[Prevalence and characteristics of central obesity among children and adolescents aged 7-17 years in China in 2016-2017].

卫生研究 Pub Date : 2025-05-01 DOI:10.19813/j.cnki.weishengyanjiu.2025.03.006

Jing Nan, Shuya Cai, Wei Piao, Yuxiang Yang, Fusheng Li, Liyun Zhao, Dongmei Yu

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Abstract

Objective: To analyze the prevalence and characteristics of central obesity in Chinese children and adolescents aged 7-17 years.

Methods: The data were from the China Nutrition and Health Surveillance of Children and Lactating Mothers from 2016 to 2017. The research subjects were selected from 275 monitoring sites in 31 provinces(autonomous regions and municipalities) through a multi-stage stratified cluster sampling method. A total of 59 019 children and adolescents aged 7-17 years were included. Waist circumference was measured with a uniform measuring tape. Results were weighted and adjusted by the sixth national census data released by the National Bureau of Statistics in 2010. SAS 9.4 software was used to clean and analyze the data, and the prevalence and influencing factors of central obesity were described.

Results: The waist circumference of Chinese children and adolescents was(63.9±0.5) cm, with boys higher than girls(65.3 cm vs.62.4 cm, F=203.41, P<0.01), urban higher than rural(66.1 cm vs.61.9 cm, F=21.87, P<0.01), and eastern higher than central and western(65.2 cm vs.63.7 cm vs.62.4 cm, F=5.57, P<0.01) during 2016-2017. The pre-central obesity rate and central obesity rate were 15.0% and 14.5%, respectively. The 13-17 year-old group was higher than the 7-12 year-old group(16.7% vs.13.8%, Rao-Scott χ~2=11.93, P < 0.01;16.6% vs.12.8%, Rao-Scott χ~2=20.54, P<0.01), and the urban was higher than the rural in all age groups(P<0.05). The pre-central obesity rate in the eastern region was lower than that in the central region(15.7% vs.16.6%, Rao-Scott χ~2=9.38, P<0.01), while the central obesity rate in the eastern region was higher than that in the central region(16.9% vs.15.3%, Rao-Scott χ~2=14.08, P<0.01).

Conclusion: The pre-central obesity rate and central obesity rate of children and adolescents in China are different between urban and rural areas, different ages and different regions.

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[2016-2017年中国7-17岁儿童青少年中心性肥胖患病率及特点]。

目的：分析中国7 ~ 17岁儿童和青少年中心性肥胖的患病率及特点。方法：数据来源于2016 - 2017年中国儿童和哺乳期母亲营养与健康监测。采用多阶段分层整群抽样方法，从全国31个省（区、市）的275个监测点中选取研究对象。共有59 019名7-17岁的儿童和青少年被纳入研究。用统一的卷尺测量腰围。结果根据2010年国家统计局发布的第六次全国人口普查数据进行加权和调整。采用SAS 9.4软件对数据进行清理和分析，描述中心性肥胖的患病率及影响因素。结果：2016-2017年中国儿童青少年腰围为（63.9±0.5）cm，男孩高于女孩（65.3 cm vs.62.4 cm， F=203.41, P<0.01），城市高于农村（66.1 cm vs.61.9 cm， F=21.87, P<0.01），东部高于中西部（65.2 cm vs.63.7 cm vs.62.4 cm， F=5.57, P<0.01）。中心前肥胖率和中心肥胖率分别为15.0%和14.5%。13 ~ 17岁组高于7 ~ 12岁组（16.7% vs.13.8%）， Rao-Scott χ~2=11.93, P <；0.01;16.6% vs.12.8%, Rao-Scott χ~2=20.54, P<0.01)，各年龄组城市高于农村（P<0.05）。中部前肥胖率东部地区低于中部地区（15.7% vs.16.6%, Rao-Scott χ~2=9.38, P<0.01），中部地区高于东部地区（16.9% vs.15.3%, Rao-Scott χ~2=14.08, P<0.01）。结论：中国儿童青少年中心性前肥胖率和中心性肥胖率存在城乡、年龄、地区差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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卫生研究

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