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上海市泗泾地区2020、2022年中小学生超重和肥胖的流行病学调查研究

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目的 探究上海市泗泾地区 2020、2022 年小学及初中学生超重及肥胖情况,为干预儿童肥胖提供科学依据。方法 分别在 2020 年 10 月及 2022 年 10 月采取整群抽样的方法对泗泾地区的小学及初中学生进行体检,进行横断面研究,了解泗泾地区小学及初中不同年龄、不同性别学生的肥胖及超重情况。结果 2020、2022 年参加体检资料完整的人数分别为7 766、10 594 例,其中 4 626 例连续参加 2 次体检。2020 年儿童超重率、肥胖率分别为 15。14%、21。89%,2022 年儿童超重率、肥胖率分别为 15。41%、21。11%,超重率、肥胖率 2 年间比较差异均无统计学意义(P>0。05)。2020 年男生超重率、肥胖率分别为 14。91%、24。70%,女生超重率、肥胖率分别为 15。40%、18。80%;2022 年男生超重率、肥胖率分别为 15。04%、24。14%,女生分别为 15。82%、17。82%;男女之间超重率差异无统计学意义(P>0。05),2 年男生肥胖率均高于女生,差异有统计学意义(P<0。05)。2022 年 12 岁儿童肥胖率为 27。42%,高于 2020 年同年龄段,差异有统计学意义(P<0。05),其他年龄组均差异无统计学意义(P>0。05)。4 626 例连续参加体检的儿童,2020 年超重率、肥胖率分别为 14。46%、21。25%,2022 年超重率、肥胖率分别为 16。04%、21。78%,2 年间超重率差异有统计学意义(P<0。05),肥胖率差异无统计学意义(P>0。05)。4 626 例儿童中男生2 402 例,女生 2 224 例;2020 年男生超重率、肥胖率分别为 13。70%、24。48%,女生分别为 15。29%、17。76%;2022 年男生超重率、肥胖率分别为 16。07%、25。44%,女生分别为 16。01%、17。72%;男女之间超重率差异无统计学意义(P>0。05),男生肥胖率高于女生,差异有统计学意义(P<0。05)。结论 上海泗泾地区中小学生超重及肥胖具有较高的发生率,应加强饮食、运动指导,同时男生肥胖发生率更高,应加强男性儿童肥胖防治。
An epidemiological survey on overweight and obesity of primary and middle school students in Sijing area of Shanghai in 2020 and 2022
Objective To investigate the overweight and obesity of primary and middle school students in Sijing area of Shanghai from 2020 to 2022,so as to provide scientific basis for the intervention of childhood obesity.Methods In October 2020 and October 2022,all primary and middle school students in Sijing area underwent physical examination by cluster sampling method.A cross-sectional study was conducted to investigate the obesity and overweight in primary and middle school students of different ages and genders in Sijing area.Results In 2020 and 2022,7 766 and 10 594 students completed physical examination,respectively,and 4 626 of them underwent two consecutive physical examinations.The incidences of overweight and obesity were 15.14%and 21.89%in 2020,respectively.The incidences of overweight and obesity were 15.41%and 21.11%in 2022,respectively.There were no significant differences in the incidences of overweight or obesity between 2020 and 2022(P>0.05).In 2020,the incidences of overweight and obesity of male students were 14.91%and 24.70%;the incidences of overweight and obesity of female students were 15.40%and 18.80%,respectively.In 2022,the incidences of overweight and obesity of male students were 15.04%and 24.14%;the incidences of overweight and obesity of female students were 15.82%and 17.82%,respectively.There was no significant difference in the overweight rate between males and females(P>0.05).The incidence of obesity of male students was significantly higher than that of female students in both 2020 and 2022(P<0.05).In the students aged 12 years old,the incidence of obesity was 27.42%in 2022,which was significantly higher than that in 2020(P<0.05).There was no significant difference in the incidence of obesity between other age groups(P>0.05).Among the 4 626 children who participated in two consecutive physical examinations,the overweight/obesity rates were 14.46%/21.25%in 2020 and 16.04%/21.78%in 2022;there was significant difference in the overweight rates(P<0.05),while no significant difference was found in obesity rates(P>0.05).Among the 4 626 children,there were 2 402 boys and 2 224 girls.In 2020,the overweight/obesity rates were 13.70%/24.48%in these boys and 15.29%/17.76%in these girls.In 2022,the overweight/obesity rates were 16.07%/25.44%in these boys and 16.01%/17.72%in these girls.There was no significant difference in the incidence of overweight between these girls and boys in 2020 and 2022(P>0.05),but the obesity rate of boys was significantly higher than that of girls(P<0.05).Conclusion There are high incidences of overweight and obesity among primary and middle school students in Sijing area of Shanghai,and dietary and exercise guidances should be strengthened.Meanwhile,the incidences of overweight and obesity are higher among boys,and obesity prevention and control measures should be strengthened for boys.

ObesityOverweightChildrenEpidemiology

白雪、葛歆婧、赵凤、常燕燕、陆俊彦、杨玉新、袁小明

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201601 上海,松江区泗泾医院儿科

肥胖 超重 儿童 流行病学

上海市松江区科技技术攻关项目

21SJKJGG16

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(9)