蒙古族7～18岁青少年超重肥胖25年变化趋势分析  

Trends of overweight and obesity in aged 7 to 18 Mongolian ethnic children and adolescents from 1985-2010

作　　者：黄泽宇[1] 布仁巴图[2] 哈森高娃[2] 林哲[2] 李永山[3] 张壮伟 佟伟军[1] 

机构地区：[1]苏州大学医学部公共卫生学院流行病与卫生统计学教研室,215123 [2]内蒙古自治区通辽市疾病预防控制中心 [3]通辽市科左后旗疾病预防控制中心 [4]科左中旗疾病预防控制中心

出　　处：《中华流行病学杂志》2012年第2期201-206,共6页Chinese Journal of Epidemiology

摘　　要：目的了解25（1985--2010）年间蒙古族7～18岁青少年超重肥胖长期变化趋势。方法采用现况研究方法，应用1985、2000和2010年共计18366人的蒙古族7—18岁青少年体质健康调研数据，分析比较不同监测年份、性别、城乡间的儿童青少年BMI均数和超重肥胖检出率。结果25年间蒙古族7—18岁青少年BMI均数总体变化趋势为逐年升高，1985、2000和2010年超重、肥胖检出率分别为2．1％、0．5％，6．3％、2．4％和9．1％、6．6％；1985—2000年的15年问超重、肥胖率分别增长了2倍和4倍，2010年时比1985年增长4倍和12倍。1985、2000和2010年超重、肥胖检出率在城市男性中分别为1．2％、0，7．9％、3．4％和11．0％、11．8％；农村男性分别为0．6％、0．6％，2．8％、2．1％和9．0％、3．4％；城市女性分别为1．8％、0_3％，8．1％、4．3％和9．4％、8．4％；农村女性分别为4．5％、0．9％，8．8％、2．2％和10．2％、4．5％，各组间不同监测年份其超重、肥胖检出率的差异均有统计学意义（P〈0．05），且呈逐年增加趋势。结论1985--2010年蒙古族青少年的超重、肥胖检出率大幅上升，并有继续升高的趋势，应采取合理有效措施预防和控制肥胖的发生。Objective To study the overweight and obesity situation among Mongolian ethnic children and adolescents in the last 25 years and to provide a basis on related prevention and control measures. Methods A cross-sectional study was used, with 18 366 aged 7 to 18 Mongolian ethnic children and adolescents involved. Surveys on their physical health, in 1985, 2000 and 2010 were carried out. Comparison on the mean of BMI and the prevalence rates of overweight and obesity in different years, genders, location of residence （urban or rural） was also made. Results Over the past 25 years, among the aged 7 to 18 Mongolian ethnic children and adolescents, the overall trend on their means of BMI was increasing. The prevalence rates of overweight and obesity in Mongolian ethnic children and adolescents were 2.1%, 0.5% in 1985, and 6.3%, 2.4% in 2000, with an increase of 2 to 4 times during the last 15 years. The prevalence rates of overweight and obesity were substantially increasing in the year 2010, to have reached 9.1% and 6.6%, which were 4 to 12 times of the figures in 1985. The detection rates of overweight and obesity in urban boys were 1.2%, 0 in 1985,7.9%, 3.4% in 2000 and 11.0%, 11.8% in 2010. However,the rate of obesity in the rural boys were 0.6% and 0.6% in 1985,2.8%, 2.1% in 2000 and 9.0%, 3.4% in 2010. In 1985 the rates of overweight and obesity in urban girls were 1.8%, 0.3%, 8.1%, 4.3% in 2000 and 9.4%, 8.4% in 2010. However, among the rural girls, the prevalence rates of overweight and obesity prevalence was 8.8%, 2.2% in 1985,4.5%, 0.9%, in 2000 and 10.2%, 4.5% in 2010. The rates of overweight and obesity among groups in different years showed significant differences （P〈0.05）. Conclusion Over the past 25 years, the prevalence rates on overweight and obesity increased significantly in Mongolian ethnic children and adolescents, and continued to rise, which called for reasonable and effective measures to be taken to prevent and control the occurrence of the problem.

关 键 词：超重 肥胖 儿童青少年 蒙古族 长期趋势 

分 类 号：R179[医药卫生—妇幼卫生保健]