The prevalence of childhood overweight/obesity and the epidemic changes in 1985-2000 for Chinese school-age children and adolescents

The prevalence of childhood overweight/obesity and the epidemic changes in 1985-2000 for Chinese school-age children and adolescents
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DOI:
10.1111/j.1467-789x.2007.00443.x
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发表时间:
2008-03-01
期刊:
影响因子:
8.9
通讯作者:
Ji, C. -Y.
Ji, C. -Y.
中科院分区:
医学1区
文献类型:
--
作者:
Ji, C. -Y.

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本文描述了全国城市儿童超重/肥胖的患病率。收集1985~2000年全国学生体质与健康监测资料中7-18岁男、女学生资料,按社会经济学分组,超重和肥胖的定义采用WGOC BMI参考值。2000年沿海大城市儿童肥胖/超重患病率已达到发达国家平均水平,其次为沿海中小城市。在超重流行的早期阶段,大多数内陆城市的肥胖患病率较低。疫情呈梯度分布,与人群的社会经济地位密切相关。各年龄段人群中肥胖/超重均呈显著、稳定的增长趋势,近5年来肥胖/超重的增量异常高,我国肥胖流行的前景不容乐观。预防计划应侧重于改善热量摄入和能量消耗之间的平衡,并采取旨在改变儿童生活方式的干预措施。
This paper describes the nationwide prevalence of childhood overweight/obesity in Chinese urban population. Data sets of boys and girls aged 7-18 yrs were collected from the series of Chinese national surveillance on students' constitution and health between 1985 and 2000 were divided into five socioeconomic groups, while WGOC BMI-reference was used as definitions of overweight and obesity. In 2000, the prevalence of childhood obesity/overweight in the coastal big cities, followed by that of the coastal middle/small cities, had reached the average level of the developed countries. The prevalence of obesity was low in most of the inland cities at an early stage of epidemic overweight. The epidemic manifested a gradient distribution in groups, which was closely related to socioeconomic status of the populations. A dramatic and steady increasing trend was witnessed among all sex-age subgroups in these urban groups, and the increments in obesity/overweight are exceptionally high in recent 5 years, and the prospect of epidemic obesity in China is in no way optimistic. Preventive program should be focused on the improvement of the balance between caloric intake and energy expenditure, and interventions aimed at changing children's life styles.