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Prevalence of obesity amongst Chinese populations revisited

机译：重新审视中国人群中的肥胖症患病率

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As in Western populations, the prevalence of obesity has been increasing rapidly in Chinese populations in recent years, but if the same criteria to define obesity are used, it is still much less common in Chinese than in Caucasians. For BMI greater or equal to 30 kg/m2, recent estimates suggest the prevalence ranges from 3 to 6% in different adult Chinese populations compared with figures of approximately 33% in the USA. However, it is generally accepted that the Chinese and other Asian populations have a greater amount of body fat than Caucasians at the same level of BMI or waist circumference, and that the prevalence of metabolic risk factors for cardiovascular disease and cardiovascular events start to increase at lower values of the obesity indices in Asians compared with Western people. Therefore, lower cut-off criteria have been proposed to define obesity in Chinese populations and if the cut-off value for BMI greater than or equal to 25 kg/m2 is adopted, the overall prevalence of obesity in Chinese adults is approximately 21.8% in mainland China, 21.0% in Hong Kong, 25.1% in Taiwan and 27.8% in Singapore. In China, obesity is more common in the North than the South and, as in most other countries, it is more common in urban rather than rural communities. This rapid increase in obesity along with diabetes and the associated risk factors is likely to fuel a major increase in cardiovascular disease in Chinese populations in the very near future with major public health and economic consequences.
机译：与西方人群一样，近年来，肥胖症的患病率在中国人群中迅速增加，但是如果使用相同的定义肥胖症的标准，那么与白种人相比，中国人的肥胖症患病率仍然要低得多。对于BMI大于或等于30 kg / m2的人群，最近的估计表明，在不同的中国成年人群中，其患病率在3％至6％之间，而在美国，这一数字约为33％。但是，普遍认为，在相同的BMI或腰围水平下，中国人和其他亚洲人的身体脂肪含量比白种人高，而心血管疾病和心血管事件的代谢危险因素的患病率从与西方人相比，亚洲人的肥胖指数值更低。因此，已经提出了较低的临界值来定义中国人群的肥胖，如果采用BMI的临界值大于或等于25 kg / m2，则中国成年人中肥胖的总体患病率约为21.8％。中国大陆，香港21.0％，台湾25.1％和新加坡27.8％。在中国，肥胖症在北方比南方更普遍，并且像在其他大多数国家一样，肥胖症在城市而不是农村地区更为普遍。肥胖症以及糖尿病和相关危险因素的迅速增加可能会在不久的将来助长中国人群心血管疾病的严重增加，并给公众健康和经济带来重大影响。

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  • 来源
    《Future Lipidology》 |2008年第2期|p.139-152|共14页
  • 作者

    Brian Tomlinson‌† Han Bing Deng‌ G Neil Thomas‌;

  • 作者单位

    Prince of Wales Hospital, Division of Clinical Pharmacology, Department of Medicine & Therapeutics, Shatin, Hong Kong, China. btomlinson@cuhk.edu.hk The Chinese University of Hong Kong, Department of Medicine & Therapeutics, Hong Kong, ChinaUniversity of Birmingham, Department of Public Health & Epidemiology, Birmingham, UK†Author for correspondence;

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    Prevalence of obesity;

    机译：肥胖患病率;

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