Empirical Changes in the Prevalence of Overweight and Obesity among Chinese Students from 1985 to 2010 and Corresponding Preventive Strategies
Empirical Changes in the Prevalence of Overweight and Obesity among Chinese Students from 1985 to 2010 and Corresponding Preventive Strategies
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DOI：
10.3967/0895-3988.2013.01.001
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发表时间：
2013-01-01
影响因子：
3.5
通讯作者：
Chen Tian Jiao
中科院分区：
文献类型：
--
作者：
Ji Cheng Ye;Chen Tian Jiao
目的确定2010年中国学龄儿童肥胖流行程度，追踪不同社会经济区域25年来肥胖流行趋势。方法利用1985-2010年全国学生体质与健康调查提供的数据。研究对象为随机抽取的30个省的城乡7-18岁学生。结果沿海大城市人群(超重和肥胖合计)发病率增幅最大，男女分别为32.6%和19.1%。这些比率已经接近发达国家的水平。所有其他地区也出现了类似的增长，包括曾经贫困的西部农村地区。大多数农村地区的疫情始于2000年后，但在过去十年中迅速蔓延。2010年，全国9.9%的学龄儿童和青少年超重，另有5.1%的人肥胖，估计有3043万人。结论中国儿童肥胖流行的预后是可怕的。为了预防儿童肥胖，我们建议采取几种策略，包括合理的饮食摄入，增加体力活动，改变久坐不动的生活方式，以及相应的行为改变。
Objective To determine the extent of the obesity epidemic in school-aged Chinese children in 2010 and track the increasing trend in different socioeconomic regions over the preceding 25 years. Strategies for preventing childhood obesity are suggested.Methods We used a dataset provided by the Chinese National Survey on Students' Constitution and Health from 1985-2010. Subjects were 7-18-year-old students randomly selected from urban and rural areas in 30 provinces. Eight subgroups were created according to region and socioeconomic status.Results Increased rates of the epidemic (overweight and obesity combined) were greatest in large coastal cities-32.6% and 19.1% among males and females, respectively. These rates has neared that of developed countries. Similar increases were found in all other regions, including the once poverty-stricken rural west. The epidemic in most of the rural areas began after 2000, but has spread swiftly over the last decade. In 2010, it was estimated that 9.9% of Chinese school-aged children and adolescents were overweight and that an additional 5.1% were obese, representing an estimated 30.43 million individuals.Conclusion The prognosis for China's childhood-obesity epidemic is dire. To prevent childhood obesity, we suggest several strategies, including reasonable dietary intake, increase physical activity, a change in sedentary lifestyles and corresponding behavioral modifications.