南昌市高中生超重肥胖流行现状调查
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摘要
目的分析南昌市高中生超重与肥胖现状并与美国疾病预防控制中心监测数据做比较,探讨高中生体型自我认知与超重肥胖的联系。方法于2015年6月对南昌市所有高中采取分层整群随机抽样,抽取5所高中进行调查。调查问卷由高中生危险行为监测问卷翻译修改而成。计算BMI值,按照WGOC标准和IOTF标准评价超重和肥胖,通过χ~2检验比较不同类别高中生超重肥胖情况,计算Kappa(kw)值比较WGOC标准与IOTF标准间的一致程度。结果本次共调查高中生884人,男女性别比为1:1.16;被调查者中128人年龄≤15岁,385人16岁,347人年龄≥17岁;WGOC标准下南昌市高中生超重率13.69%,肥胖率3.62%;高中生超重logistic回归分析显示,男性超重报告率高于女性(OR=4.54,P <0.001),每天看电视≥1小时(OR=1.91,P=0.023),一周吃水果≥4次(OR=2.09,P=0.004)为超重的危险因素。结论南昌市高中生超重肥胖流行现状处于较低水平,高中生对于体重的自我认知存在偏差,缺乏健康意识,无法合理地对自己的胖瘦程度进行科学的估计。
Objective To analyze the prevalence of overweight and obesity and the association of self-cognition on physique with overweight and obesity among senior high school students in Nanchang city and to compare the prevalence with the data from the Centers for Disease Control and Prevention of United States. Methods We conducted a survey among senior high school students recruited in 5 high schools with stratified random cluster sampling in Nanchang city during June 2015. The Youth Risk Behavior Survey System Questionnaire(Chinese version) was adopted in the survey.Body mass index(BMI) was calculated and overweight and obesity were determined according to the criterion of Working Group of Obesity in China(WGOC) and International Obesity Task Force(IOTF) among the students. Difference in the prevalence of overweight and obesity among various student groups was analyzed using Chi-square test and the consistency between WGOC and IOTF criterion was assessed with Kappa(kw) value. Results Of the 884 students surveyed, 128 were ≤15 years old; 385 were aged 16; and 347 were ≥ 17 years old. The male to female ratio of the students was 1:1.16. Among the students, the prevalence rate of overweight and obesity were 13.69% and 3.62% based on WGOC criterion. Logistic regression analysis demonstrated that significant risk factors of overweight among the students included male gender(odds ratio [OR] = 4.54, P < 0.001), watching television one hour or more per day(OR = 1.91, P = 0.023), and eating fruit four or more times a week(OR = 2.09, P = 0.004). Conclusion The prevalence of overweight and obesity is at a low level among senior high school students in Nanchang city and the biased cognition on overweigh results in unreasonable estimation of overweight or obesity among the students.
Objective To analyze the prevalence of overweight and obesity and the association of self-cognition on physique with overweight and obesity among senior high school students in Nanchang city and to compare the prevalence with the data from the Centers for Disease Control and Prevention of United States. Methods We conducted a survey among senior high school students recruited in 5 high schools with stratified random cluster sampling in Nanchang city during June 2015. The Youth Risk Behavior Survey System Questionnaire(Chinese version) was adopted in the survey.Body mass index(BMI) was calculated and overweight and obesity were determined according to the criterion of Working Group of Obesity in China(WGOC) and International Obesity Task Force(IOTF) among the students. Difference in the prevalence of overweight and obesity among various student groups was analyzed using Chi-square test and the consistency between WGOC and IOTF criterion was assessed with Kappa(kw) value. Results Of the 884 students surveyed, 128 were ≤15 years old; 385 were aged 16; and 347 were ≥ 17 years old. The male to female ratio of the students was 1:1.16. Among the students, the prevalence rate of overweight and obesity were 13.69% and 3.62% based on WGOC criterion. Logistic regression analysis demonstrated that significant risk factors of overweight among the students included male gender(odds ratio [OR] = 4.54, P < 0.001), watching television one hour or more per day(OR = 1.91, P = 0.023), and eating fruit four or more times a week(OR = 2.09, P = 0.004). Conclusion The prevalence of overweight and obesity is at a low level among senior high school students in Nanchang city and the biased cognition on overweigh results in unreasonable estimation of overweight or obesity among the students.
引文
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[14]颜玮,朱丽萍,许智毅,等.2014年江西省7~22岁学生BMI分布及超重和肥胖流行特征分析[J].现代预防医学,2016,43(10):110-112,192.
