Prevalence and Secular Trends in Obesity Among Chinese Adults, 1991-2011.
Prevalence and Secular Trends in Obesity Among Chinese Adults, 1991-2011.
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DOI：
10.1016/j.amepre.2015.05.005
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发表时间：
2015-11
影响因子：
5.5
通讯作者：
Tian QB
中科院分区：
文献类型：
--
作者：
Mi YJ;Zhang B;Wang HJ;Yan J;Han W;Zhao J;Liu DW;Tian QB
从1991年到2000年，中国成年人的肥胖率有所上升；然而，这一趋势最近的变化尚不清楚。这项研究的目的是估计当前肥胖的流行情况，并评估1991年至2011年中国成年人肥胖和BMI分布的趋势。分析了2011年中国健康与营养调查中12,249名中国成年人的身高和体重，并结合中国健康与营养调查1991年至2009年的数据进行了分析。根据肥胖工作组的中国标准，将肥胖定义为体重指数≥28.0。在2011年的调查中，年龄调整后的平均BMI男性为23.8(95%CI=23.7，23.9)，女性为23.4(95%CI=23.2，23.5)。年龄调整后肥胖总患病率为11.3%(95%CI=10.8%，11.9%)，男性为11.8%(95%CI=10.8%，12.6%)，女性为11.0%(95%CI=10.3%，11.8%)。中国人对年龄调整后肥胖症患病率的估计明显低于美国人(均P<；0.05)。在这20年间，男性肥胖率从2.88%上升到11.8%(年龄调整后的年变化量OR=1.08，95%CI=1.07，1.09，p<；0.001)，女性肥胖率从4.55%上升到11.0%(OR=1.05，95%CI=1.05，1.06，p<；0.001)。根据世卫组织的建议，对男性和女性都观察到了类似的重大发现。从1991年到2011年，中国男性和女性的肥胖率都大幅上升，尤其是男性。
The prevalence of obesity in Chinese adults increased from 1991 to 2000; however, recent changes in this trend are unclear. This study aims to estimate the current prevalence of obesity and to assess trends in obesity and BMI distribution in Chinese adults from 1991 through 2011. Height and weight measurements of 12,249 Chinese adults from the 2011 China Health and Nutrition Survey were analyzed (in 2013) together with China Health and Nutrition Survey data for 1991–2009. Obesity was defined as BMI ≥28.0 based on the Working Group on Obesity in China criteria. In the 2011 survey, the age-adjusted mean BMI was 23.8 (95% CI=23.7, 23.9) for men and 23.4 (95% CI=23.2, 23.5) for women. The age-adjusted prevalence of obesity was 11.3% (95% CI=10.8%, 11.9%) overall, 11.8% (95% CI=10.8%, 12.6%) among men, and 11.0% (95% CI=10.3%, 11.8%) among women. Estimates of age-adjusted obesity prevalence among the Chinese population were significantly lower than those of the U.S. population (all p<0.05). Over the 20-year period, the prevalence of obesity increased from 2.88% to 11.8% among men (age-adjusted annual change in OR=1.08, 95% CI=1.07, 1.09, p<0.001) and from 4.55% to 11.0% among women (OR=1.05, 95% CI=1.05, 1.06, p<0.001). Similar significant findings were observed for both men and women based on WHO recommendations. The prevalence of obesity among both Chinese men and women increased significantly from 1991 through 2011, particularly among men.