25-year trends in gender disparity for obesity and overweight by using WHO and IOTF definitions among Chinese school-aged children: a multiple cross-sectional study.
25-year trends in gender disparity for obesity and overweight by using WHO and IOTF definitions among Chinese school-aged children: a multiple cross-sectional study.
复制标题
DOI：
10.1136/bmjopen-2016-011904
复制
发表时间：
2016-09-22
期刊：
影响因子：
2.9
通讯作者：
Agardh A
中科院分区：
文献类型：
--
作者：
Song Y;Wang HJ;Dong B;Ma J;Wang Z;Agardh A
我们试图探索1985 - 2010年中国城乡儿童肥胖和超重患病率的性别差异的25年趋势。数据包括1280239名7-18岁的儿童参加了中国全国学生体质与健康调查（CNSSCH），这是中国最大的全国代表性学龄儿童样本。 根据WHO和国际肥胖工作组（IOTF）的定义对肥胖和超重进行定义。采用Logistic回归分析不同性别人群肥胖和超重患病率的OR值。中国城乡儿童肥胖患病率（WHO定义：从0.10%上升到4.3%; IOTF定义：从0.03%上升到2.2%）在过去25年中均呈上升趋势，且各调查点男孩均明显高于女孩（p<0.01）。各年龄组均呈明显上升趋势（P<0.01）。虽然男女生肥胖患病率持续上升，但男生的变化速度比女生快。随着时间的推移，男孩与女孩的肥胖比例也在增加，在每个调查点，城市地区的肥胖比例估计值都高于农村地区。城市和农村地区的性别差距逐渐扩大，这表明男孩，特别是城市男孩肥胖和超重的普遍性，是肥胖和超重儿童比例很大且不断增加的原因。
We sought to explore 25-year trends of gender disparity in the prevalence of obesity and overweight both in urban and rural areas among Chinese children from 1985 to 2010. Data included 1 280 239 children aged 7–18 years enrolled in the Chinese National Survey on Students's Constitution and Health (CNSSCH), which is the largest nationally representative sample of school-aged children in China. Obesity and overweight were defined according to both WHO and the International Obesity Task Force (IOTF) definitions. Logistic regression was used to estimate the prevalence OR (POR) of gender for obesity and overweight prevalence in different surveys. The prevalence of obesity increased (WHO definition: from 0.10% to 4.3%; IOTF definition: from 0.03% to 2.2%) over the past 25 years in urban and rural areas among Chinese children and it was much higher among boys than girls at each survey point (p<0.01). The increasing trend was significant in all age subgroups (p<0.01). Although the prevalence of obesity continuously increased in boys and girls, the changing pace was more rapid in boys than in girls. PORs of boys versus girls for obesity also increased over time, and the estimates of PORs were higher in urban areas than in rural areas at each survey point. The gradually increasing gender disparity in urban and rural areas suggests that the prevalence of obesity and overweight in boys, and especially in urban boys, contributes to a large and growing proportion of obese and overweight children.
登录
查看更多内容
影响因子：
3.7
作者：
Gupta DK;Shah P;Misra A;Bharadwaj S;Gulati S;Gupta N;Sharma R;Pandey RM;Goel K
通讯作者：
Goel K
影响因子：
12.7
作者：
Babey, Susan H.;Hastert, Theresa A.;Diamant, Allison L.
通讯作者：
Diamant, Allison L.
影响因子：
3.7
作者：
Keane E;Layte R;Harrington J;Kearney PM;Perry IJ
通讯作者：
Perry IJ
DOI：
10.2471/blt.07.043497
发表时间：
2007-09-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Onis, Mercedes de;Onyango, Adelheid W;Siekmann, Jonathan
通讯作者：
Siekmann, Jonathan
影响因子：
5.9
作者：
Borders, TF;Rohrer, JE;Cardarelli, KM
通讯作者：
Cardarelli, KM