Adolescent at-risk weight (overweight and obesity) prevalence in Hawai'i.

Hawaii medical journal Pub Date : 2011-07-01
Claudio Nigg, Becky Shor, Cathy Yamamoto Tanaka, Donald K Hayes
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Abstract

Objective: To present prevalence rates of adolescents in Hawai'i at-risk weight (85 percentile or higher = overweight or obese) and the relationship with comorbidities.

Methods: The Hawai'i Youth Risk Behavior Survey aggregated for 2005, 2007, and 2009 was analyzed addressing at-risk weight prevalence by sex, race/ethnicity, and grade. Comorbidities were related to at-risk weight using regression.

Results: Over 1/4 of Hawai'i adolescents were at-risk weight. There were no differences by grade, but boys had higher prevalence (31.0%) than girls (22.4%). Overall, Other Pacific Islanders and Hawaiians had the highest prevalence (43.9% and 37.4%, respectively), followed by multi-race (27.1%), Filipino (25.7%), and Whites with the lowest (16.1%). Most associations between at-risk weight and various co-morbidities (including sexual behavior, nutrition, physical activity, mental health, bullying, alcohol, and other drug use) were not significant (p>.05). However, girls and boys trying to lose weight; and boys with 3+ hours of screen time (TV, video, or computer games) each day were at increased odds of at-risk weight (p<.05).

Conclusion: Adolescent gender and ethnic disparities exist such that a single intervention approach (one size fits all) may be counterproductive. More research is required on the determinants and mechanisms to guide weight management interventions.

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夏威夷青少年危险体重(超重和肥胖)患病率。
目的介绍夏威夷青少年危险体重(85百分位以上=超重或肥胖)的发生率以及与合并症的关系:方法:对2005、2007和2009年夏威夷青少年危险行为调查的汇总数据进行了分析,按性别、种族/民族和年级分析了危险体重的发生率。结果显示,超过1/4的夏威夷青少年体重偏高:结果:超过 1/4 的夏威夷青少年体重处于危险状态。不同年级之间没有差异,但男孩的发病率(31.0%)高于女孩(22.4%)。总体而言,其他太平洋岛民和夏威夷人的发病率最高(分别为 43.9% 和 37.4%),其次是多种族(27.1%)和菲律宾人(25.7%),白人的发病率最低(16.1%)。高危体重与各种并发症(包括性行为、营养、体育活动、心理健康、欺凌、酗酒和使用其他药物)之间的关系大多不显著(P>.05)。然而,试图减肥的男孩和女孩,以及每天有 3 小时以上屏幕时间(电视、视频或电脑游戏)的男孩,其体重处于危险状态的几率会增加(p 结论:青少年在性别和种族方面存在差异,因此单一的干预方法(一刀切)可能会适得其反。需要对体重管理干预措施的决定因素和机制进行更多研究。
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