025
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发表时间:
2010-07
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Jacobsen SJ
Jacobsen SJ
中科院分区:
其他
文献类型:
--
作者:
Koebnick C;Smith N;Coleman KJ;Getahun D;Reynolds K;Quinn VP;Porter AH;Der-Sarkissian JK;Jacobsen SJ

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评估当代大型多种族儿童和青少年群体中极度肥胖的患病率。在一项横断面研究中,从 2007 年和 2008 年参加综合预付费健康计划的 710 949 名 2 至 19 岁患者(符合条件的患者的 87.8%)的电子病历中提取了测量的体重和身高。极度肥胖的患病率定义为年龄别体重指数 (BMI) ≥ 1.2 乘以 95% 或 BMI ≥ 35 kg/m2。 7.3% 的男孩和 5.5% 的女孩患有极度肥胖。男孩的患病率在 10 岁时达到峰值,女孩的患病率在 12 岁时达到双峰分布(第二个峰值在 18 岁时;性别 × 年龄交互作用的 P 值 = 0.036)。极端肥胖的患病率因民族/种族和年龄组而异,其中西班牙裔男孩(高达 11.2%)和非洲裔美国女孩(高达 11.9%)的患病率最高。南加州青少年的极度肥胖在相对年轻的时候就很常见。一旦这些儿童和青少年长大,向极端体重的转变可能会造成巨大的不良健康负担。
To estimate the prevalence of extreme obesity in a large, multiethnic contemporary cohort of children and adolescents. In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligible patients) who were enrolled in an integrated prepaid health plan in 2007 and 2008. Prevalence of extreme obesity was defined as body mass index (BMI)-for-age ≥1.2 times 95th percentile or BMI ≥35 kg/m2. Extreme obesity was observed in 7.3% of boys and 5.5% of girls. The prevalence peaked at 10 years of age in boys and at 12 years of age with a bimodal distribution in girls (second peak at 18 years; P value for sex × age interaction = .036). The prevalence of extreme obesity varied in ethnic/racial and age groups, with the highest prevalence in Hispanic boys (as high as 11.2%) and African-American girls (as high as 11.9%). Extreme obesity in Southern California youth is frequently observed at relatively young ages. The shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older.
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