八城市7岁以下儿童单纯性肥胖症的十年流行变化趋势  

Prevalence and Trend of Obesity in Preschool Children in China 1986 to 1996.

作　　者：李辉[1] 张璇[1] 阎桂凤[1] 

机构地区：[1]首都儿科研究所,北京100020

出　　处：《中国儿童保健杂志》2002年第5期316-318,共3页Chinese Journal of Child Health Care

摘　　要：【目的】　了解十年间我国城市 7岁以下儿童单纯肥胖症的流行及变化情况。　【方法】　在全国八个主要城市分别于 1 986年和 1 996年进行了同一地区同样方法的两次 0～ 7岁儿童的肥胖流行学调查。测量体重和身高值 ,根据WHO推荐的身高标准体重值进行诊断及分度。　【结果】　 1 986～1 996年 0～ 7岁儿童肥胖增长率为 93 .4% ,其中中部及南部城市增长显著 ,上海居首位 ,增长率为 52 3.8%。 3岁以下儿童肥胖发生率基本无变化 ,3岁以后明显增加 ,6～ 7岁组肥胖发生率由 0 .84%上升至 4 .1 7%。男童增长率明显高于女童。　【结论】　中国儿童肥胖的十年增长速度明显快于欧美等发达国家 ,4岁后肥胖儿童迅速增加而 3岁以下无增长 ,说明预防的重点在 3～To examine the prevalence and trend of obesity amomg Chinese children from 1month to 7 years old between the years 1986 and 1996. Two national resprsentative cross sectional surveys were conducted in 1986 and 1996 respectively,using same methods and carrying out in same places.The weight and height of children were measured.Obesity was defined by the weight for height of NCSH/WHO(≥120% of median). The prevalence of obesity increased 93.4% among 1 month to 7 years from 1986 to 1996.The prevalence increased very quickily in those cities located in middle and southern China.Such as the prevalence of obesity increased 523.8% in Shanghai.There was no change in the prevalence of obesity among 1 month to 3 years old children.However,the prevalence increased obviously from 4 years old,and 0.84% of 6～7 years old were obese in 1986 rose to 4.17% in 1996.The prevalence and the increasing rate were higher in boys than girls. [Conclusions] In the last 10 years the prevalence of obesity were increasing more quickly in Chinese childran than in western developed countries.The results that the prevalence had increased from 4～years old but not among younger children showed the prevention should begin in early childhood.

关 键 词：儿童 单纯性肥胖症 流行病学 

分 类 号：R725.892[医药卫生—儿科]