喀麦隆学龄儿童肥胖的10年变化:中枢性肥胖增加和年龄最高儿童肥胖水平升高的证据。

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM Journal of Obesity Pub Date : 2021-10-15 eCollection Date: 2021-01-01 DOI:10.1155/2021/6866911

Lifoter K Navti, Brice U S Foudjo

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引用次数: 3

摘要

目的:研究肥胖症测量指标的变化，并确定2010年至2020年间学龄儿童中与身高相关的过度肥胖患病率。方法:2010年(n = 1274)和2020年(n = 1550)对5-12岁城市学龄儿童进行两次横断面调查。人体测量采用标准程序。分析超重儿童BMI、腰围(WC)、腰高比(WHtR)及相应比例的变化，并根据设计变量(班级、学校类型)和年龄进行调整。根据身高z分数的四分位数和每个四分位数估计的过度肥胖患病率对儿童进行分类。结果:2010年至2020年间，调整后的平均BMI和WC分别增加了2.4%和3.3%。除BMI超重/肥胖外，中心性超重/肥胖(WC)患病率和WHtR≥0.5患病率分别增加了7.3% (x2 = 27.151, p < 0.001)和5.3% (x2 = 26.117, p < 0.001)。到2020年，中心性超重/肥胖(WC) (OR 2.8, 95% CI 2.0-3.6)和WHtR≥0.5 (OR 1.8, 95% CI 1.3-2.4)的过度肥胖几率显著增加，而BMI超重/肥胖(OR 1.3, 95% CI 0.8-1.7)没有增加。BMI超重/肥胖患病率从2010年的33%上升到2020年的51.5% (x2 = 19.198, p < 0.001)。同样，在身高z分数的第四个四分位数中，中心超重/肥胖(WC)的患病率从2010年的23.5%显著增加到2020年的42.4% (x2 = 18.733, p < 0.001)。结论:在过去十年中，中枢性超重/肥胖比BMI超重/肥胖增加得更多。身高与年龄之比较高的儿童往往会积累更多的脂肪。未来需要对儿童的肥胖水平和身高进行客观监测，以确定有针对性的干预和预防慢性疾病的人群。

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10-Year Changes in Adiposity in Cameroon School-Age Children: Evidence for Increasing Central Adiposity and Higher Adiposity Levels in Tallest-for-Age Children.

Objective: To examine changes in measures of adiposity and determine the prevalence of excess adiposity in relation to height in school children between 2010 and 2020.

Methods: 5-12-year-old urban school-age children participated in two cross-sectional surveys in 2010 (n = 1274) and 2020 (n = 1550). Standard procedures were used for anthropometric measurements. Changes in BMI, waist circumference (WC), and waist-to-height ratio (WHtR) and the corresponding proportions of children with excess adiposity were analyzed and adjusted for design variables (class and school type) and age. Children were classified according to quartiles of height z-score and prevalence of excess adiposity estimated across each quartile.

Results: There was a 2.4% and 3.3% increase in adjusted mean BMI and WC, respectively, between 2010 and 2020. The prevalence of central overweight/obesity (WC) and WHtR ≥ 0.5 increased by 7.3% (X ² = 27.151, p < 0.001) and 5.3% (X ² = 26.117, p < 0.001), respectively, between the two surveys except BMI overweight/obesity. The odds of excess adiposity significantly increased in 2020 for central overweight/obesity (WC) (OR 2.8, 95% CI 2.0-3.6) and WHtR ≥ 0.5 (OR 1.8, 95% CI 1.3-2.4) and not for BMI overweight/obesity (OR 1.3, 95% CI 0.8-1.7). The prevalence of BMI overweight/obesity significantly increased from 33% in 2010 to 51.5% in 2020 in the fourth quartile of height z-score (X ² = 19.198, p < 0.001). Similarly, the prevalence of central overweight/obesity (WC) significantly increased from 23.5% in 2010 to 42.4% in 2020 in the fourth quartile of height z-score (X ² = 18.733, p < 0.001).

Conclusion: Central overweight/obesity has increased more than BMI overweight/obesity over the last decade. Children with a higher height-for-age tend to accumulate more adiposity. Objective monitoring of adiposity levels and height of children is needed in future to identify groups for targeted intervention and prevention of chronic diseases.

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来源期刊

Journal of Obesity ENDOCRINOLOGY & METABOLISM-

CiteScore

7.50

自引率

3.00%

发文量

审稿时长

21 weeks

期刊介绍： Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.