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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >School-based obesity screening in rural Appalachia.
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School-based obesity screening in rural Appalachia.

机译：农村阿巴拉契亚地区的学校肥胖症筛查。

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BACKGROUND: Although identification of obesity during childhood is strongly recommended for the prevention of adult disease, access to obesity screening for children is almost exclusively through physicians' office visits. We examined the feasibility and utility of conducting a school-based obesity and cardiovascular disease (CVD) risk factor screening program in a rural Appalachian population. METHODS: Height, weight, blood pressure, total cholesterol (TC), and high-density lipoprotein (HDL) cholesterol were measured in 1338 fifth-grade children (631 boys and 707 girls) in 14 rural West Virginia counties in 2000-2001. RESULTS: We found a high prevalence of overweight (17.5%) and obesity (27.0%). Compared with non-overweight children, obese children had greater risk of high TC (OR 2.4), low HDL cholesterol (OR 5.3), high systolic blood pressure (OR 3.3), and high diastolic blood pressure (OR 2.4) (all OR >1.0, P < 0.05). Only 63% of obese and 26% of overweight children were identified by their physician as having a weight above recommended values. CONCLUSIONS: The high prevalence of obesity, the associated clustering of CVD risk factors, and the low obesity identification rate by physicians suggest that alternative approaches to obesity screening, such as universal school-based programs, may be warranted in high-risk communities.
机译：背景：尽管强烈建议在儿童期确定肥胖症以预防成人疾病，但是对儿童进行肥胖症筛查的途径几乎完全是通过医生的就诊。我们研究了在阿巴拉契亚农村人口中进行以学校为基础的肥胖和心血管疾病（CVD）危险因素筛查计划的可行性和实用性。方法：在2000年至2001年间，对西弗吉尼亚州14个县的1338名5年级儿童（631名男孩和707名女孩）的身高，体重，血压，总胆固醇（TC）和高密度脂蛋白（HDL）胆固醇进行了测量。结果：我们发现超重（17.5％）和肥胖（27.0％）的患病率很高。与非超重儿童相比，肥胖儿童患高TC（OR 2.4），低HDL胆固醇（OR 5.3），高收缩压（OR 3.3）和高舒张压（OR 2.4）的风险更大（所有OR> 1.0，P ＜0.05）。他们的医师仅将63％的肥胖儿童和26％的超重儿童确定为体重超过建议值。结论：肥胖的高发率，相关的CVD危险因素的聚集以及医师对肥胖的识别率低提示在高风险社区中，可能有必要采取其他肥胖筛查方法，例如以学校为基础的普及计划。

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