中国临床心理学杂志

我国中学生超重肥胖的流行特征分析

作者：谭亚菲¹ 2 辛秀红¹ 3 蚁金瑶¹ 姚树桥¹

单位：1. 中南大学湘雅二医院医学心理学研究所长沙410011
2. 湖南工业大学科技学院株洲412007
3. 宁夏医科大学临床医学院医学心理学系银川750004

分类号：R395.2

出版年,卷(期):页码：2015,23(5):919-922

摘要：

目的:调查我国12~18岁中学生超重和肥胖的流行情况及其特征.方法:采用分层随机整群抽样,调查评估8999名中学生.使用"中国儿童青少年超重、肥胖体质量指数筛查分类标准"筛查超重和肥胖,并计算其检出率及其分布特征.结果:我国中学生超重肥胖的总检出率分别为8.4%和4.1%,显著低于2000年该群体的超重肥胖检出率;男生和女生超重肥胖的检出率分别为12.0%、5.7%和4.6%、2.3%,男生显著高于女生(χ²=240.68,P <0.01);与2000年相比,年龄介于13-17周岁的青少年超重和肥胖检出率显著下降(χ²=10.51~16.56,Ps <0.01);独生子女组的超重肥胖检出率显著高于非独生子女(χ²=40.25,P <0.01);学校层面的主观社会经济地位低分组的学生超重和肥胖的检出率显著高于高分组(χ²=21.61,P <0.01).结论:性别、年龄、独生子女与否以及学校层面的主观社会经济地位都是青少年超重和肥胖的相关因素.应该根据我国青少年超重肥胖的发生特点制定具有针对性的行动策略,最终有效防控青少年超重和肥胖.

Objective: The aim of the current study was to investigate the prevalence and characteristics of over-weight and obesity in Chinese secondary school students aged 12-18 years. Methods: Using stratified random cluster sampling, 8999 secondary school students were enrolled. The Chinese BMI criterion was used for screening overweight and obesity in children and adolescents. Results: The prevalence of overweight and obesity in Chinese secondary school students were 8.4% and 4.1%, respectively, which was significantly lower than the prevalence of their peers in 2000(χ²=24.03,P <0.01). The prevalence of overweight and obesity in boys were 12.0% and 5.7%, which were higher than the prevalence in girls (4.6% and 5.7%) (χ²=240.68,P <0.01). The prevalences of overweight and obesity in teenagers aged 13-17 were decreased significantly than that in 2000(χ²=10.51~16.56,Ps <0.01). The prevalence of overweight and obesity in students from singlechild families were higher than those from non-single families(χ²=40.25,P <0.01). The prevalence of overweight and obesity in students with lower perception of subjective social status in the school community ladder were higher than those from higher perception ones(χ²=21.61,P <0.01). Conclusion: Gender, age, single-child status and subjective social status in the school community ladder are influential factors of overweight and obese in Chinese secondary school students. More target-ed strategies should be developed based on the characteristic of adolescent overweight and obesity, which is benefit for pre-venting and controlling adolescent overweight and obesity.

基金项目：

十一五国家科技支撑计划(2009BAI77B06)

作者简介：

参考文献：

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