Recent trends in waist circumference and waist-height ratio among US children and adolescents
Recent trends in waist circumference and waist-height ratio among US children and adolescents
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DOI：
10.1542/peds.2006-1062
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发表时间：
2006-11-01
期刊：
影响因子：
8
通讯作者：
Cook, Stephen
中科院分区：
文献类型：
--
作者：
Li, Chaoyang;Ford, Earl S.;Cook, Stephen
目标.腹部肥胖可能是心血管疾病和2型糖尿病风险的一个更好的预测因子。腰围和腰高比是腹部肥胖的两个简单而有效的替代指标。我们试图研究美国2 ~ 19岁儿童和青少年平均腰围和腰高比的近期趋势以及腹型肥胖的患病率。1988-1994年4个时期进行的全国健康和营养检查调查中的美国平民、非机构化人口的代表性样本（即第三次全国健康和营养调查），1999-2000年、2001-2002年和2003-2004年，测量了4个年龄组男女生的平均腰围和腰高比。最近三次全国健康和营养调查的数据被合并，以建立1999-2004年全国健康和营养调查类别。按年龄组分类，在1999-2004年国家健康和营养检查调查III和国家健康和营养检查调查之间，（2-5岁）、61.9 cm（6-11岁）、76.8 cm（12-17岁）和81.3 cm（18-19岁）分别为51.9、64.5、79.8和86.6 cm。在相同的时间段和相同的年龄组内，女孩的未校正平均腰围分别从51.0、61.7、75.0和77.7 cm增加到51.8、64.7、78.9和83.9 cm。在每个年龄组中，男孩和女孩的腰围与腰围的相对变化相似。使用性别和年龄的腰围第90百分位数值，男孩和女孩的腹部肥胖患病率分别增加了65.4%（从10.5%增加到17.4%）和69.4%（从10.5%增加到17.8%）。结论。1988-1994年和1999-2004年，美国儿童和青少年的平均腰围和腰高比以及腹部肥胖的患病率大幅增加。
OBJECTIVES. Abdominal obesity may be a better predictor than overall obesity for the risk of cardiovascular disease and type 2 diabetes. Waist circumference and waist-height ratio are 2 simple, yet effective, surrogate measures of abdominal obesity. We sought to examine the recent trends in mean waist circumference and waistheight ratio and prevalence of abdominal obesity among children and adolescents aged 2 to 19 years in the United States.METHODS. Representative samples of the civilian, noninstitutionalized US population from the National Health and Nutrition Examination Survey conducted during 4 time periods, 1988-1994 (ie, National Health and Nutrition Examination Survey III), 1999-2000, 2001-2002, and 2003-2004, were examined to estimate the mean waist circumference and waist-height ratio of boys and girls in 4 different age groups. Data from the 3 most recent National Health and Nutrition Examination Surveys were combined to establish a National Health and Nutrition Examination Survey 1999-2004 category.RESULTS. Categorized by age group, the unadjusted mean waist circumference for boys increased between National Health and Nutrition Examination Survey III and National Health and Nutrition Examination Survey 1999-2004 from 50.7 cm (aged 2-5 years), 61.9 cm (aged 6-11 years), 76.8 cm (aged 12-17 years), and 81.3 cm (aged 18-19 years) to 51.9, 64.5, 79.8, and 86.6 cm, respectively. During the same time periods and within the same age groups, the unadjusted mean waist circumference for girls increased from 51.0, 61.7, 75.0, and 77.7 cm to 51.8, 64.7, 78.9, and 83.9 cm, respectively. The relative change in waist-height ratio was similar to waist circumference at each age group for both boys and girls. Using the 90th percentile values of waist circumference for gender and age, the prevalence of abdominal obesity increased by 65.4% (from 10.5% to 17.4%) and 69.4% (from 10.5% to 17.8%) for boys and girls, respectively.CONCLUSIONS. Mean waist circumference and waist-height ratio and the prevalence of abdominal obesity among US children and adolescents greatly increased between 1988-1994 and 1999-2004.