延边地区汉族青少年肥胖分布特点  

Study on the Distribution of Obesity in HAN Adolescent of Yanbian Area

作　　者：朴亨莲 方今女[2] 崔香淑[2] 熊英环[2] 金政国[2] 金银花[2] 朴鲜女[2] 李跃[2] 

机构地区：[1]延边州卫生局疾病预防控制处,吉林延吉133000 [2]延边大学医学部基础医学院

出　　处：《中国卫生工程学》2011年第4期269-272,共4页Chinese Journal of Public Health Engineering

基　　金：吉林省自然科学基金项目(201015251);吉林省教育厅基金项目(2010-10)

摘　　要：目的分析延边地区汉族青少年肥胖分布特征。方法①选取2008-2009年延边地区安图县4所高中毕业生体检资料,共调查1 658名汉族学生,且均对调查内容知情同意。②采用统一设计的肥胖流行病学调查表收集学生的人口学特征,并测量其身高、体重、腰围和臀围,体格指标均依据《2005年全国学生体质与健康调研检测细则》进行测量。分别计算体质量指数(BMI)、腰围臀围比值(WHR)及腰围身高比值(WHtR)作为评价肥胖的指标。超重及肥胖依据中国肥胖问题工作组制定的"中国学龄儿童青少年BMI超重、肥胖筛查分类标准,WGOC",以BMI(kg/m2)≥24.0为超重和≥28.0为肥胖。结论①男生的身高、体重、腰围、臀围和BMI的平均值均高于女生,其差异均有统计学意义(均P<0.01);男生BMI的P85和P95百分位点分别为23.7及26.2,女生分别为22.7及25.0。②男女生超重检出率分别为11.2%和7.1%,肥胖检出率分别为2.3%和1.4%,超重及肥胖合计检出率分别为13.5%和8.6%,超重及合计检出率性别差异均有统计学意义(均P<0.01)。③BMI与体重、腰围、臀围、WHR及WHtR之间具有正相关关系,偏相关系数分别为0.893、0.548、0.584、0.056及0.555(均P<0.05)。④多因素分析结果表明,本地区青少年超重及肥胖与性别、体重及WHtR密切相关,其OR值分别81.052、1.520及6.457。结果①本地区青少年BMI平均水平明显低于WGOC分类标准,其超重肥胖检出率接近大、中城市汉族。②BMI与体重、腰围、臀围、WHR、WHtR之间具有明显的正相关关系。本地区青少年超重及肥胖患病与性别(女生)、体重(高体重)、WHtR(腹型肥胖)密切相关。Objective To analyze the distribution of obesity in Han adolescents of Yanbian.Methods ① A total of 1 658 Han adolescents were finally selected from four high schools in Antu County of Yanbian and the survey were carried out in April 2008 and 2009.All of students knew the informed consent.② Inquiries were performed in accordance with unified questionnaire（including the general information）.Height,weight,waist circumference（WC）,hip circumference（Hip） were measured on the base of the Rules on the Physical Fitness and Health Research of China School Students in 2005.The body mass index（BMI,kg/m2）,waist hip ratio（WHR） and waist height ratio（WHtR） were calculated as the evaluation of obesity.Overweight and obesity were detected by the Working Group on Obesity in China（WGOC） and BMI≥24.0 and ≥28.0 were used as cut-off points,respectively.Results Out of 1 658 cases,771 cases（46.5%） were male,and 887 cases（53.5%） were female.①The average level of HT,WT,WC,Hip and BMI in boys was significantly higher than that in girls（all P0.01）.For boy,the level（kg/m2） of BMI was 23.7 in P85 and 26.2 in P95,respectively;for girl,which was 22.7 in P85 and 25.0 in P95,respectively.②The detection rate of overweight was 11.2% in boys and 7.1% in girls,and that of the obesity was 13.5% in boys and 8.6% in girls,there were significant sex differences（all P0.01）.③There was a significant positive correlation between BMI and weight,WC,Hip,WHR and WHtR,and the value of the partial correlate coefficient were 0.893,0.548,0.584,0.056 and 0.555（all P0.05）,respectively.④The results of multifactor analysis showed that the general obesity was closely related with sex,weight,abdominal obesity and the value of OR 81.052,1.520 and 6.457,respectively.Conclusion ①The average level of BMI of Han adolescents in this region is lower than that of WGOC standard and the prevalence of overweight and obesity is close to some big and medium cities.②There is a significant positive correlation betw

关 键 词：汉族青少年 超重 肥胖 分布特征 

分 类 号：R179[医药卫生—妇幼卫生保健]