江苏省儿童青少年超重与肥胖流行趋势分析

Trend analysis of overweight and obesity among children and adolescents in Jiangsu Province during 2005-2015

目的了解江苏省2005—2015年儿童青少年超重和肥胖的流行趋势,为采取有针对性的干预措施提供参考。方法选取江苏省2005年、2010年和2015年7~22岁学生体质与健康调研资料,应用中国肥胖工作组(WGOC)"中国学龄儿童青少年超重、肥胖筛查BMI分类标准",比较超重和肥胖变化情况。结果江苏省2005年、2010年和2015年7~22岁儿童青少年超重检出率依次为10.67%,12.22%和13.79%,2015年超重检出率高于2005年和2010年(χ2值分别为110.383,61.212,P值均<0.05);肥胖检出率依次为5.05%,5.54%和5.61%,2015年肥胖检出率高于2005年(χ2=7.74,P<0.01)。2005年、2010年和2014年男生超重检出率分别为13.67%,15.96%和17.43%,肥胖检出率分别为6.54%,7.79%和7.54%;女生超重检出率分别为7.65%,8.50%和10.18%,肥胖检出率分别为3.54%,3.29%和3.69%。城市超重检出率分别为13.08%,13.74%和15.08%,肥胖检出率分别为7.51%,6.66%和6.41%;乡村超重检出率分别为8.25%,10.74%和12.52%,肥胖检出率分别为2.57%,4.44%和4.82%。苏南地区(经济较好)超重检出率分别为12.66%,12.91%和12.24%,肥胖检出率分别为5.19%,6.04%和4.68%;苏北地区(经济较差)超重检出率分别为9.70%,12.99%和15.00%,肥胖检出率分别为6.88%,7.01%和9.03%。结论 2005—2015年江苏省7~22岁儿童青少年超重、肥胖比例持续增加,其中小学生群体、乡村地区和苏北地区增长迅速。

Objective To analyze the trend of overweight and obesity and among children and adolescents during 2005-2015 in Jiangsu province. Methods Data were collected in 2005,2010 and 2015 waves of National Students Physical Fitness and Health in Jiangsu Province. Overweight and obesity were assessed based on the Reference for Screening Overweight and Obesity in Chinese Children and Adolescents（ 7-22 years old） established by Working Group on Obesity in China（ WGOC）. Results The total prevalence of overweight in 2005,2010 and 2015 was 10.67%,12.22% and 13.79% and that of obesity was 5.05%,5.54%and 5.61%,respectively. The prevalence of overweight for boys in 2005,2010 and 2015 was 13.67%,15.96 % and 17.43% and that of obesity was 6.54%,7. 79% and 7. 54%,respectively. The prevalence of overweight in girls in 2005,2010 and 2015 was7.65%,8.50% and 10. 18% and obesity was 3. 54%,3. 29% and 3. 69%,respectively. Overweight in urban area was 13. 08%,13.74% and 15.08% and obesity was 7.51%,6.66% and 6.41%. Overweight in rural area was 8.25%,10.74 % and 12.52% and obesity was 2.57%,4.44% and 4.82%,respectively. Overweight for southern Jiangsu province was 12.66%,12.91 % and 12.24%and obesity was 5. 19%,6. 04% and 4. 68%,respectively. Overweight for northern Jiangsu province was 9. 70%,12. 99% and15.00% and obesity was 6.88%,7.01% and 9.03%,respectively. Conclusion The prevalence of overweight and obesity of children and adolescents aged 7-22 years in Jiangsu province increased rapidly during 2005-2015,which is obvious in children among young children,rural areas and northern Jiangsu province.