中国2～18岁儿童青少年超重和肥胖筛查体重指数界值点的研究

目的 研究中国2～18岁儿童青少年超重、肥胖筛查体重指数(BMI)界值点.方法 在中国0～18岁儿童青少年BMI生长参照值的基础上,根据常用的超重、肥胖筛查界值点选择方法(与成年人界值点接轨法、百分位法或Z分值法),初步分别确定[BMI 24kg/m2 (BMI24)、28 kg/m2(BMI28)]、(P85、P95)和(Z1、Z2)三组界值点,通过对不同界值点进行差值和检出率比较,并与中国肥胖问题工作组(WGOC)和国际肥胖问题工作组(IOTF)的超重、肥胖界值点做对比分析,最后确定适宜界值点.结果 按照不同的超重、肥胖筛查BMI界值点选择方法获得三组界值点,不同界值点之间存在不同程度差异,但在超重合并肥胖检出率上差异相对较小.与WGOC相比,男章超重、肥胖及女童肥胖界值点非常接近,女童在8.5～15.5岁其超重界值点比WGOC标准低0.3～1.0 kg/m2,通过筛查"2004年北京市儿童代谢综合征调查"数据库,女童超重检出率比WGOC标准高约3.4%.结论 采用与成年人界值点接轨法(BMI24、BMI28)获得的中国2～18岁儿童青少年超重、肥胖筛查BMI界值点是适宜的,实现了在使用BMI指标上年龄的连贯性和筛查标准的一致性.     

Factors associated with overweight and obesity among Kuwaiti kindergarten children aged 3-5 years

The purpose of the study was to investigate factors associated with overweight and obesity among Kuwaiti children aged 3-5 years. A cross-sectional sample of 3473 pupils (1748 boys and 1725 girls) was selected for the study from kindergartens using a multi-stage random sampling technique. Overweight and obesity were defined as weight-for-height (W/H) > or = 90th-< 95th and > or = 95th centiles of the NCHS/CDC reference population, respectively. Questionnaires were used to obtain information about birth order, parents' education and occupation, family income, number of servants, eating habits, grandparents and number of persons living at home, number of siblings, socioeconomic status (SES), which was based on parents' education and occupation, family income, area of residence and number of servants. Weight and height were measured and the pupils' dental status was assessed. Factors that were found to be significantly associated with overweight and obesity were gender, age, region (governorate), parents' education, birth order, dental status, eating regular meals and SES. Factors that were significantly associated with overweight and obesity males were age, governorate eating regular meals, number of persons living at home and SES. Among females these factors were governorate, dental status, number of servants and SES. The logistic regression analysis showed that the same factors shared by both genders significantly contributed to the development of overweight and obesity except father's education. This study concludes that ecological factors play an important role in the development of overweight and obesity, especially those related to affluence; Kuwait has been undergoing modernization and increasing affluence and changes to sedentary lifestyle and increased food consumption may have contributed to changes in overweight and obesity among the children.     

Summer work and injury among middle school students, aged 10-14 years

Background: Little information exists on injury and factors associated with injury in working youth aged 10–14 years. Most studies do not involve children younger than 15.

Methods: A cross-sectional anonymous survey was administered to middle school students in five school districts and one large urban school in October 2001.

Results: Of the 3189 working middle school students who responded to the survey, the majority were employed in informal job settings, such as working for someone in a home, newspaper delivery, and working on family farms or in family businesses. Overall, 18% of children reported being injured at work. Of those injured, 26% reported that their injury was severe enough to affect their activities for more than three days. Variables that were associated with injury included having a "near-miss" incident at work (AOR 6.61, 95% CI 4.92 to 8.89), having a co-worker injured (AOR 2.65, 95% CI 1.95 to 3.60), and being asked to do something dangerous (AOR 2.25, 95% CI 1.61 to 3.14).

Conclusions: Children are working and being injured in jobs that are not covered by existing child labour laws. Injury rates in non-covered occupations are high, warranting review of current laws.

     

四川省绵阳市7~18岁儿童青少年超重肥胖流行现状分析

目的 了解四川省绵阳市7～18岁儿童青少年超重肥胖的流行现状,为制定预防控制儿童青少年超重肥胖的策略与措施提供科学依据。方法 采用多阶段分层整群随机抽样方法,抽取100 116名7～18岁儿童青少年作为研究对象,对其进行问卷调查与体格检查,以李辉制定的中国7～18岁学龄儿童超重肥胖筛查BMI界值点(kg/m2)标准作为划分超重、肥胖的标准。结果 绵阳市7～18岁儿童青少年超重率为14.24%,肥胖率为6.31%。男生、女生超重率分别为14.79%、13.68%,肥胖率分别为7.60%、4.99%,差异均有统计学意义(P<0.001)。7～9岁儿童超重、肥胖率最高,随着年龄增长有下降趋势(P<0.001)。涪城区、江油市儿童青少年超重率分别为15.77%、12.44%,肥胖率分别为7.63%、4.75%,差异均有统计学意义(P<0.001)。结论 绵阳市7～18岁儿童青少年超重和肥胖有较高的检出率,政府、学校及家庭应采取相关措施来应对儿童青少年的超重肥胖问题。     

