Overweight and obesity epidemic among children. Answer from European countries.

I Lissau
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引用次数: 83

Abstract

Objective: To investigate the methods and results used and conclusions found in available published papers on childhood overweight and obesity in Europe.

Surveys: This paper compares the two available published papers on the prevalence of child and adolescent overweight and obesity in Europe. The first paper was published in November 2003 and was based on 20 previously conducted surveys performed from 1992 to 2001. The other paper was published in January 2004 and was based on data from the WHO collaborative survey 'Health Behaviour in School Children', which collected the data in 1997-1998 within a period of 9 months. Height and weight were included as optional questions and 13 European countries, Israel and United States participated.

Methods: In both papers, body mass index (BMI) was used. In the first paper, measured BMI was used and prevalence of overweight was calculated using IOTF cutoff points. In the other paper, overweight and obesity prevalences were calculated from self-reported height and weight using an internal study reference standard.

Results: The first paper found a north-south trend in overweight in Europe, whereas the second found a more equal distribution of overweight in European children. Thus, overweight was significantly increased among 13 y olds of both sexes in Finland, Ireland, and Greece, and in Portuguese girls. Among 15 y olds, the prevalence of overweight was significantly increased in Greek boys, and in Danish and Portuguese girls. On the contrary, in Lithuania, there was a significantly low prevalence of overweight among both ages and both sexes.

Conclusion: Critical reviews of the results of the two published papers show that the year of data collection, methods and use of appropriate statistics are of critical importance for the conclusion drawn from comparative epidemiological surveys on the prevalence of overweight.

超重和肥胖在儿童中流行。来自欧洲国家的回答。
目的:探讨欧洲儿童超重和肥胖的研究方法、结果和结论。调查:这篇论文比较了两篇关于欧洲儿童和青少年超重和肥胖患病率的论文。第一篇论文发表于2003年11月,基于1992年至2001年期间进行的20次调查。另一篇论文发表于2004年1月,其依据是世卫组织合作调查“在校儿童健康行为”的数据,该调查在1997-1998年9个月内收集了数据。身高和体重是可选问题,13个欧洲国家、以色列和美国参加了调查。方法:两篇文章均采用身体质量指数(BMI)。在第一篇论文中,使用测量的BMI,并使用IOTF截止点计算超重的患病率。在另一篇论文中,超重和肥胖患病率是使用内部研究参考标准根据自我报告的身高和体重计算出来的。结果:第一篇论文发现欧洲的超重呈南北趋势,而第二篇则发现欧洲儿童的超重分布更为均匀。因此,在芬兰、爱尔兰和希腊的13岁男女和葡萄牙女孩中,超重的情况明显增加。在15岁的人群中,希腊男孩、丹麦和葡萄牙女孩的超重患病率显著增加。相反,在立陶宛,无论年龄还是性别,超重的流行率都很低。结论:对这两篇已发表论文的结果进行的批判性审查表明,数据收集的年份、方法和适当统计数据的使用对于从关于超重患病率的比较流行病学调查中得出结论至关重要。
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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