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儿童肥胖在ED:一个前性的澳大利亚研究研究
Rachel Marsh1, Stephen Gill1,2, Nicole Lowry1
1Emergency Department, University Hospital Geelong, Geelong, Victoria, Australia.
Emergency medicine Australasia : EMA
|April 22, 2024
概括
近三分之一的澳大利亚儿童到急诊室 (ED) 诊断超重或肥胖. 肥胖最常见于8至14岁的儿童和来自较低社会经济背景的儿童,这突显了严重的公共卫生问题.
科学领域:
- 儿科公共卫生 儿科公共卫生
- 流行病学 流行病学
- 肥胖问题研究研究
背景情况:
- 儿童超重和肥胖是全球重大健康挑战.
- 紧急诊所 (ED) 越来越多地被认为是健康查和干预的潜在场所.
- 了解不同环境中的儿科超重/肥胖的患病率和相关因素对于有针对性的公共卫生战略至关重要.
研究的目的:
- 为了确定在澳大利亚主要城市参加EDs的儿童中超重和肥胖的患病率.
- 调查ED人口中年龄,性别,社会经济地位 (SES) 和医院环境 (公共与私人) 和儿科超重/肥胖之间的关联.
主要方法:
- 对3827名 (2至18岁以下) 儿童进行了前性观察性研究,他们在18个月内出现了三次ED.
- 测量身高和体重;体质指数 (BMI) z-分数确定体重类别.
- 统计分析包括千平方测试和后勤回归来评估与人口和医院因素的关联.
主要成果:
- 总体患病率:11.6%的肥胖者,19.8%的超重者.
- 在8-14岁的儿童和来自较低SES邮编的儿童中观察到更高的肥胖患病率.
- 与私人ED相比,公共ED的肥胖可能性更高 (OR 0.66,95% CI 0.51-0.86).
结论:
- 进入EDS的儿童中有很大一部分超重或肥胖,这表明存在重大公共卫生问题.
- 在8至14岁的儿童和来自较低SES背景的儿童中,针对超重/肥胖的有针对性的干预措施是合理的.
- EDs为早期识别和转诊需要体重管理支持的儿童提供了潜在的机会.
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