Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015
Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015
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DOI：
10.2105/ajph.2017.303904
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发表时间：
2017-09-01
影响因子：
12.7
通讯作者：
Manson, Spero
中科院分区：
文献类型：
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作者：
Bullock, Ann;Sheff, Karen;Manson, Spero
目标.估计肥胖和超重的患病率在美国印第安人和阿拉斯加原住民（AI/AN）儿童跨性别，年龄和地理区域的印度卫生服务积极的临床人口。我们从印度卫生服务国家数据仓库获得数据。2006年至2015年，每年至少有184000名2至19岁的AI/AN儿童有体重指数数据。采用2000年疾病控制和预防中心的生长图表计算体重指数。2015年，2至19岁AI/AN儿童超重和肥胖的患病率分别为18.5%和29.7%。男生肥胖患病率高于女生（31.5%vs27.9%）。12至19岁儿童的超重和肥胖患病率高于年龄较小的儿童。在我们的研究中，AI/AN儿童的肥胖患病率高于全国健康和营养检查调查中的美国儿童。2006年至2014年的结果相似。在这一人群中，AI/AN儿童的超重和肥胖患病率可能已经稳定，但仍高于美国儿童的总体患病率。
Objectives. To estimate obesity and overweight prevalence in American Indian and Alaska Native (AI/AN) children across genders, ages, and geographic regions in the Indian Health Service active clinical population.Methods. We obtained data from the Indian Health Service National Data Warehouse. At least 184 000 AI/AN children aged 2 to 19 years had body mass index data for each year studied, 2006 to 2015. We calculated body mass index percentiles with the 2000 Centers for Disease Control and Prevention growth charts.Results. In 2015, the prevalence of overweight and obesity in AI/AN children aged 2 to 19 years was 18.5% and 29.7%, respectively. Boys had higher obesity prevalence than girls (31.5% vs 27.9%). Children aged 12 to 19 years had a higher prevalence of overweight and obesity than younger children. The AI/AN children in our study had a higher prevalence of obesity than US children overall in the National Health and Nutrition Examination Survey. Results for 2006 through 2014 were similar.Conclusions. The prevalence of overweight and obesity among AI/AN children in this population may have stabilized, while remaining higher than prevalence for US children overall.