提示: 手机请竖屏浏览!

美国儿童期肥胖的发病率
Incidence of Childhood Obesity in the United States


Solveig A. Cunningham ... 妇产科和儿科 • 2014.01.30
相关阅读
• 儿童期肥胖延伸至成年期的生长轨迹模拟 • 一项关于果汁的新政 • 衡量儿童期肥胖症的新方式 • 美国儿科学会声明:不应该给婴儿喝果汁 • 2002~2012年青少年儿童1型和2型糖尿病的发病趋势

摘要


背景

虽然美国儿童期肥胖的患病率增长已得到证实,但对其发病率的了解甚少。我们在此报告全美国小学儿童肥胖发病率。

 

方法

我们对幼儿教育纵向研究(Early Childhood Longitudinal Study)中1998~1999年幼儿园班级儿童的数据进行了评估,这是一项1998年有7,738名在美国幼儿园的儿童参与者的代表性前瞻性队列。他们的体重和身高在1998年到2007年间被测量了7次。在7,738名参与者中,6,807名基线时是不肥胖的;这些参与者的随访人年数为50,396次。本研究使用了美国疾病控制和预防中心(Centers for Disease Control and Prevention)的标准阈值来定义“超重”和“肥胖”的类别。估计了每年的肥胖发生率,9年累计发病率,总体的及依照不同性别、社会经济状况、种族(或民族)、儿童出生体重和幼儿园体重的发病密度(每人年数)。

 

结果

儿童进入幼儿园时(平均年龄为5.6岁),12.4%为肥胖,而14.9%为超重;在8年级时(平均年龄为14.1岁),20.8%为肥胖,而17.0%为超重。年肥胖发病率由幼儿园的5.4%降低到5~8年级的1.7%。5岁的超重儿童发展为肥胖的可能性是正常体重儿童的4倍(9年累计发生率,31.8%对7.9%),在每1,000人年数中的发生次数为91.5对17.2。在5~14岁发展为肥胖的儿童中,有将近一半基线时已经是超重和75%为体质指数在第70百分位以上。

 

结论

在5~14岁新发的肥胖,很有可能在年龄更小时就发生了,主要发生于进入幼儿园时就是超重的儿童中(本研究由尤妮斯·肯尼迪·施赖弗国家儿童健康和人类发展研究所[Eunice Kennedy Shriver National Institute of Child Health and Human Development]资助)。





作者信息

Solveig A. Cunningham, Ph.D., Michael R. Kramer, Ph.D., and K.M. Venkat Narayan, M.D.
From the Hubert Department of Global Health (S.A.C., K.M.V.N.) and the Department of Epidemiology (M.R.K.), Emory University, Atlanta. Address reprint requests to Dr. Cunningham at the Hubert Department of Global Health, Emory University, 1518 Clifton Rd., Atlanta, GA 30322, or at sargese@emory.edu.

 

参考文献

1. Glickman D, Parker L, Sim LJ, Cook HDV, Miller EA, eds. Accelerating progress in obesity prevention: solving the weight of the nation. Washington, DC: National Academies Press, 2012.

2. Jolliffe D. Extent of overweight among US children and adolescents from 1971 to 2000. Int J Obes Relat Metab Disord 2004;28:4-9

3. Lakshman R, Elks CE, Ong KK. Childhood obesity. Circulation 2012;126:1770-1779

4. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA 2012;307:483-490

5. Singh GK, Kogan MD, van Dyck PC. Changes in state-specific childhood obesity and overweight prevalence in the United States from 2003 to 2007. Arch Pediatr Adolesc Med 2010;164:598-607

6. Gordon-Larsen P, Adair LS, Nelson MC, Popkin BM. Five-year obesity incidence in the transition period between adolescence and adulthood: the National Longitudinal Study of Adolescent Health. Am J Clin Nutr 2004;80:569-575

7. Baidal JA, Taveras EM. Childhood obesity: shifting the focus to early prevention. Arch Pediatr Adolesc Med 2012;166:1179-1181

8. Tourangeau K, Nord C, Lê T, Sorongon AG, Najarian M. Early Childhood Longitudinal Study, Kindergarten Class of 1998–99 (ECLS-K): combined user's manual for the ECLS-K Eighth-Grade and K–8 full sample data files and electronic codebooks (NCES 2009–004). Washington, DC: National Center for Education Statistics, Institute of Education Sciences, 2009.

9. Vidmar S, Caelin J, Hesketh K, Cole TJ. Standardizing anthropometric measures in children and adolescents with new functions for egen. Stata J 2004;4:50-55

10. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240-1243

11. Szklo M. Nieto J. Epidemiology: beyond the basics. Sudbury, MA: Jones and Bartlett, 2006.

12. Williams RL. Taylor Series Linearization (TSL). In: Lavrakas PJ, ed. Encyclopedia of survey research methods. Thousand Oaks, CA: Sage, 2008.

13. Robbins JM, Khan KS, Lisi LM, Robbins SW, Michel SH, Torcato BR. Overweight among young children in the Philadelphia health care centers: incidence and prevalence. Arch Pediatr Adolesc Med 2007;161:17-20

14. Vaupel JW, Yashin AI. Heterogeneity's ruses: some surprising effects of selection on population dynamics. Am Stat 1985;39:176-185

15. Kleinbaum D, Klein M. Survival analysis: a self-learning text. 2nd ed. New York: Springer, 2005.

服务条款 | 隐私政策 | 联系我们