Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974-94
Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974-94
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DOI：
10.1136/bmj.322.7277.24
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发表时间：
2001-01-06
影响因子：
--
通讯作者：
Rona, RJ
中科院分区：
文献类型：
--
作者：
Chinn, S;Rona, RJ
目的报告英国儿童超重和肥胖的趋势，定义为新的国际商定的临界点。设计三项独立的横断面调查，地点为英格兰和苏格兰的小学，研究对象为英格兰的10414名男孩和9737名女孩，苏格兰的5385名男孩和5219名女孩，年龄4 ~ 11岁，主要结果为：国际肥胖定义的超重和肥胖的患病率和患病率的变化;结果1974 ~ 1984年，超重或肥胖患病率变化不大。从1984年到1994年，英国男孩的超重率从5.4%增加到9.0%（增加3.6%，95%置信区间为2.3%到5.0%），苏格兰男孩的超重率从6.4%增加到10.0%（3.6%，1.9%到5.4%）。女孩的比例分别为9.3%至13.5%（4.1%，2.4%至5.9%）和10.4%至15.8%（5.4%，3.2%至7.6%）。肥胖的患病率相应增加，达到1.7%（英格兰男孩），2.1%（苏格兰男孩），2.6%（英格兰女孩），和3.2%（苏格兰女孩）。结论这些结果形成了一个基础，从趋势可以监测。这种上升趋势很可能反映在成人肥胖症和相关发病率的增加上。
Objectives To report trends in overweight and obesity, defined by new internationally agreed cut-off points, in children in the United Kingdom. Design Three independent cross sectional surveys.Setting Primary schools in England and Scotland.Participants 10 414 boys and 9737 girls in England and 5385 boys and 5219 girls in Scotland aged 4 to 11 years.Main outcome measures Prevalence and change in prevalence of overweight and obesity as defined by the international obesity; task force, in 1974, 1984, and 1994, for each ses and country.Results Little change was found in the prevalence of overweight or obesity from 1974 to 1984. From 1984 lo 1994 overweight increased from 5.4% to 9.0% in English boys (increase 3.6%, 95% confidence interval 2.3% to 5.0%) and from 6.4% to 10.0% in Scottish boys (3.6%, 1.9% to 5.4%). Values for girls were 9.3% to 13.5% (4.1%, 2.4% to 5.9%) and 10.4% to 15.8% (5.4%, 3.2% to 7.6%) respectively. The prevalence of obesity increased correspondingly, reaching 1.7% (English boys), 2.1% (Scottish boys) 2.6% (English girls), and 3.2% (Scottish girls).Conclusion These results form a base from which trends can be monitored. The rising trends are likely; to be reflected in increases in adult obesity and associated morbidity.