[15]陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志,2017,21(9):866-869.
[16]吴淋果,余毅震.湖北7~18岁学生超重、肥胖流行特征及影响因素[J].中国公共卫生,2017,33(4):569-572.
[17]马洁,江国虹,朱传芳.天津青少年营养状况、体重认知及不健康减肥行为调查[J].中国公共卫生,2017,33(4):563-569.
[18]季成叶.全球学龄儿童高中生超重与肥胖的流行现状和趋势[J].中国学校卫生,2006,27(8):648-650.
[19]王赟,谌丁艳,吴宇,等.深圳市中小学生超重与肥胖现况分析[J].中国公共卫生,2015,31(5):676-678.
[20]刘言,段若男,薛红妹,等.成都市2 144名中小学生超重肥胖现状分析[J].中国学校卫生,2014,35(8):1191-1193.
[21]杨丽丽,席波.济南市城区6~17岁儿童高中生超重和肥胖流行现状[J].中国儿童保健杂志,2017(11):1108-1112.
[22]王云.吉林市中小学生超重与肥胖的流行现状及其与体型自我评价的一致性研究[D].长春:吉林大学,2017.
[2]丁贤彬,张春华,毛德强,等.重庆市6~13岁儿童肥胖状况及其影响因素[J].中国学校卫生,2013,34(10):1432-1434.
[3]张梅,曲美霞,白玥,等.儿童单纯性肥胖的影响因素及干预进展研究[J].中国学校卫生,2012,33(1):124-126.
[4]Brener ND,Kann L,Kinchen SA,et al.Methodology of the youth risk behavior surveillance system[J].Morbidity and Mortality Weekly Report Recommendations and Reports,2004,53(RR-12):1.
[5]黄情,姜小庆,李春玫,等.高中生校园暴力行为影响因素的结构方程模型分析[J].中国学校卫生,2017,38(10):1524-1526.
[6]韦琳.青少年健康危险行为现状及干预研究进展[J].中国公共卫生,2011,27(7):933-934.
[7]Prentice AM,Jebb SA.Beyond body mass index[J].Obesity Reviews An Official Journal of the International Association for the Study of Obesity,2010,2(3):141-147.
[8]李辉,宗心南,季成叶,等.中国2~18岁儿童高中生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.
[9]Cole TJ,Bellizzi MC,Flegal KM,et al.Establishing a standard definition for child overweight and obesity worldwide:international survey[J].BMJ British Medical Journal,2000,320(7244):1240-1243.
[10]美国疾病预防控制中心青少年健康危险行为监测系统2015年青少年健康危险行为监测数据库[EB/OL].(2017-10-23)[2017-12-06].https://www.cdc.gov/healthyyouth/data/yrbs/results.htm.
[11]郭轶斌,郭威,秦宇辰,等.基于Kappa系数的一致性检验及其软件实现[J].中国卫生统计,2016,33(1):169-170.
[12]马冠生,胡小琪,李艳平,等.我国4城市儿童少年肥胖率评价[J].中国公共卫生,2005,21(3):263-263.
[13]石文韬.重庆市中小学生体质健康状况与体育锻炼行为的关系研究[D].重庆:西南大学,2013.
[14]颜玮,朱丽萍,许智毅,等.2014年江西省7~22岁学生BMI分布及超重和肥胖流行特征分析[J].现代预防医学,2016,43(10):110-112,192.
[15]陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志,2017,21(9):866-869.
[16]吴淋果,余毅震.湖北7~18岁学生超重、肥胖流行特征及影响因素[J].中国公共卫生,2017,33(4):569-572.
[17]马洁,江国虹,朱传芳.天津青少年营养状况、体重认知及不健康减肥行为调查[J].中国公共卫生,2017,33(4):563-569.
[18]季成叶.全球学龄儿童高中生超重与肥胖的流行现状和趋势[J].中国学校卫生,2006,27(8):648-650.
[19]王赟,谌丁艳,吴宇,等.深圳市中小学生超重与肥胖现况分析[J].中国公共卫生,2015,31(5):676-678.
[20]刘言,段若男,薛红妹,等.成都市2 144名中小学生超重肥胖现状分析[J].中国学校卫生,2014,35(8):1191-1193.
[21]杨丽丽,席波.济南市城区6~17岁儿童高中生超重和肥胖流行现状[J].中国儿童保健杂志,2017(11):1108-1112.
[22]王云.吉林市中小学生超重与肥胖的流行现状及其与体型自我评价的一致性研究[D].长春:吉林大学,2017.