Trends in Abdominal Obesity and Central Adiposity Measures by Dual-Energy X-Ray Absorptiometry Among US Children: 2011-2018.

Trends in Abdominal Obesity and Central Adiposity Measures by Dual-Energy X-Ray Absorptiometry Among US Children: 2011-2018.
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DOI:
10.3389/fped.2022.903413
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发表时间:
2022
影响因子:
2.6
通讯作者:
Wang, Xia
Wang, Xia
中科院分区:
医学3区
文献类型:
--
作者:
Liu, Jiahui;Zhao, Yue;Tian, Yalan;Jiang, Nana;Zhao, Gang;Wang, Xia

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以前报道美国儿童腹部肥胖趋势的研究通常是基于人体测量评估。然而,自2011-2012年以来,对DXA和腹部肥胖测量的中心性肥胖的最新趋势知之甚少。对2011年至2018年NHANES儿童的美国人口加权数据进行了一系列横断面分析。2011-2012年和2017-2018年期间,8-19岁儿童的躯干脂肪和躯干脂肪百分比呈相对稳定的趋势。在同一时间段内,2-19岁人群中腰围(18.6 vs. 21.1%)和6-19岁人群中WHtR(34.1 vs. 36.2%)的腹部肥胖患病率无显著变化。而2-19岁男生腰围组腹型肥胖患病率呈明显上升趋势(16.1-22.7%; P = 0.004)。对于墨西哥裔美国青年和非西班牙裔亚洲男孩,平均躯干脂肪百分比和腰围显着增加。在2011-2012年和2017-2018年之间,通过DXA测量的中心性肥胖和美国儿童腹部肥胖的患病率没有显著变化。我们的研究进一步支持,迫切需要改善他们的生活方式,以减少美国儿童,特别是墨西哥裔美国青年和非西班牙裔亚洲男孩的腹部肥胖。
Previous studies that have reported trends on abdominal obesity among US children were usually based on anthropometric assessments. However, little is known about the recent trends in central adiposity measures by DXA and abdominal obesity since 2011–2012. A serial cross-sectional analysis of US population-weighted data among children from NHANES 2011 to 2018 was conducted. Between 2011–2012 and 2017–2018, there was a relatively stable trend among children aged 8–19 years in trunk fat and trunk fat percentage. During the same time periods, there were no significant changes in prevalence of abdominal obesity by waist circumference (18.6 vs. 21.1%) among those aged 2–19 years, and abdominal obesity by WHtR (34.1 vs. 36.2%) among those aged 6–19 years. However, a significant increase trend among boys aged 2–19 years was found in prevalence of abdominal obesity by waist circumference (16.1–22.7%; P = 0.004). For Mexican American youth and non-Hispanic Asian boys, there is a significant increase in mean trunk fat percentage and waist circumference. Between 2011–2012 and 2017–2018, there have been no significant changes in central adiposity measured by DXA and prevalence of abdominal obesity among US children. Our study further supports that there is an urgent need to improve their lifestyle to reduce abdominal obesity for US children, especially for Mexican American youth and non-Hispanic Asian boys.
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