2013-2017年贵阳市部分高考人群超重及肥胖流行趋势
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摘要
目的分析2013-2017年贵阳市部分高考人群超重及肥胖流行趋势。方法连续5年采集贵阳市部分高考考生(16～19岁)的身高和体重数据,共计32 814人,计算超重、肥胖率,比较超重、肥胖人群与正常BMI调查对象的谷丙转氨酶(ALT)、胆固醇(TC)、甘油三酯(TG)和白介素-6(IL-6)水平。结果 2013-2017年贵阳高考体检人群超重检出率分别为:5. 58%,7. 45%,9. 12%,11. 4%和12. 09%;肥胖检出率分别为:5. 53%,6. 43%,7. 3%,6. 9%和6. 9%;男性肥胖检出率分别是:3. 8%,4. 3%,4. 7%,4. 3%和3. 8%;女性肥胖率分别是:1. 7%,2. 2%,2. 5%,2. 6%和3. 2%;男性超重检出率分别是2. 5%,4. 1%,4. 9%,6. 1%和6. 5%;女性超重率分别是3. 1%,3. 3%,4. 1%,5. 3%和5. 5%。2013-2017年超重人群的BMI分别为:26. 0±0. 7(kg/m2),26. 0±1. 1(kg/m2),25. 7±1. 3(kg/m2),25. 8±0. 8(kg/m2)和26. 3±0. 5(kg/m2);肥胖人群的BMI分别为:30. 2±2. 4(kg/m2),29. 7±1. 8(kg/m2),31. 2±2. 9(kg/m2),30. 5±1. 4(kg/m2)和29. 9±3. 1(kg/m2);肥胖/超重比值分别为:0. 99、0. 86、0. 80、0. 62和0. 58。超重肥胖青少年人群外周血ALT、TG、TC异常率和IL-6水平明显高于对照人群。结论近年来贵阳市青少年的超重及肥胖发生率呈上升趋势,男性高于女性,超重及肥胖已对青少年的身体健康产生了明显的影响。
Objective To examine the prevalence and trends of overweight and obesity for partial candidates for College Entrance Examination from 2013 to 2017 in Guiyang. Methods Height and weight from a total of 32 814 candidates( aged between 16 and 19) were collected for consecutive five years,and body mass index( BMI) was calculated. Serum ALT、TG、TC and IL-6 were measured. Results From 2013 to 2017,the overweight rates were 5. 58%,7. 45%,9. 12%,11. 4%,12. 09%,respectively. The obesity rates were 5. 53%,6. 43%,7. 3%,6. 9%,6. 9%,respectively. Sex ratio in obesity was as follows,3. 8%,4. 3%,4. 7%,4. 3%,3. 8% for males,and 1. 7%,2. 2%,2. 5%,2. 6%,3. 2% for females,respectively. The sex ratio of overweight was as follows,2. 5%,4. 1%,4. 9%,6. 1%,6. 5% for males,and 3. 1%,3. 3%,4. 1%,5. 3%,5. 5% for females. From 2013 to 2017,BMI of the overweight adolescents were 26. 0 ± 0. 7( kg/m2),26. 0 ± 1. 1( kg/m2),25. 7 ± 1. 3( kg/m2),25. 8 ± 0. 8( kg/m2),26. 3 ± 0. 5( kg/m2),respectively. BMI of the obesity adolescents were 30. 2 ± 2. 4( kg/m2),29. 7 ± 1. 8( kg/m2),31. 2 ± 2. 9( kg/m2),30. 5 ± 1. 4( kg/m2),29. 9 ± 3. 1( kg/m2),respectively. Obesity/overweight ratio were 0. 99,0. 86,0. 80,0. 62 and 0. 58. The abnormality rates of ALT,TG,TC,and IL-6 serum levels were significantly higher in the overweight and obesity group when compared with the control group. Conclusion In recent years,overweight and obesity rates of adolescents in Guiyang City have been increasing,and males are more serious than females. Overweight and obesity have a significant impact on the health of adolescents.
