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目的了解上海市浦东新区川沙地区7～15岁学生超重肥胖流行现状和体质量指数(BMI)、腰围(WC)和腰围身高比值(WHtR)的分布特征,为学生营养健康教育提供依据。方法对9所中小学的11 474名学生进行体格测量,按照“中国儿童青少年超重肥胖筛查BMI值分类标准”筛查超重和肥胖,制定BMI,WC和WHtR百分位分布表。结果超重和肥胖检出率男生分别为14.80%和10.97%,女生则分别为7.69%和5.07%,高于全国城市平均水平。WC,WHtR的各百分位值均接近北京的报告。结论川沙地区7～15岁学生超重肥胖已失去早期流行的特征,腹部脂肪的堆积程度已接近北京地区。制定不同性别和年龄的腰围、腰围身高比值规范很有必要。
Objective To understand the prevalence of overweight and obesity and the distribution of body mass index (BMI), waist circumference (WC) and waist circumference ratio (WHtR) among students aged 7-15 years in Chuansha district of Pudong New Area, Shanghai, and to provide basis for their nutrition and health education. Methods The physical measurement of 11 474 students in 9 primary and secondary schools was conducted, and the BMI, WC and WHtR percentile distribution tables were screened according to the “Chinese children and adolescents BMI classification criteria” to screen overweight and obesity. Results The prevalence of overweight and obesity was 14.80% and 10.97% respectively for boys and 7.69% for girls and 5.07% for girls, which was higher than the national average. WC, WHtR percentile values are close to Beijing’s report. Conclusion The prevalence of overweight and obesity among 7 ~ 15 years old students in Chuansha district has lost the characteristics of early epidemiology. The accumulation of abdominal fat is close to that of Beijing. Formulation of different gender and age of the waist, waist height ratio specification is necessary.