评估腰围和腰高比是确定青少年腹部肥胖的最可靠指标：来自哈萨克斯坦横断面研究的结果

Q2 Medicine

Obesity Medicine Pub Date : 2025-09-15 DOI:10.1016/j.obmed.2025.100650

Ainur S. Ospanova , Aiman S. Kerimkulova , Vijay Kumar Chattu , Ainur O. Samigatova , Akbayan Markabaeva , Riza Nurpeissova , Meruyert O. Zhakupbekova

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引用次数: 0

摘要

儿童肥胖在哈萨克斯坦和全世界都是一个重大的公共卫生问题。在过去的20年里，12岁至19岁的青少年中，青少年肥胖的患病率几乎增加了三倍。本研究旨在评估腰高比（WHtR）作为识别12-13岁青少年腹部肥胖的最具信息量的方法。方法对2015-2016年哈萨克斯坦Semey市7所中学的1519名12 - 13岁青少年（平均年龄：12.3±0.46岁）进行横断面研究。采用SPSS （version 22）进行统计分析。结果青少年体重指数（BMI）超重和肥胖患病率为24.6%。女孩超重的比例明显高于男孩，但与男孩相比，肥胖的比例不那么明显。根据种族的身体体重指数，超重在俄罗斯青少年中更为普遍。腹部肥胖的患病率（WC - 90百分位数）在男孩中为1.2% (n = 9)，在女孩中为5.3% （n = 41）。根据WHtR，男孩（n = 57）的肥胖率为7.7%，女孩（n = 58）的肥胖率为7.5%。结论青少年超重和肥胖患病率为24.6%。女孩体重过轻或超重的比例明显高于男孩，但与男孩相比，肥胖的比例不那么明显。我们的研究建议同时使用腰围和腰围来确定青少年腹部肥胖。

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Evaluating the waist circumference and waist–to–height ratio as most reliable indicators to determine abdominal obesity among adolescents: Findings from a cross-sectional study in Kazakhstan

Background

Childhood obesity is a significant public health issue in Kazakhstan and worldwide. The prevalence of teenager obesity has increased almost three times over the past 20 years among adolescents from 12 to 19 years old. This study aimed to evaluate the waist–to–height ratio (WHtR) as the most informative method for identifying abdominal obesity among young people of 12–13 years old.

Methods

In this cross–sectional study of 1519 adolescents aged 12–13years (mean age: 12.3 ± 0.46years), data were obtained from the from all the seven secondary schools in Semey city (Kazakhstan) science during 2015–2016. Statistical analyses were performed using SPSS (version 22).

Results

The prevalence of overweight and obesity in terms of body mass index (BMI) among adolescents was 24.6 %. Excess weight is significantly higher among girls, but obesity is less pronounced in comparison with boys. According to body BMI by ethnicity overweight is more prevalent among Russian teenagers. The prevalence of abdominal obesity (WC˃90^Th percentile) was 1.2 % among boys (n = 9) and 5.3 % among girls (n = 41). According to the WHtR, the obesity among boys (n = 57) was 7.7 % and 7.5 % among girls (n = 58) respectively.

Conclusions

The prevalence of overweight and obesity was found to be 24.6 % in adolescents. Underweight or overweight were significantly higher among girls, but obesity was less pronounced compared with boys (р˃0,001). Our study recommends to use both WC and WHtR in determining abdominal obesity among adolescents.

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来源期刊

Obesity Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.50

自引率

0.00%

发文量

审稿时长

40 days

期刊介绍： The official journal of the Shanghai Diabetes Institute Obesity is a disease of increasing global prevalence with serious effects on both the individual and society. Obesity Medicine focusses on health and disease, relating to the very broad spectrum of research in and impacting on humans. It is an interdisciplinary journal that addresses mechanisms of disease, epidemiology and co-morbidities. Obesity Medicine encompasses medical, societal, socioeconomic as well as preventive aspects of obesity and is aimed at researchers, practitioners and educators alike.