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Secular trend in overweight and obesity prevalence among schoolchildren of the province of Alicante (Spain) during the last 10 years

机译:最近十年来西班牙阿利坎特省学童中超重和肥胖流行的长期趋势

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Introduction: Obesity in childhood has reached alarming proportions in Europe and United States. As this incidence has increased, so identification of consequences of obesity, including Type 2 diabetes (T2D), hy-perlipidemia, elevated blood pressure and cardiovascular disease. Objective: To analyse the prevalence and secular trend of obesity in schoolchildren of the province of Alicante (Spain) during the period 1993-2003 and to determine the serum concentration oflipids. Study design: Cross-sectional epidemiological study of a cohort of schoolchildren of the province of Alicante, aged 6-11 years (n=395,204 males and 190 females). Methods: Height and weight were measured using standard stadiometer and balance. Body mass index (BMI) was calculated as Kg/m2. Obesity and overweight were defined according to BMI values >97th percentile and >85th percentile, respectively, using as reference population the Spanish growth data provided by the enKid study (Spain) (1998-2000). We compared our results with the study (aged 6-11 yrs, n-271,107 males and 164 females) performed in 1993 in the same province. Serum levels of total cholesterol, triglycerides, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol were determined. Results: Prevalence of overweight increased significantly, during the last ten years, from 10% to 16.2%; prevalence of obesity from 4.6% to 14%. Children were found to have 5.6% higher total cholesterol and 5.7% higher triglycerides serum levels. Conclusion: The increase of prevalence of obesity entails a need to focus on primary prevention. Attempts to increase physical activity and nutritional education may provide a means to address this important public health problem.
机译:简介:在欧洲和美国,儿童肥胖已达到惊人的程度。随着发病率的增加,确定肥胖的后果,包括2型糖尿病(T2D),高血脂症,高血压和心血管疾病。目的:分析1993-2003年西班牙阿利坎特省学龄儿童的肥胖症患病率和长期趋势,并测定其血脂水平。研究设计:阿利坎特省年龄在6至11岁(n = 395,204男性和190女性)的一组学童的横断面流行病学研究。方法:使用标准测压仪和天平测量身高和体重。体重指数(BMI)计算为Kg / m2。肥胖和超重分别根据BMI值> 97%和> 85%进行定义,并使用enKid研究(西班牙)(1998-2000年)提供的西班牙增长数据作为参考人群。我们将我们的结果与1993年在同一省进行的研究(6-11岁,n-271,107男性和164女性)进行了比较。测定总胆固醇,甘油三酸酯,低密度脂蛋白胆固醇和高密度脂蛋白胆固醇的血清水平。结果:在过去十年中,超重的发生率显着增加,从10%增加到16.2%;肥胖的患病率从4.6%降至14%。发现儿童的总胆固醇高5.6%,甘油三酸酯血清水平高5.7%。结论:肥胖症患病率的增加需要将重点放在一级预防上。尝试增加体育锻炼和营养教育可能为解决这一重要的公共卫生问题提供一种手段。

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