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济南市2021年儿童青少年超重肥胖的中国和国际标准比较

姜娜娜 刘佳慧 田亚兰 赵月 许华茹

姜娜娜, 刘佳慧, 田亚兰, 赵月, 许华茹. 济南市2021年儿童青少年超重肥胖的中国和国际标准比较[J]. 中国学校卫生, 2023, 44(9): 1403-1408. doi: 10.16835/j.cnki.1000-9817.2023.09.028
引用本文: 姜娜娜, 刘佳慧, 田亚兰, 赵月, 许华茹. 济南市2021年儿童青少年超重肥胖的中国和国际标准比较[J]. 中国学校卫生, 2023, 44(9): 1403-1408. doi: 10.16835/j.cnki.1000-9817.2023.09.028
JIANG Nana, LIU Jiahui, TIAN Yalan, ZHAO Yue, XU Huaru.. Overweight and obesity among children and adolescents in Jinan City in 2021 and comparison with Chinese and international standards[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1403-1408. doi: 10.16835/j.cnki.1000-9817.2023.09.028
Citation: JIANG Nana, LIU Jiahui, TIAN Yalan, ZHAO Yue, XU Huaru.. Overweight and obesity among children and adolescents in Jinan City in 2021 and comparison with Chinese and international standards[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1403-1408. doi: 10.16835/j.cnki.1000-9817.2023.09.028

济南市2021年儿童青少年超重肥胖的中国和国际标准比较

doi: 10.16835/j.cnki.1000-9817.2023.09.028
详细信息
    作者简介:

    姜娜娜(1999-), 女, 山东青岛人, 在读硕士, 主要研究方向为儿童青少年保健

    通讯作者:

    许华茹, E-mail: xhr0527@163.com

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R723.14  R179

Overweight and obesity among children and adolescents in Jinan City in 2021 and comparison with Chinese and international standards

  • 摘要:   目的  采用国内外儿童青少年超重肥胖筛查标准,描述济南市儿童青少年超重和肥胖的流行现状,并对中国标准和国际标准进行比较分析,为有关部门制定干预策略提供基础数据。  方法  于2021年9—12月,使用2021年济南市746 985名中小学生健康体检身高、体重数据,计算体质量指数(BMI),描述济南市6~18岁儿童青少年超重和肥胖流行现状。通过计算加权Kappa值(Kw),比较中国标准、美国疾病预防控制中心(CDC)标准、国际肥胖问题工作组(IOTF)标准和世界卫生组织(WHO)标准的一致性。  结果  基于中国、美国CDC、IOTF、WHO标准,济南市6~18岁儿童青少年超重率分别为17.3%,16.5%,21.1%,13.6%,肥胖率分别为23.1%,19.5%,13.5%,6.6%。4种标准下,男生超重率和肥胖率均高于女生(中国:χ2值分别为1 418.48,9 868.51;美国CDC:χ2值分别为145.78,23 211.41;IOTF:χ2值分别为1 326.94,13 615.62;WHO:χ2值分别为873.13,46.41;P值均<0.01)。13~18岁年龄段青少年超重率高于6~12岁儿童(中国:χ2=29.13,美国CDC:χ2=6.43,IOTF:χ2=15.87,WHO:χ2=19.48,P值均<0.01);而6~10岁组肥胖率高于11~18岁组(中国:χ2=217.02,美国CDC:χ2=227.54,IOTF:χ2=171.91,WHO:χ2=165.91,P值均<0.01)。城镇儿童青少年超重率和肥胖率均略高于乡村儿童青少年(中国:χ2值分别为25.06,245.12;美国CDC:χ2值分别为56.13,205.93;IOTF:χ2值分别为182.34,22.04;WHO:χ2值分别为200.88,21.61;P值均<0.01)。中国标准与IOTF标准和美国CDC标准表现出较好的一致性,Kw值分别为0.72, 0.83;但与WHO标准的一致性较差,Kw值为0.33。  结论  济南市儿童青少年超重肥胖流行现状严峻。中国标准与IOTF标准、美国CDC标准一致性较好,与WHO标准一致性较差。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同年龄城镇男女生BMI比较(x±s,kg/m2)

    Table  1.   Comparison of the BMI among boys and girls of different age in towns and cities(x±s, kg/m2)

    年龄/岁 男生 女生
    人数 BMI 人数 BMI
    6 23 774 16.9±2.9 21 744 16.1±2.5
    7 31 325 17.5±3.2 27 755 16.5±2.7
    8 24 284 18.5±3.7 21 756 17.2±3.1
    9 25 734 19.4±4.0 22 939 18.0±3.4
    10 22 180 20.5±4.3 19 434 18.9±3.8
    11 21 074 21.2±4.5 18 501 19.8±3.9
    12 22 885 21.9±4.7 20 349 20.6±4.0
    13 24 269 22.2±4.7 21 930 21.2±4.0
    14 23 096 22.8±4.8 20 579 21.7±4.0
    15 13 026 22.9±4.7 12 832 21.9±3.8
    16 10 289 23.2±4.7 10 235 22.0±3.9
    17 8 688 23.6±4.5 8 534 21.9±3.8
    18 1 227 23.4±4.7 840 22.1±4.1
    合计 251 851 20.4±4.7 227 428 19.2±4.2
    下载: 导出CSV

    表  2  不同年龄乡村男女生BMI比较(x±s,kg/m2)

    Table  2.   Comparison of the BMI among boys and girls of different age in villages(x±s, kg/m2)

