上海市10～17岁青少年超重肥胖检出率及相关因素研究

Incidence of overweight and obesity of 10～17 years old teenagers and the influencing factors in Shanghai

【目的】调查上海市10～17岁青少年超重及肥胖检出率及分布情况,分析相关影响因素。【方法】用国家"十一五"支撑代谢综合征项目样本中上海市横向部分7 737名青少年体格评估数据,分别采用中国(WGOC)及国际(IOTF)青少年超重肥胖标准计算超重肥胖检出率,比较两标准差异,并分析超重肥胖的影响因素。【结果】上海市10～17岁青少年超重、肥胖检出率分别为:11.9%、6.2%,总超重率18.1%(WGOC标准);13.6%、3.6%,总超重率17.2%(IOTF标准)。按WGOC标准,男女生超重、肥胖检出率分别为男:17.5%、7.7%;女6.0%、4.6%。单因素中性别、年龄、出生体重、家庭收入、父母生育年龄、父母吸烟史、父母超重史、母饮酒史、父亲学历、父系高血压/糖尿病/高血脂/冠心病/脂肪肝史及母系脂肪肝史等17项是青少年超重的影响因素,多因素分析:性别(OR=3.376,P<0.001)、年龄(OR=1.736,P<0.001)、家庭收入(OR=1.467,P=0.001,)、母生育年龄(OR=0.704,P=0.023)、父超重(OR=1.545,P<0.001)、母超重(OR=3.14,P<0.001)、父系高血脂史(OR=1.293,P=0.018)是青少年超重的影响因素。【结论】上海市有近1/5的青少年超重肥胖,居国内较高水平。性别、年龄、家族史等是青少年超重肥胖的主要危险因素。

【Objective】 To analyze the incidence of overweight and obesity of 10~17 years old teenagers in Shanghai in 2011 and identify the influencing factors.【Methods】 With the samples of 7 737 youth physical assessment data in Shanghai horizontal research part of the Metabolic Syndrome Project supported by national The Eleventh Five Year Plan,adopt China（WGOC） and the International Obesity Task Force（IOTF） childhood BMI standard used to calculated the incidence of overweight and obesity,compared the difference of this two standard,and analyzed the influencing factors of childhood overweight and obesity.【Results】 Among 7 737 teenagers of 10-17 years old investigated,the incidence of overweight and obesity was 11.9%,6.2%（WGOC）;and 13.6%,3.6%（IOTF）.Boys＇ incidence of overweight and obesity was 17.5%,7.7%;being 6.0%,and 4.6% in girls.The results of Chi-square test suggested that gentle,age,birth weight,family revenue,father childbearing age and mother childbearing age,father＇s degree,father smoking,mother smoking,mother drinking,father overweight,mother overweight,patriarchal history of hypertension,diabetes,hyperlipaemia,coronary disease,fatty liver and matrilineal history of fatty liver were associated with teenagers＇ overweight and obesity.The results of Logistic regression analysis suggested that gentle（P0.001,OR=3.376）,age（P〈0.001,OR=1.736）,family revenue（P=0.001,OR=1.467）,mother childbearing age（P=0.023,OR=0.704）,father overweight（P〈0.001,OR=1.545）,mother overweight（P0.001,OR=3.14）,patriarchal history of hyperlipaemia（P=0.018,OR=1.293）were associated with overweight and obesity of teenagers.【Conclusions】 Nearly 20% of the teenagers in Shanghai has overweight and obesity,being a high level in China.The major risk factors for teenagers＇ overweight and obesity are gender,age,family history,etc.