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基于不同标准的苏州市7~17岁儿童青少年中心性肥胖流行现状评估

Prevalence of central obesity among children and adolescents at ages of 7 to 17 years in Suzhou City based on different criteria
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摘要 目的基于不同标准,了解苏州市7~17岁儿童青少年中心性肥胖流行现状。方法采用分层整群随机抽样方法,2019年9—10月,抽取苏州市7~17岁儿童青少年3150人进行问卷调查和现场测量,采用5项相关标准评价中心性肥胖流行情况;并以腰围-中国标准为参照标准,进行其他4项标准一致性分析。结果该人群中心性肥胖检出率,腰围-国际标准为24.70%,腰围-中国标准为20.60%,腰围-美国标准为6.54%,腰高比-中国标准为23.65%,腰高比-国际标准为14.22%。不同标准下,均呈现男生高于女生(P值均<0.05);基于腰围-国际标准、腰围-中国标准的12~17岁组中心性肥胖检出率高于7~11岁组,基于腰围-美国标准的12~17岁组中心性肥胖检出率低于7~11岁组,差异均有统计学意义(P值均<0.05)。以腰围-中国标准作为参照,腰围-国际标准和腰高比-中国标准一致性极好,Kappa值分别为0.87、0.79。结论苏州市7~17岁儿童青少年中心性肥胖有一定检出率,建议同时关注基于腰围和腰高比评价儿童青少年中心性肥胖流行情况。 Objective To investigate the prevalence of central obesity among children and adolescents at ages of 7 to 17 years in Suzhou City based on different criteria.Methods A total of 3150 children and adolescents at ages of 7 to 17 years were sampled from Suzhou City using a stratified cluster sampling method during the period between September and October,2019,for questionnaire sur-veys and field measurements.The prevalence of central obesity was assessed using five criteria and the consistency of four other criteria was examined with the waist circumference defined in the Chinese criteria as the standard.Results The detection of central obesity was 24.70%according to the international criteria of waist circumference,20.60%according to the Chinese criteria of waist circumfer-ence,6.54%according to the American criteria of waist circumference,23.65%according to the Chinese criteria of waist-to-height ratio and 14.22%according to the international criteria of waist-to-height ratio among the study subjects.The prevalence of central obe-sity was all higher among men than among women according to the five criteria(all P values<0.05).The detection of central obesity was higher among subjects at ages of 12 to 17 years than among those at ages of 7 to 11 years according to the international and Chinese criteria of waist circumference(both P values<0.05),and lower among subjects at ages of 12 to 17 years than among those at ages of 7 to 11 years according the American criteria of waist circumference(P<0.05).Based on the Chinese criteria of waist circumference as a standard,there was a high consistency of the Chinese criteria of waist circumference with the international criteria of waist circumference(Kappa value=0.87)and international criteria of waist-to-height ratio(Kappa value=0.79).Conclusions The detection of central obesity is relatively high among children and adolescents at ages of 7 to 17 years in Suzhou City,and high attention is recommended to be paid to the prevalence of central obesity assessed based on waist circumference and waist-to-height ratio among children and adoles-cents.
作者 胡佳 王越红 韩迪 沈蕙 詹斌秉 HU Jia;WANG Yue-hong;HAN Di;SHEN Hui;ZHAN Bin-Bing(Suzhou Municipal Center for Disease Control and Prevention,Suzhou Jiangsu 215004,China;不详)
出处 《江苏预防医学》 CAS 2024年第2期161-164,共4页 Jiangsu Journal of Preventive Medicine
基金 苏州市科技发展计划(医疗卫生科技创新)项目(SKY2022067)。
关键词 儿童 青少年 腰围 腰高比 中心性肥胖 评价标准 Child Adolescent Waist circumference Waist-to-height ratio Central obesity Evaluation criteria
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