摘要
目的比较身高标准体重和中国儿童青少年超重、肥胖BMI分类标准筛查中小学生的肥胖超重状况,判定2种方法的适用性。方法选取2001-2007年上海市静安区营养监测点校7～18岁学生28197名,分别采用2种方法筛选肥胖、超重学生。结果BMI法筛查结果低于身高标准体重法结果,分别为9.22%和15.98%。筛查一致性男生为55.68%～59.33%,一致率随年龄上升而下降;女生为57.46%～68.94%。身高标准体重法不能评价率为5.62%;性别以男生为主,年龄以初、高中居多。2种标准筛查结果均表现为肥胖率男生高于女生。男生肥胖率均表现为小学高于初中,初中高于高中。女生肥胖率用身高标准体重法表现为小学、初中差别不大,但都高于高中;BMI法表现为小学高于初中,初中高于高中。结论1985年身高标准体重法反映儿童青少年的肥胖、超重明显滞后,2003年WGOC的BMI标准能科学评估学生肥胖、超重情况。在对肥胖、超重趋势和现阶段的干预研究中,后者更科学。
Objective To compare weight-for-height standard method in 1985 and the body mass index （BMI） ＂Reference Norm for Screening Overweight and Obesity in Chinese Children and Adolescents＂ （ 2003 ） for overweight and obesity screening in primary and middle school students. Methods Two screening criterions were carried out among 28 197 students aged 7 - 18 years in monitoring schools of Jing＇an District from 2001 to 2007. Results The prevalence rates of obesity was lower by the BMI method compared to that by weight-for-height standard method,and they were 9.22% and 15.98% respectively. The consistent rate was from 55.68% to 59.33% in boys. The consistent rate was lower with the age in the boys. It was from 57.46% to 68.94% in girls. The rate of unable to be screened using weight-for-height standard method was 5.62%. The boys contributed to 95.46% of the total, and they were most in junior high school and high school students. The obese rate was higher in boys than in girls with two criterions. In boys, the obese rate was highest in primary school and lowest in high school using two screening criterions. In girls, it was the same as boys with BMI criteria. It was no difference between primary school and junior middle school in girls with the weight-for-height standard method. With the both criterions, the prevalence of obesity in primary and junior schools were higher than the high schools. Conclusion Weight-forheight standard which was established in 1985 is not correlated well with the obesity and overweight students. BMI criteria made by WGOC （2003 ） is more scientific than weight-for-height standard method （ 1985 ） in overweight and obesity screening in students, and in the study of the intervention of obesity and overweight.
出处
《中国学校卫生》
CAS
北大核心
2009年第10期885-887,889,共4页
Chinese Journal of School Health
基金
2007年上海市静安区卫生局课题(编号:200706B088)
关键词
参考标准
肥胖
超重
学生
Reference standards
Obesity
Overweight
Students
