Prevalence and trends in overweight among US children and adolescents, 1999-2000
Prevalence and trends in overweight among US children and adolescents, 1999-2000
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DOI：
10.1001/jama.288.14.1728
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发表时间：
2002-10-09
影响因子：
120.7
通讯作者：
Johnson, CL
中科院分区：
文献类型：
--
作者：
Ogden, CL;Flegal, KM;Johnson, CL
美国儿童超重患病率在1976-1980年和1988-1994年间呈上升趋势。目的使用测量体重和身高的最新全国数据来确定美国儿童超重的流行率，并检验超重流行的趋势。设计、设置和参与者调查4722名从出生到19岁的儿童，并在1995-2000年期间测量体重和身高，作为国家健康和营养检查调查(NHANES)的一部分，这是美国人口的一个横断面、分层、多阶段的概率样本。主要结果衡量美国儿童中超重的流行率按性别、年龄组、以及种族/民族。结果12~19岁、6~11岁和2~5岁儿童的超重率分别为15.5%、15.3%和10.4%，而1988~1994年的超重率分别为10.5%、11.3%和7.2%。非西班牙裔黑人和墨西哥裔美国青少年的超重率在1988-1994年和1999-2000年期间上升了10个百分点以上。结论美国儿童超重率继续上升，特别是墨西哥裔美国人和非西班牙裔黑人青少年。
Context The prevalence of overweight among children in the United States increased between 1976-1980 and 1988-1994, but estimates for the current decade are unknown.Objective To determine the prevalence of overweight in US children using the most recent national data with measured weights and heights and to examine trends in overweight prevalence.Design, Setting, and Participants Survey of 4722 children from birth through 19 years of age with weight and height measurements obtained in 1995-2000 as part of the National Health and Nutrition Examination Survey (NHANES), a cross-sectional, stratified, multistage probability sample of the US population.Main Outcome Measure Prevalence of overweight among US children by sex, age group, and race/ethnicity. Overweight among those aged 2 through 19 years was defined as at or above the 95th percentile of the sex-specific body mass index (BMI) for age growth charts.Results The prevalence of overweight was 15.5% among 12- through 19-year-olds, 15.3% among 6- through 11-year-olds, and 10.4% among 2-through 5-year-olds, compared with 10.5%, 11.3%, and 7.2%, respectively, in 1988-1994 (NHANES 111). The prevalence of overweight among non-Hispanic black and Mexican-American adolescents increased more than 10 percentage points between 1988-1994 and 1999-2000.Conclusion The prevalence of overweight among children in the United States is continuing to increase, especially among Mexican-American and non-Hispanic black adolescents.