Abstract：Objective To understand the prevalence of overweight and obesity, and the influencing factors among students aged 7-22 years in Zhejiang Province. Methods Stratified random cluster sampling was used to randomly select students aged 7-22 years in 11 prefectures of Zhejiang Province in 2019. Height and weight were measured. The general information, dietary habits and living habits of students were collected using the Student Health Status and Influencing Factors Questionnaire. The multivariate logistic regression model was used to analyze the influencing factors of overweight and obesity. Results A total of 33 800 respondents were included, 7 685 (22.74%) were overweight/obese, 4 729 ( 13.99% ) were overweight, and 2 956 ( 8.75% ) were obese. The multivariate logistic regression analysis suggested that boys ( OR=2.059, 95%CI：1.949-2.175), not living on campus( OR=1.306, 95%CI: 1.214-1.405), history of alcohol consumption ( OR=1.158, 95%CI：1.083-1.238 ), average daily consumption of sugar-sweetened beverages in the past week ( less than once, OR=1.214, 95%CI: 1.103-1.336; once and more, OR=1.431, 95%CI: 1.259-1.626 ), average daily consumption of fries in the past week ( less than once, OR=1.171, 95%CI: 1.065-1.288; once and more, OR=1.266, 95%CI: 1.102-1.454 ), and average daily consumption of sweets in the past week (less than once, OR=0.727, 95%CI: 0.658-0.802; once and more, OR=0.504, 95%CI: 0.444-0.572) were associated with overweight and obesity in students. Conclusion The prevalence rates of overweight and obesity among students aged 7-22 years in Zhejiang Province are 13.99% and 8.75%, respectively, which are associated with boys, not living on campus, and consumption of sugar-sweetened beverages, fries, sweets and alcohol.
高雷, 孟佳, 李娟娟, 沈郁, 顾昉. 浙江省7~22岁学生超重肥胖现况调查[J]. 预防医学, 2021, 33(12): 1215-1219.
GAO Lei, MENG Jia, LI Juanjuan, SHEN Yu, GU Fang. A cross-sectional study of overweight and obesity among 7-22 year-old students in Zhejiang Province. Preventive Medicine, 2021, 33(12): 1215-1219.
[1] NG M,FLEMING T,ROBINSON M,et al.Global,regional,and national prevalence of overweight and obesity in children and adults during 1980-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9945):766-781. [2] 中华人民共和国国务院新闻办公室.《中国居民营养与慢性病状况报告(2020年)》发布会[EB/OL].[2021-08-07]. http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/44583/index.htm. [3] 程欣,黄徐根,陈会康,等.青少年肥胖流行促成因素分析[J].中国学校卫生,2019,40(10):1579-1600. [4] WANG S,SUN Q,ZHAI L,et al.The prevalence of depression and anxiety symptoms among overweight/obese and non-overweight/non-obese children/adolescents in China: a systematic review and meta-analysis[J]. Int J Environ Res Public Health,2019,16(3):340-356. [5] 缪锋,王小英.肥胖大学生抑郁情绪调查分析[J].预防医学,2007,19(5):64-64. [6] 陈玉霞,麦锦城,吴汉荣.超重肥胖对儿童青少年智力和体能素质的影响[J].中国学校卫生,2010,31(5):520-521. [7] HAMMAMI N,BIGELOW P,LEATHERDALE S.Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents[J].Health Promot Chronic Dis Prev Can,2020,40(9):259-266. [8] 蔡科,王志斌,李梁华,等.肥胖青少年心血管疾病研究进展[J].实用临床医学,2018,19(5):104-107. [9] BENDOR C,BARDUGO A,HAMIEL O,et al.Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity[J].Cardiovasc Diabetol,2020,19(1):79-92. [10] 中华人民共和国国家卫生健康委员会办公厅.国家卫生健康委办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL].(2019-03-26)[2021-08-07].http://www.nhc.gov.cn/jkj/s5898bm /201903/1bcbac21e1864377ad2 4984fac014c7d.shtml. [11] 中华人民共和国国家卫生和计划生育委员会.学生健康检查技术规范:GB/T 26343—2010[S].北京:中国标准出版社,2010. [12] 季成叶. 中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102. [13] 陈春明,李艳平,马冠生.儿童肥胖的防治——从美国的经验教训谈起[J].国外医学(卫生学分册),2006,33(5):278-281. [14] WANG Y F,ZHAO L,GAO L W,et al.Health policy and public health implications of obesity in China[J]. Lancet Diabetes Endocrinol,2021,9(7):446-461. [15] 温勃,刘婕妤,董彬,等.我国儿童青少年健康问题现状调查与分析[J].中国卫生信息管理杂志,2021,18(1):21-26. [16] 顾昉,章荣华,方跃强,等.浙江省儿童青少年超重肥胖流行现况[J].中国学校卫生,2013,34(7):838-840. [17] 何梦洁,黄李春,苏丹婷,等.浙江省成年人群肥胖流行现状[J].预防医学,2021,33(2):162-164. [18] 曹应琼,他卉,万莉,等.2016年四川省儿童青少年学生生长发育与营养状况分析[J].现代预防医学,2019,46(1):54-58. [19] SUN M,HU X,LI F,et al.Eating habits and their association with weight status in Chinese school-age children: a cross-sectional study[J].Int J Environ Res Public Health,2020,17(10):3571-3584. [20] 李冬华,于冬梅,赵丽云.中国九省成人含糖饮料消费及添加糖摄入量的趋势分析[J].卫生研究,2014,43(1):70-72. [21] LIBERALI R,CASTANHEL F D,KUPEK E,et al.Latent class analysis of lifestyle risk factors and association with overweight and/or obesity in children and adolescents:systematic review[J]. Childhood Obesity,2020, 17(1):2-15. [22] SORRIE M,YESUF M,GEBREMICHAEL T.Overweight/obesity and associated factors among preschool children in Gondar City, northwest Ethiopia:a cross-sectional study[J/OL].PLOS ONE,2017, 12[2021-08-07].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546603.DOI:10.1371/journal.pone.0182511. [23] 许祥,汪韶洁,陈铮鸣,等.中国成年人饮酒行为特征与肥胖指标的相关性研究[J].中华流行病学杂志,2019,40(7): 759-764.
