北京市高三学生超重肥胖现况  

Epidemiology of overweight and obesity among high school seniors in Beijing

作　　者：赵梦曦 陶丽新 刘相佟 康晓平 张静波[4] 郭秀花 ZHAO Mengxi;TAO Lixin;LIU Xiangtong;KANG Xiaoping;ZHANG Jingbo;GUO Xiuhua(School of Public Health,Capital Medical University/Beijing Key Laboratory of Clinical Epidemiology,Beijing 100069,China;不详)

机构地区：[1]首都医科大学公共卫生学院/临床流行病学北京市重点实验室,北京100069 [2]北京市平谷区卫生健康监督所 [3]北京市小汤山医院 [4]北京市体检中心

出　　处：《中国学校卫生》2022年第7期1066-1069,共4页Chinese Journal of School Health

摘　　要：目的 分析2009—2018年北京市高三学生超重、肥胖的流行情况及变化趋势,为卫生及教育部门制定有效的青少年超重、肥胖防治措施提供科学依据。方法 选取2009—2018年700 588人北京市高三学生体检数据,描述其超重及肥胖检出率分布特征,分析在不同性别、不同区域中超重肥胖检出率是否存在差异。结果 2009—2018年北京市高三学生的总超重肥胖检出率呈现逐年上升的趋势(Z=3.58,P<0.01),在2016年之后上升趋势较为平稳(定基比发展速度为130%),2018年首次下降。男生超重检出率和肥胖检出率均高于女生(χ^(2)值分别为6 681.34,15 663.08,P值均<0.01)。城区学生总超重肥胖检出率(29.55%)高于郊区(27.95%)(χ^(2)=211.43,P<0.01);2009—2013年城区学生的肥胖检出率均高于郊区学生;2014—2018年郊区学生肥胖检出率均高于城区学生。超重及肥胖检出率最高的区县均为石景山区(超重:19.06%,肥胖:13.99%),超重及肥胖检出率最低的区县均为延庆区(超重:13.48%,肥胖:7.18%)。结论 2009—2018年北京市高三学生超重肥胖检出率呈逐年上升趋势,在2016年后趋于平稳;郊区肥胖检出率的上升趋势更为显著。Objective To analyze the prevalence and changing trend of overweight and obesity among high school seniors in Beijing from 2009 to 2018,and to provide scientific basis for health and education departments to work out effective measures to prevent and control overweight and obesity among adolescents.Methods The physical examination data of 700 588 high school seniors in Beijing from 2009 to 2018 were selected to describe the distribution characteristics of the detection rate of overweight and obesity,and to analyze whether there are differences in the prevalence of overweight and obesity among different genders and regions.Results From 2009 to 2018,the prevalence rate of total overweight and obesity of high school seniors in Beijing showed an increasing trend by year(χ^(2)=3.58,P<0.01).After 2016,the rising trend was more stable,and it declined for the first time in 2018.The prevalence of overweight(χ^(2)=6 681.34,P<0.01) and obesity(χ^(2)=15 663.08,P<0.01) were higher in male than in female.The prevalence of overweight and obesity in urban students was higher than that in suburban students(29.55%,27.95%;χ^(2)=211.43,P<0.01),the prevalence of obesity in urban students was higher than that in suburban students from 2009 to 2013,and the prevalence of obesity in suburban students was higher than that in urban students from 2014 to 2018.The districts and counties with the highest detection rates of overweight and obesity are Shijingshan District(overweight:19.06%,obesity:13.99%),and the districts and counties with the lowest detection rates of overweight and obesity are Yanqing District(overweight:13.48%,obesity:7.18%).Conclusion From 2009 to 2018,the prevalence of overweight and obesity among high school seniors in Beijing has been increasing by year,and tends to be stable after 2016.Significant upward trend in obesity prevalence in suburban areas of Beijing has been observed.

关 键 词：超重 肥胖症 人体质量指数 学生 

分 类 号：R723.14[医药卫生—儿科] G637.8[医药卫生—临床医学] R179[文化科学—教育学]