Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12-15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey.
Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12-15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey.
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DOI：
10.3389/fmed.2021.771313
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发表时间：
2021
影响因子：
3.9
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Liu H;Zhang M;Fu P;Chen Y;Zhou C
背景：饥饿是青少年中的一种流行病，导致体重不足和肥胖，并对健康构成重大挑战。目的：评估饥饿青少年营养不良的双重负担。设计：数据来自全球校本学生健康调查（GSHS）。该研究分析了2010年至2015年期间来自5个地区和41个国家的26，986名饥饿青少年的数据。按性别、年龄和国家计算体重不足、超重和肥胖的加权患病率和平均估计值。计算地区和国家收入水平的患病率和95%置信区间（CI）。结果如下：饥饿青少年中体重不足、超重和肥胖的总患病率分别为6.2%（95%CI：4.4-8.0%）、25.1%（95%CI：20.3-29.9%）和8.9%（95%CI：6.5-11.3%）。东南亚的体重不足发生率最高（17.2%; 95% CI：7.3-27.0%）。美国的肥胖（11.1%; 95%CI：7.2-15.1%）和超重（28.9%; 95%CI：21.9-35.9%）的地区患病率最高。低收入国家的体重不足发生率相对较高（11.5%; 95% CI：3.2-19.9%）。高收入国家的肥胖（17.4%; 95% CI：14.9-19.9%）和超重（38.7%; 95% CI：32.0-45.4%）患病率最高。在东地中海区域以及中上收入和高收入国家，饥饿青少年中体重不足和超重并存的情况最严重。结论：12-15岁饥饿青少年面临体重不足和肥胖的双重负担，这在不同的地理区域是不同的。需要整合有针对性的干预措施和政策，以同时解决不同区域饥饿青少年体重不足和肥胖率上升的问题。
Background: Hunger is a pandemic among adolescents, resulting in both underweight and obesity, and posing a substantial health challenge. Objective: To estimate the dual burden of malnutrition among adolescents with hunger. Design: Data were from the Global school-based Student Health Survey (GSHS). In total, data from 26,986 adolescents with hunger across 5 regions and 41 countries between 2010 and 2015 were analyzed in this study. Weighted prevalence and mean estimates of underweight, overweight, and obesity were calculated by gender, age, and country. Prevalence and 95% confidence intervals (CI) were calculated for regional and country-level income. Results: The total prevalence of underweight, overweight and obesity among young adolescents with hunger was 6.2% (95% CI: 4.4–8.0%), 25.1% (95% CI: 20.3–29.9%) and 8.9% (95% CI: 6.5–11.3%), respectively. Southeast Asia had the highest prevalence of underweight (17.2%; 95% CI: 7.3–27.0%). America had the highest regional prevalence of obesity (11.1%; 95% CI: 7.2–15.1%) and overweight (28.9%; 95% CI: 21.9–35.9%). Low income countries had relatively high prevalence of underweight (11.5%; 95% CI: 3.2–19.9%). High income countries had the highest prevalence of obesity (17.4%; 95% CI: 14.9–19.9%) and overweight (38.7%; 95% CI: 32.0–45.4%). The co-existence of underweight and overweight among adolescents with hunger was highest in the Eastern Mediterranean region, and in upper-middle and high-income countries. Conclusions: There is a dual burden of underweight and obesity among adolescents with hunger aged 12–15 years, which differs between geographical regions. The integration of targeted interventions and policies is required to simultaneously address both underweight and increasing rates of obesity among adolescents with hunger in different regions.
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影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
2.8
作者：
Stok, F. Marijn;De Vet, Emely;De Ridder, Denise T. D.
通讯作者：
De Ridder, Denise T. D.
影响因子：
4.2
作者：
Leung, Cindy W.;Epel, Elissa S.;Laraia, Barbara A.
通讯作者：
Laraia, Barbara A.
影响因子：
4.2
作者：
Drewnowski, A;Darmon, N
通讯作者：
Darmon, N
影响因子：
7.6
作者：
Brener, ND;McManus, T;Wechsler, H
通讯作者：
Wechsler, H