美国儿童和青少年人口和城市化肥胖率的差异,2013-2016年
Cynthia L Ogden1, Cheryl D Fryar1, Craig M Hales1,2
1National Center for Health Statistics, US Centers for Disease Control and Prevention, Hyattsville, Maryland.
JAMA
|June 21, 2018
概括
儿童肥胖率因人口统计学因素而异,而非大都市地区的严重肥胖率更高. 在2001年至2016年间,在城市化水平上没有发现儿童肥胖的显著趋势.
科学领域:
- 儿童健康
- 公共卫生
- 流行病学
背景情况:
- 儿童肥胖是一个严重的公共卫生问题,
- 了解人口结构和城市化变化对于有针对性的干预至关重要.
研究的目的:
- 通过人口统计和城市化来分析美国青年 (2-19岁) 的肥胖和严重肥胖率.
- 研究2001年至2016年与城市化相关的儿童肥胖趋势.
主要方法:
- 使用了国家健康和营养检查调查 (2001-2016) 的数据.
- 分析测量的身高和体重以确定肥胖 (BMI ≥95百分位) 和严重肥胖 (BMI ≥120%的95百分位).
- 根据人口因素和城市化水平对参与者进行分类 (大都市统计区).
主要成果:
- 在2013-2016年,肥胖患病率为17.8%,严重肥胖患病率为5.8%.
- 与大型MSA相比,非大都市统计区 (非MSA) 的严重肥胖率更高.
- 肥胖和严重肥胖随着年龄和家庭教育水平的下降而增加,与非西班牙裔白人青年相比,非西班牙裔黑人和西班牙裔青年的肥胖率更高.
结论:
- 儿童肥胖的情况因年龄,种族/种族和社会经济地位存在显著差异.
- 严重的肥胖与城市化水平有相反的关联.
- 在2001年至2004年和2013年至2016年期间,城市化类别中没有观察到肥胖或严重肥胖的流行趋势.
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