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在LMIC中青少年肥胖的危险因素:使用多个肥胖指标的元分析
Erlena Erlena1,2, Intansari Nurjannah3, Achadiono Deddy Nur Wachid4
1Doctoral Program, Faculty of Medicine, Public Health, and Nursing, 95455 Universitas Gadjah Mada , Yogyakarta, Indonesia.
International journal of adolescent medicine and health
|November 13, 2025
概括
低收入和中等收入国家的青少年肥胖是由遗传,饮食和生活方式驱动的. 腰与身高的比率比BMI更好地表明肥胖风险,需要有针对性的公共卫生干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,青少年肥胖问题越来越严重.
- 传统的依赖身体质量指数 (BMI) 可能低估了中心脂肪.
- 这项研究利用多个人类指标综合了风险因素.
研究的目的:
- 系统地审查和对LMIC中青少年肥胖的风险因素进行元分析.
- 为了比较不同的人类测量指标在预测肥胖的有效性.
- 确定针对性公共卫生干预的关键决定因素.
主要方法:
- 在PubMed,Scopus和Web of Science (2013-2023) 的系统文献搜索.
- 包括21项同行评审的研究 (大约. 46,000名青少年).这些青少年中的
- 风险因素的叙述和定量综合,包括赔率比率 (OR) 和置信区间 (CI).
主要成果:
- 确定了重要的风险因素:遗传倾向 (OR 1.80),社会经济地位 (OR 1.31),不健康的饮食 (OR 2.07),环境暴露 (OR 1.25),体力活动低 (OR 1.14) 和心理社会压力 (OR 1.29).
- 腰与身高的比率与肥胖风险的相关性比BMI更为一致.
- 报告指出区域差异较大,东亚和拉丁美洲的相关性较强.
结论:
- 在LMICs中,青少年肥胖是由于复杂的生物,行为和社会因素造成的.
- 在这个人群中,腰与身高的比率似乎优于BMI来评估肥胖.
- 针对饮食,体育活动,压力和环境的多部门政策对于预防至关重要.
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