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目的了解上海市金山区中小学生2007—2011年超重肥胖流行病学特点,比较3种标准筛查结果差异,为标准的选择提供科学依据。方法收集上海市金山区2007—2011年监测点学生体检资料51 429份,利用3种标准对超重和肥胖进行筛检。结果 5年间超重率、肥胖率上升,1985年、2000年身高别体重标准和年龄别体质指数(BMI)标准筛查男生超重率分别为12.89%、6.29%、15.02%,男生肥胖率分别为16.73%、17.54%、9.47%,女生超重率分别为10.75%、6.42%、9.29%,女生肥胖率分别为8.77%、12.02%、4.74%;2个年份身高别体重标准筛检男女肥胖Kappa值分别为0.86、0.77,1985年标准与BMI标准筛检男女肥胖Kappa值分别为0.63、0.66,2000年标准与BMI标准筛检男女肥胖Kappa值分别为0.65、0.51。结论上海金山区中小学生超重和肥胖较严重,3种标准筛查结果差异较大。
Objective To understand the epidemiological characteristics of overweight and obesity in primary and secondary school students in Jinshan District of Shanghai from 2007 to 2011. The differences of three standard screening results were compared to provide a scientific basis for the selection of criteria. Methods A total of 51 429 physical examination data were collected from monitoring points in Jinshan District, Shanghai during 2007-2011. Three kinds of criteria were used to screen overweight and obesity. Results The rate of overweight and obesity increased in five years. The prevalence of overweight in boys was 12.89%, 6.29% and 15.02% in 1985 and 2000, respectively. The male obesity rates were 16.73 %, 17.54%, 9.47%. The overweight rates of girls were 10.75%, 6.42% and 9.29% respectively. The obesity rates of girls were 8.77%, 12.02% and 4.74% respectively. The obesity Kappa values of male and female were screened by height- Was 0.86, 0.77, 1985 standard and BMI standard screening male and female obesity Kappa values were 0. 63, 0. 66, 2000 standard and BMI standard screening male and female obesity Kappa values were 0.65,0.51. Conclusion The prevalence of overweight and obesity among primary and middle school students in Jinshan District of Shanghai is more serious, and the results of the three standard tests are quite different.