Prevalence and trends of obesity among school children in Taiwan - the Taipei Children Heart Study
Prevalence and trends of obesity among school children in Taiwan - the Taipei Children Heart Study
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DOI：
10.1038/sj.ijo.0801486
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发表时间：
2001-02-01
影响因子：
4.9
通讯作者：
Chu, NF
中科院分区：
文献类型：
--
作者：
Chu, NF
背景技术背景：在台湾，高脂肪和高能量饮食的可用性在过去30年中稳步上升，而人们越来越久坐。这种不良饮食和很少体育活动的生活方式导致成人和儿童肥胖症的流行率增加。肥胖和相关的慢性疾病风险因素正在成为重要的公共卫生问题。本研究的目的是评估超重和肥胖的患病率和长期趋势的学童在Taiwan.METHODS：我们在1994年进行了一项横断面调查，在台北市的初中生，以确定一个代表性的人口分布，生活方式和生化特征，包括几个心血管疾病的危险因素。本研究以台北市85所国民中学为研究对象，以多阶段抽样方式，随机抽取1500名学童进行问卷调查。我们根据理想体重（IBW）标准定义超重和肥胖。如果儿童的体重为IBW的110-120%，则被视为超重，如果体重大于IBW的120%，则被视为肥胖。在特定年龄和性别的分层中。结果：总体而言，肥胖儿童的血压、血糖和甘油三酯水平较高，而高密度脂蛋白胆固醇水平较低体重正常儿童。从1980年到1994年，体重的平均值的增加幅度大大超过了身高的增加幅度（尤其是男孩）。虽然超重儿童的比例保持稳定，从1980年至1994年在两个性别，肥胖的患病率和趋势显着增加，特别是在男孩和年龄较大的girls.CONCLUSION：从这项调查中，我们发现，在台湾从1980年至1994年的体重显着增加超过身高的学童。肥胖的流行率也显著增加，尤其是在男孩中，而超重儿童的百分比没有变化。总的来说，这项研究表明，肥胖和超过理想体重的不良影响不再只是西方国家的问题。
BACKGROUND: In Taiwan, the availability of a high-fat and high-energy diet has steadily risen over the past 30y, while people have become increasingly sedentary. This lifestyle of poor diet and little physical activity has caused the prevalence of obesity to increase among adults and children. Obesity and associated chronic disease risk factors are becoming important public health issues. The purpose of this study is to evaluate the prevalence and secular trends of being overweight and obese among school children in Taiwan.METHODS: We conducted a cross-sectional survey among junior high school students in Taipei in 1994 to ascertain a representative distribution of demographic, lifestyle and biochemical characteristics, including several cardiovascular disease risk factors. After multistage sampling of 85 junior high schools in Taipei, we randomly selected 1500 children for this survey. We defined being overweight and obese based on ideal body weight (IBW) criteria. Children are considered to be overweight if their body weight is 110-120% of IBW, and obese if their body weight is greater than 120% of IBW within age- and gender-specific strata.RESULTS: In general, obese children have higher blood pressure, plasma glucose and triglyceride levels and lower high-density-lipoprotein cholesterol levels than normal-weight children. From 1980 to 1994, the mean value of body weight increased significantly over increases in body height (especially among boys). Although the percentage of overweight children remained steady from 1980 to 1994 in both genders, the prevalence and trends of obesity increased significantly, especially among boys and older girls.CONCLUSION: From this survey we find that in Taiwan from 1980 to 1994 body weight increased dramatically over body height among school children. The prevalence of obesity also increased significantly, especially among boys, while the percentage of overweight children did not vary. Overall, this study indicates that obesity and the adverse effects of being over the ideal body weight is no longer just a problem of Western countries.