    年龄/岁 男生 女生
    人数 BMI 人数 BMI
    6 10 973 17.0±2.9 9 922 16.3±2.6
    7 14 428 17.5±3.2 12 896 16.7±2.8
    8 12 252 18.4±3.8 11 125 17.4±3.2
    9 14 187 19.3±4.1 12 376 18.1±3.5
    10 14 358 20.2±4.4 12 712 18.9±3.8
    11 14 303 20.9±4.6 12 702 19.8±4.0
    12 12 368 21.5±4.7 10 984 20.6±4.0
    13 11 431 21.7±4.6 10 246 21.2±4.0
    14 11 335 22.1±4.7 10 604 21.7±3.9
    15 9 511 22.6±4.8 9 319 22.1±3.9
    16 8 763 22.9±4.7 9 193 22.2±3.8
    17 5 007 23.0±4.5 5 302 22.1±3.8
    18 844 23.4±4.6 565 22.2±3.8
    合计 139 760 20.3±4.7 127 946 19.5±4.2
    下载: 导出CSV

    表  3  4种标准下不同年龄、性别儿童青少年超重和肥胖检出率/%

    Table  3.   Detection rate of overweight and obesity among children and adolescents of different ages and sexes for the four criteria/%

    性别 年龄/岁 人数 超重 肥胖
    中国 美国CDC IOTF WHO 中国 美国CDC IOTF WHO
    6 34 747 16.3 13.5 14.6 11.2 28.2 22.5 15.1 7.8
    7 45 753 16.6 13.9 16.9 12.7 27.0 24.5 16.4 7.9
    8 36 536 15.4 15.1 19.8 14.9 30.8 29.0 20.1 7.5
    9 39 921 17.1 17.6 23.6 15.7 32.5 31.3 21.0 6.8
    10 36 538 18.8 18.8 26.4 16.2 33.7 32.3 21.3 5.7
    11 35 377 20.6 19.5 27.5 16.3 32.3 31.2 20.4 5.4
    12 35 253 21.6 19.9 28.1 16.2 30.1 29.6 19.9 5.7
    13 35 700 21.8 18.9 25.5 16.1 24.9 24.9 17.6 6.7
    14 34 431 20.6 18.1 24.6 15.5 22.6 23.0 15.5 7.0
    15 22 537 19.5 16.8 22.7 14.4 20.7 19.9 14.8 7.3
    16 19 052 20.2 16.3 22.4 13.9 19.3 17.6 13.0 7.0
    17 13 695 21.6 15.5 22.1 13.1 17.1 14.9 11.1 6.8
    18 2 071 19.5 13.0 20.0 13.2 16.7 13.5 10.1 6.7
    小计 391 611 18.9 17.0 22.8 14.8 27.7 26.1 17.9 6.8
    6 31 666 16.5 12.4 13.9 10.6 21.8 13.2 9.5 6.6
    7 40 651 15.9 13.1 15.5 11.5 19.0 13.0 9.3 6.8
    8 32 881 14.7 14.7 18.4 12.9 21.1 14.6 10.4 6.5
    9 35 315 14.1 17.3 20.7 13.9 21.9 14.4 10.5 6.5
    10 32 146 14.3 18.1 22.8 13.4 22.0 14.9 10.5 6.5
    11 31 203 14.6 18.6 23.6 13.6 21.0 14.6 10.0 6.3
    12 31 333 14.6 18.7 23.5 13.5 19.2 13.6 8.9 6.1
    13 32 176 16.5 17.9 22.1 12.7 15.6 11.3 7.3 6.3
    14 31 183 17.3 17.5 20.1 12.1 13.7 9.6 6.7 6.2
    15 22 151 17.6 15.4 17.7 10.8 11.6 8.0 6.0 6.4
    16 19 428 16.3 13.8 16.0 11.1 9.8 6.0 5.2 6.0
    17 13 836 15.9 11.5 14.3 11.3 8.4 4.8 4.6 6.2
    18 1 405 16.2 11.0 13.1 11.7 8.5 5.1 5.6 6.5
    小计 355 374 15.6 16.0 19.3 12.4 18.0 12.2 8.6 6.4
    下载: 导出CSV

    表  4  中国标准与国际标准的一致性比较[Kw(95%CI)]

    Table  4.   Comparison of consistency between Chinese standards and international standards[Kw(95%CI)]

    性别 年龄/岁 中国标准vs.美国CDC标准 中国标准vs.IOTF标准 中国标准vs.WHO标准
    6~12 0.86(0.86~0.87) 0.68(0.68~0.69) 0.24(0.24~0.25)
    13~18 0.92(0.91~0.92) 0.82(0.82~0.83) 0.31(0.31~0.32)
    6~18 0.88(0.87~0.88) 0.73(0.73~0.74) 0.26(0.26~0.27)
    6~12 0.75(0.74~0.75) 0.65(0.65~0.66) 0.35(0.35~0.36)
    13~18 0.79(0.79~0.80) 0.75(0.75~0.76) 0.55(0.54~0.55)
    6~18 0.76(0.76~0.77) 0.68(0.68~0.69) 0.41(0.41~0.42)
    合计 6~12 0.81(0.81~0.82) 0.67(0.67~0.68) 0.29(0.28~0.29)
    13~18 0.86(0.86~0.87) 0.79(0.79~0.80) 0.41(0.41~0.42)
    6~18 0.83(0.83~0.84) 0.72(0.71~0.72) 0.33(0.33~0.34)
    下载: 导出CSV
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出版历程
  • 收稿日期:  2023-05-22
  • 修回日期:  2023-07-15
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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