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目的 分析和描述中国7～17岁儿童青少年腰围水平及中心型肥胖流行现况。方法 数据来自2016—2017年中国儿童与乳母营养健康监测，采用多阶段分层整群抽样的方法，从31个省(自治区、直辖市)的275个监测点抽取研究对象，共纳入7～17岁儿童青少年59 019名，使用统一规格软尺测量腰围，采用《7岁～18岁儿童青少年高腰围筛查界值》判定中心型肥胖，结果采用国家统计局2010年发布的第六次人口普查数据进行加权调整。结果 2016—2017年中国7～17岁儿童青少年腰围值为(63.9±0.5)cm,男生高于女生(65.3 cm vs.62.4 cm,F=203.41,P<0.01),城市高于农村(66.1 cm vs.61.9 cm,F=21.87,P<0.01),东部地区高于中部和西部(65.2 cm vs.63.7 cm vs.62.4 cm,F=5.57,P<0.01)。中心型肥胖前期率和中心型肥胖率分别为15.0%和14.5%,13～17岁组均高于7～12岁组(16.7%vs.13.8%,Rao-Scott χ2=11.93,P<0.01;16.6%vs.12.8%,Rao-Scott χ2=20.54,P<0.01),各年龄段城市均高于农村(P<0.05)。东部地区中心型肥胖前期率低于中部地区(15.7%vs.16.6%,Rao-Scott χ2=9.38,P<0.01),中心型肥胖率高于中部地区(16.9%vs.15.3%,Rao-Scott χ2=14.08,P<0.01)。结论 2016—2017年中国7～17岁儿童青少年中心型肥胖率及其前期率在城乡、不同年龄、不同地区间均存在差异。
Abstract：OBJECTIVE To analyze the prevalence and characteristics of central obesity in Chinese children and adolescents aged 7-17 years.METHODS The data were from the China Nutrition and Health Surveillance of Children and Lactating Mothers from 2016 to 2017. The research subjects were selected from 275 monitoring sites in 31 provinces(autonomous regions and municipalities) through a multi-stage stratified cluster sampling method. A total of 59 019 children and adolescents aged 7-17 years were included. Waist circumference was measured with a uniform measuring tape.Results were weighted and adjusted by the sixth national census data released by the National Bureau of Statistics in 2010. SAS 9.4 software was used to clean and analyze the data, and the prevalence and influencing factors of central obesity were described.RESULTS The waist circumference of Chinese children and adolescents was(63.9±0.5) cm, with boys higher than girls(65.3 cm vs.62.4 cm, F=203.41, P<0.01), urban higher than rural(66.1 cm vs. 61.9 cm, F=21.87, P<0.01), and eastern higher than central and western(65.2 cm vs. 63.7 cm vs. 62.4 cm, F=5.57, P<0.01) during 2016-2017. The pre-central obesity rate and central obesity rate were 15.0% and 14.5%, respectively. The 13-17 year-old group was higher than the 7-12 year-old group(16.7% vs. 13.8%, Rao-Scott χ2=11.93, P < 0.01;16.6% vs. 12.8%, Rao-Scott χ2=20.54, P<0.01), and the urban was higher than the rural in all age groups(P<0.05). The pre-central obesity rate in the eastern region was lower than that in the central region(15.7% vs. 16.6%, Rao-Scott χ2=9.38, P<0.01), while the central obesity rate in the eastern region was higher than that in the central region(16.9% vs. 15.3%, Rao-Scott χ2=14.08, P<0.01).CONCLUSION The pre-central obesity rate and central obesity rate of children and adolescents in China are different between urban and rural areas, different ages and different regions.
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基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2025.03.006
中图分类号:R723.14
引用信息:
[1]南晶,蔡姝雅,朴玮,等.2016—2017年中国7～17岁儿童青少年中心型肥胖现况及特征[J].卫生研究,2025,54(03):390-396.DOI:10.19813/j.cnki.weishengyanjiu.2025.03.006.
基金信息:
国家财政项目(No.102393220020070000012)
2025-05-21
2025-05-21