中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准

目的 建立全国统一的学龄儿童、青少年超重、肥胖筛查体重指数(13MI)值分类标准。方法 以“2000年全国学生体质调研”为参照人群，共调查汉族7～18岁中小学生244200余人。比较中国儿童青少年BMl分布与美国国立卫生统计中心(NCHS)国际标准差距，计算随年龄BMI百分位数分布。利用P85、P90和P95组合成三个暂定标准，利用生理、血脂生化和体成分指标进行交叉验证。运用B-spline曲线对选定标准作平滑化拟合。结果 利用中国沿海发达大城市样本作BMI分布曲线有助克服青春中期后曲线的低平现象。交叉验证显示以P85和P95为超重、肥胖筛查标准较适宜，灵敏性和特异性符合要求。18岁时男女性：BMI均以24和28为超重，肥胖界值点，与已颁布实施的中国成人超重、肥胖筛查标准接轨。以北京、河南、四川等省(市)分别作为中国儿童青少年生长发育上、中、下水平的三个代表人群作回代验证。城市7～18岁男女生中，北京市超重率17．00％和9．46％，肥胖率9．99％和6．47％；河南省超重率10．86％和6．64％，肥胖率4．27％和3．07％；四川省超重率6．95％和4．23％，肥胖率2．84％和2．09％，符合现实状况。结论 本标准兼顾前瞻性和现实性，既充分考虑近年来中国学龄儿童青少年生长的长期加速趋势，显著缩短和国际标准的差距，又具有中国特色，体现东亚人群的种族特征，具较高的现实性，可在全国范围推广。     

中国6~17岁儿童青少年超重肥胖流行特征

目的 分析我国6~17岁儿童青少年超重肥胖流行情况,为制定肥胖防治策略提供科学依据。方法 利用"2010-2012年中国居民营养与健康状况监测"中6~17岁儿童青少年调查资料,分析我国儿童青少年超重肥胖现状。6岁儿童采用WHO 2007年推荐的分年龄性别BMI超重肥胖判定标准判定超重肥胖,7~17岁儿童青少年采用《中国学龄儿童青少年超重和肥胖预防与控制指南》中的分年龄、性别的BMI超重肥胖判定标准进行判定。结果 6~17岁儿童青少年超重率和肥胖率分别为9.6%和6.4%,其中城市儿童青少年超重率和肥胖率分别为11.0%（男生：12.8%,女生：9.0%）和7.7%（男生：9.7%,女生：5.5%）,农村儿童青少年超重率和肥胖率分别为8.4%（男生：9.3%,女生：7.4%）和5.2%（男生：6.2%,女生：4.1%）。按家庭经济收入水平分,高、中和低家庭收入儿童青少年的超重率分别为12.3%、10.7%和8.2%,肥胖率分别为8.6%、7.2%和5.7%。结论 2012年,我国6~17岁儿童青少年超重肥胖表现为城市高于农村,男生高于女生;患病率与家庭经济收入水平有关。     

天津市7～18岁儿童青少年体质量超标和肥胖流行现状调查

目的分析天津市7～18岁儿童青少年体质量超标和肥胖检出率及分布特征。方法采用分层整群随机抽样方法从天津市区以及周边县区选取5所中小学共2 351名学生,对其进行体格检查和问卷调查,分别采用中国肥胖问题工作组儿童青少年体质指数标准(WGOC标准)、美国国立卫生统计中心/美国疾病预防控制中心(NCHS/CDC)标准和国际肥胖工作组标准(IOTF标准)计算体质量超标和肥胖检出率。结果天津市7~18岁儿童青少年体质量超标和肥胖检出率分别为13.1%和13.5%(WGOC标准),13.0%和13.0%(NCHS/CDC标准),16.0%和11.2%(IOTF标准)。男性高于女性,城市高于农村。结论天津市约有1/4的7~18岁儿童青少年体质量超标或肥胖,居国内较高水平。     

