肥胖症_____肥胖症；身高；体重；评价研究；参考标准

上海市静安区中小学生肥胖状况2种标准评价比较

http://www.100md.com 《中国学校卫生》 2006年第2期

肥胖症,,肥胖症；身高；体重；评价研究；参考标准,1对象与方法,2结果,3讨论,参考文献

     【摘要】目的应用1985年“身高标准体重”和2003年国际生命科学会中国肥胖工作组(WGOC)制定的“中国儿童青少年超重、肥胖BMI分类标准建议”比较静安区中小学生的肥胖状况。方法 2002～2004年，静安区营养监测点7～18岁的学生，分别用1985年“身高标准体重”法和WGOC标准筛选肥胖、超重，比较2种标准筛选出的肥胖学生特征。结果 (1)用身高标准体重、WGOC标准筛选出的肥胖率分别为16.44%和10.51%，超重率分别为12.90%和15.31%；(2)不同年份、不同年龄、不同性别学生中，用2种标准筛选出的肥胖率和超重率存在明显不一致性；有4.41%(734/16 640)的学生用身高标准体重不能进行筛选，其中男生13～17岁组占91.69%(673/734)；(3)2种标准筛选的肥胖学生均表现为小学生高于中学生，男生高于女生。结论随着我国青少年发育的快速变化，1985年身高标准体重已不能客观反映儿童青少年中的肥胖、超重水平，而WGOC标准能很好地区分正常体重、超重、肥胖学生。

    【关键词】肥胖症；身高；体重；评价研究；参考标准

    Comparison of Two Obesity Criteria Among Primary and Secondary School Students in Jing'an District in Shanghai

    GUO Yawen, XU Dalin, ZHOU Zuhua, et al.

    Center for Disease Control and Prevention of Jing'an District, Shanghai(200041), China

    【Abstract】 Objective To compare the results of obesity status by using weightforheight standard method and the “Body Mass Index (BMI) Reference Norm for Screening Overweight and Obesity in Chinese Children and Adolescents” made by WGOC in 2003. Methods Using weightforheight standard method and reference standard of BMI made by WGOC, a crosssectional assessment of obesity and overweight was carried out in monitoring school students (aged 7-18 ) in Jing'an District, Shanghai. Two groups of obesity students' characteristics were compared with each other. Results 1) By using weightforheight method and BMI, the prevalence rates of obesity were 16.44% and 10.51% and the prevalence rates of overweight were 12.90% and 15.31%. 2) The prevalence rates of obesity and overweight were significantly different using the two methods. There were 4.41% (734/16 640)of the students unable to be screened using weightforheight method and 91.69%(673/734) were boys aged 13-17. 3)There were more obesity students in primary schools than in middle schools, and more obesity students in boys than in girls with two both criteria. Conclusion Weightforheight standard in 1985 can not correctly reflect the status of obesity and overweight in children and adolescents, and BMI criteria made by WGOC in 2003 is a more scientific method in screening normal, overweight and obesity students. ......

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