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目的:了解沈阳市0~18岁儿童、青少年单纯性肥胖症在人群中的分布特点,分析发展趋势,为制定正确的防治对策提供科学依据。方法:采用美国卫生统计中心/疾病控制中心(NCHS/CDC)制定的身高标准体重法,按照整群分层抽样的方法调查沈阳市5个城区0~18岁儿童17332人,其中0~5岁10555人,6~18岁6777人。结果:沈阳市0~18岁儿童青少年总肥胖检出率为11.48%,总超重检出率为12.48%。学龄前儿童肥胖检出率为6.13%,超重检出率为13.22%,肥胖超重比为2.2,脂肪重聚年龄为3岁。学龄儿童肥胖检出率为19.80%,超重检出率为11.33%,肥胖超重比为0.6。与1996年相比,10年动态趋势为学龄前儿童肥胖检出率年增长值为21.5%,学龄儿童为21.1%。结论:沈阳市城区有近1/4的儿童青少年超重和肥胖,10年增长率处于失控的奇高速度。儿童青少年肥胖已经成为沈阳市一个重要公共卫生问题,需引起社会的高度关注。
OBJECTIVE: To understand the distribution characteristics of simple obesity among children aged 0 ~ 18 in Shenyang and to analyze the trend of development in order to provide a scientific basis for formulating the correct prevention and treatment measures. Methods: According to the height standard weight method developed by the National Center for Health Statistics / Centers for Disease Control (NCHS / CDC), 17332 children aged 0-18 years from 5 urban areas of Shenyang City were surveyed according to cluster stratified sampling method, of which 0 to 5 years 10555 people, 6777 people aged 6 to 18 years. Results: The detection rate of total obesity in children and adolescents aged 11-18 years was 11.48% and 12.48% respectively. Pre-school children obesity detection rate was 6.13%, overweight detection rate was 13.22%, obesity overweight ratio of 2.2, fat reunion age of 3 years. The detection rate of obesity in school-age children was 19.80%, that of overweight was 11.33%, and that of obesity was 0.6. Compared with 1996, the 10-year dynamic trend was that the preschool children’s obesity rate was 21.5% and that of school-age children was 21.1%. CONCLUSIONS: Nearly a quarter of children and adolescents in urban areas of Shenyang City are overweight and obese, with a 10-year annual growth rate at unusually high rates. Obesity in children and adolescents has become an important public health issue in Shenyang City and needs to attract the attention of the community.