江苏省江阴市6~17岁儿童青少年超重、肥胖流行现状  

The prevalence of overweight and obesity among children and adolescents aged 6 to 17 in Jiangyin City,Jiangsu Province

作　　者：缪国忠 徐超[1] 徐露 高英[1] 尤成诚 MIAO Guozhong;XU Chao;XU Lu;GAO Ying;YOU Chengcheng(Jiangyin Center for Disease Control and Prevention,Jiangsu 214400,China)

机构地区：[1]江阴市疾病预防控制中心,江苏214400

出　　处：《医学动物防制》2020年第5期470-473,共4页Journal of Medical Pest Control

基　　金：江阴市卫计委科研项目(Z2001510)。

摘　　要：目的了解江阴市儿童青少年超重、肥胖现状及特点,为预防儿童青少年超重、肥胖提供科学依据。方法2013-2017年采用整群随机抽样方法,每年按照高中、初中、小学学生性别比例抽取的30%的学生依据《学生健康检查技术规范》(GB/T 26343-2010)进行体格检查,数据录入"江苏省学生健康信息管理系统"中,利用身高、体重计算体质指数(body mass index,BMI),分析不同性别、年龄、城乡、学年的超重、肥胖流行特征。结果江阴市儿童青少年超重检出率为13.19%,肥胖检出率为9.34%,高于全国平均水平,两者均为男生高于女生、农村高于城市、小学生>初中生>高中生,差异均有统计学意义(超重χ^2=94.732,P<0.05,肥胖χ^2=1085.591,P<0.05)。2017年儿童青少年超重检出率较2013年提高了10.05%,差异有统计学意义(χ^2=36.516,P<0.05);肥胖检出率较2013年提高了4.85%,差异有统计学意义(χ^2=6.118,P<0.05)。结论江阴市儿童青少年超重、肥胖检出率持续增长,7岁组肥胖检出率达12.24%,已处于国内高位水平。Objective To get an insight into the current situation and characteristics of overweight and obesity among children and adolescents in Jiangyin City,and to provide scientific basis for the prevention of overweight and obesity among children and adolescents.Methods In 2013-2017,a total of 30%of the students from high schools,junior middle schools and primary schools were selected by the method of cluster random sampling in accordance with the Technical Specifications for Student Health Examination(GB/T 26343-2010).The physical examination data of students were input into the"Student Health Information Management System of Jiangsu Province",and the body mass index(BMI)was calculated by height and weight to analyze the epidemic characteristics of overweight and obesity in different genders,ages,urban or rural areas and school years.Results The detection rate of overweight and obesity among children and adolescents in Jiangyin City was 13.19%and 9.34%,respectively,which was higher than the national average.Both of detection rates were higher in boys than girls,higher in rural areas than urban areas.When it comes to school years,the both rates among primary school students>junior middle school students>high school students,with statistically significant differences(overweightχ^2=94.732,P<0.05,and obeseχ^2=1085.591,P<0.05).The detection rate of overweight in children and adolescents in 2017 was 10.15%higher than that in 2013,with statistically significant difference(χ^2=36.516,P<0.05).The detection rate of obesity in 2017 was 4.85%higher than that in 2013,with statistically significant difference(χ^2=6.118,P<0.05).The overweight detection rate increases more rapidly than the obesity detection rate.Conclusion The detection rates of overweight and obesity among children and adolescents in Jiangyin City has been on the rise,and the detection rate of obesity reached 12.24%in the 7-year-old group,which has been at a domestic high level.

关 键 词：儿童青少年 超重 肥胖 体质指数 防控 

分 类 号：R179[医药卫生—妇幼卫生保健]