Worldwide trends in childhood overweight and obesity
Worldwide trends in childhood overweight and obesity
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DOI：
10.1080/17477160600586747
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发表时间：
2006-01-01
影响因子：
--
通讯作者：
Lobstein, Tim
中科院分区：
文献类型：
--
作者：
Wang, Youfa;Lobstein, Tim
目标。肥胖已成为一种全球流行病，但由于缺乏来自不同国家的可比代表性数据以及定义肥胖的标准不同，我们对儿童问题的了解有限。本文总结了有关儿童超重和肥胖流行率最新趋势的现有信息。方法。 PubMed 搜索了 1980 年 1 月至 2005 年 10 月期间发表的论文中与随时间变化趋势相关的数据。还包括通过检索论文中的引用和专家咨询确定的其他研究。我们发现了 25 个国家的学龄人口和 42 个国家的学龄前人口随时间变化的趋势数据。利用这些报告以及为世界卫生组织疾病负担计划收集的数据，我们估计了 2006 年全球学龄儿童超重和肥胖的患病率以及 2010 年可能的患病率水平。结果。在几乎所有有数据可查的国家，儿童超重的患病率都有所增加。 20 世纪 90 年代，俄罗斯和波兰（某种程度上）的学龄儿童中存在例外情况。一些低收入国家的婴儿和学龄前儿童也存在例外情况。在经济发达国家和城市化人口中，肥胖和超重现象急剧增加。结论。全球儿童肥胖流行病日益严重，各国的长期趋势差异很大。全球、区域和国家各级需要有效的方案和政策来限制儿童问题。
Objectives. Obesity has become a global epidemic but our understanding of the problem in children is limited due to lack of comparable representative data from different countries, and varying criteria for defining obesity. This paper summarises the available information on recent trends in child overweight and obesity prevalence. Methods. PubMed was searched for data relating to trends over time, in papers published between January 1980 and October 2005. Additional studies identified by citations in retrieved papers and by consultation with experts were included. Data for trends over time were found for school-age populations in 25 countries and for pre-school populations in 42 countries. Using these reports, and data collected for the World Health Organization's Burden of Disease Program, we estimated the global prevalence of overweight and obesity among school-age children for 2006 and likely prevalence levels for 2010. Results. The prevalence of childhood overweight has increased in almost all countries for which data are available. Exceptions are found among school-age children in Russia and to some extent Poland during the 1990s. Exceptions are also found among infant and pre-school children in some lower-income countries. Obesity and overweight has increased more dramatically in economically developed countries and in urbanized populations. Conclusions. There is a growing global childhood obesity epidemic, with a large variation in secular trends across countries. Effective programs and policies are needed at global, regional and national levels to limit the problem among children.