Objective To examine the prevalence and trends of overweight and obesity for partial candidates for College Entrance Examination from 2013 to 2017 in Guiyang. Methods Height and weight from a total of 32 814 candidates( aged between 16 and 19) were collected for consecutive five years,and body mass index( BMI) was calculated. Serum ALT、TG、TC and IL-6 were measured. Results From 2013 to 2017,the overweight rates were 5. 58%,7. 45%,9. 12%,11. 4%,12. 09%,respectively. The obesity rates were 5. 53%,6. 43%,7. 3%,6. 9%,6. 9%,respectively. Sex ratio in obesity was as follows,3. 8%,4. 3%,4. 7%,4. 3%,3. 8% for males,and 1. 7%,2. 2%,2. 5%,2. 6%,3. 2% for females,respectively. The sex ratio of overweight was as follows,2. 5%,4. 1%,4. 9%,6. 1%,6. 5% for males,and 3. 1%,3. 3%,4. 1%,5. 3%,5. 5% for females. From 2013 to 2017,BMI of the overweight adolescents were 26. 0 ± 0. 7( kg/m2),26. 0 ± 1. 1( kg/m2),25. 7 ± 1. 3( kg/m2),25. 8 ± 0. 8( kg/m2),26. 3 ± 0. 5( kg/m2),respectively. BMI of the obesity adolescents were 30. 2 ± 2. 4( kg/m2),29. 7 ± 1. 8( kg/m2),31. 2 ± 2. 9( kg/m2),30. 5 ± 1. 4( kg/m2),29. 9 ± 3. 1( kg/m2),respectively. Obesity/overweight ratio were 0. 99,0. 86,0. 80,0. 62 and 0. 58. The abnormality rates of ALT,TG,TC,and IL-6 serum levels were significantly higher in the overweight and obesity group when compared with the control group. Conclusion In recent years,overweight and obesity rates of adolescents in Guiyang City have been increasing,and males are more serious than females. Overweight and obesity have a significant impact on the health of adolescents.
引文
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[11]闫银坤,侯冬青,段佳丽,等. 2004-2013年北京市学龄儿童肥胖及相关代谢异常的流行趋势[J].中华流行病学杂志,2014,35(4):370-375.
[12] Hotamisligil GS. Inflammation, metaflammation and immunometabolic disorders[J]. Nature,2017,542(7640):177-185.
[2] Li S,Chen W,Sun D,et al. Variability and rapid increase in body mass index during childhood are associated with adult obesity[J].International Journal of Epidemiology,2015,44(6):1943-1950.
[3]刘飞,张君仪,徐虹.青少年肥胖现状及早期影响因素的研究进展[J].现代预防医学,2018,45(3):420-422.
[4]中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2005,25(2):97-102.
[5]李辉,宗心南,季成叶,等.中国2~18岁儿童青少年超重和肥胖筛查体重指数界值点的研究[J].中华流行病学杂志,2010,31(6):616-620.
[6] Tadesse Y,Derso T,Alene KA,et al. Prevalence and factors associated with overweight and obesity among private kindergarten school children in Bahirdar Town,Northwest Ethiopia:cross?sectional study[J]. BMC Research Notes,2017,10(1):22.
[7] Ganie MA,Bhat GA,Wani IA,et al. Prevalence,risk factors and Consequences of overweight and obesity among schoolchildren:a cross-sectional study in Kashmir,India[J]. Journal of Pediatric Endocrinology&Metabolism,2017,30(2):203-209.
[8] Freedman DS,Mei Z,Srinivasan SR,et al. Cardiovascular risk factors and excess adiposity among overweight children and adolescents:the Bogalusa Heart Study[J]. The Journal of Pediatrics,2007,150(1):12-17. e2.
[9]季成叶.儿童青少年肥胖代谢综合征危险因素分析[J].中国学校卫生,2006,27(5):371-373.
[10]谭亚菲,辛秀红,蚁金瑶,等.我国中学生超重肥胖的流行特征分析[J].中国临床心理学杂志,2015,23(5):919-922.
[11]闫银坤,侯冬青,段佳丽,等. 2004-2013年北京市学龄儿童肥胖及相关代谢异常的流行趋势[J].中华流行病学杂志,2014,35(4):370-375.
[12] Hotamisligil GS. Inflammation, metaflammation and immunometabolic disorders[J]. Nature,2017,542(7640):177-185.