北京市7～14岁儿童青少年身体活动能量消耗状况

目的 了解儿童青少年身体活动能量消耗特点及肥胖和体重正常儿童青少年能量代谢的差异,为制定合理运动指导方案提供科学依据.方法 使用Cortex便携式气体代谢仪,对从北京市某九年一贯制学校抽取的61名7～ 14岁儿童静息、写作业、慢走、慢跑进行能量消耗测定,根据性别和是否肥胖分为4组进行测试结果比较.结果 7 ～14岁体重正常男生、体重正常女生、肥胖男生和肥胖女生的静息能量消耗分别为(1.29±0.22),(1.23±0.14),(1.56±0.32),(1.26±0.24)kcal/min(1 kcal=4.18 kJ),肥胖男生高于体重正常男生和肥胖女生(P＜0.05).肥胖男生写作业、慢走和慢跑的能量消耗均高于体重正常男生,肥胖和体重正常女生差异均无统计学意义.结论 肥胖和体重正常儿童青少年身体活动能量消耗存在差异.肥胖干预工作应注重减轻课业负担,鼓励儿童多进行慢跑等能量消耗较高的运动.     

综合干预措施对哈尔滨市8~14岁中小学生超重肥胖的干预效果

探讨综合干预措施对哈尔滨市8~14岁中小学生超重肥胖的干预效果,为防控中小学生超重肥胖的流行提供依据.方法 采用分层整群随机抽样方法,选取哈尔滨市2个城区4所学校的830名中小学生开展为期1年的“学校—家庭”超重肥胖综合干预.结果 干预1年后,经配对t检验,干预组学生体质量指数(BMI)基线与干预后比较,差异有统计学意义(t=-3.17,P<0.01),对照组学生的差异无统计学意义(t=-1.67,P=0.10);干预组和对照组超重肥胖率(28.06%,29.30%)与干预前比较(29.98%,29.54%),差异均无统计学意义(P值均>0.05);干预组干预后,肥胖相关知识20项问题总正确率(87.95%)高于干预前(41.25%),健康饮食行为21项问题总正确率(74.66%)高于干预前(47.30%),健康运动行为4项问题总正确率(69.78%)高于干预前(34.17%),差异均有统计学意义(x2值分别为3 977.17,1 377.57,423.73,P值均<0.05).结论 “学校—家庭”超重肥胖综合干预取得了积极的效果,对缓解中小学生超重肥胖的发生可起到一定促进作用.     

2015年山东省6~18岁儿童青少年超重肥胖流行现况

目的 分析山东省学龄期儿童青少年超重肥胖流行现况,为儿童青少年肥胖防治策略和措施的制定提供基础数据。方法 利用2015年山东省中小学生体检数据,共纳入9 583 576名6~18岁儿童青少年。利用国内外四种儿童青少年超重肥胖标准分析山东省学龄期儿童超重肥胖性别、年龄、城乡分布特征,并比较国内标准与国外标准间的一致程度。结果 基于中国肥胖问题工作组(中国标准)、国际肥胖问题工作组(IOTF标准)、美国疾病预防控制中心(CDC标准)和世界卫生组织(WHO标准)推荐的儿童青少年超重肥胖体重指数(BMI)筛查标准,山东省6~18岁儿童青少年总体超重检出率分别为17.5%、16.6%、13.9%和17.6%,肥胖检出率分别为13.1%、7.2%、11.4%、10.8%。男生超重肥胖检出率高于女生,城市高于农村。在6~11岁年龄组随年龄增长超重肥胖检出率呈平稳上升趋势,12~18岁年龄组呈迅速下降趋势。中国标准与其他三种国际标准之间一致性较好,加权Kappa值分别为0.82(中国标准vs.CDC标准)、0.70(中国标准vs.IOTF标准)和0.83(中国标准vs.WHO标准)。结论 儿童青少年肥胖已成为山东省重要的公共卫生问题,需引起全社会的重点关注。     

Body mass index cutoffs for underweight, overweight, and obesity in South Korean schoolgirls

OBJECTIVES: To establish BMI percentiles and cutoffs for underweight, overweight, and obesity in South Korean schoolgirls. RESEARCH METHODS AND PROCEDURES: A total of 1229 South Korean schoolgirls aged 8 to 18 years were randomly selected to complete a self-administered questionnaire. BMI charts and cutoffs were constructed after analyzing data from 1107 subjects. Percentile curves were established by the modified LMS method. RESULTS: The percentiles for underweight, overweight, and obesity corresponding to BMI of 18.5, 23.0, and 25.0 kg/m2 at age 18 were the 13.0th percentile, the 77.8th percentile, and the 91.2nd percentile, respectively. The corresponding prevalences of underweight, overweight, and obesity were 12.1, 12.5, and 9.8%, respectively. DISCUSSION: We established for the first time, to our knowledge, new BMI cutoffs for ages 8 to 18 that corresponded to BMIs of 18.5, 23.0, and 25.0 kg/m2 for Asian adults designated by the International Obesity Task Force. These newly established BMI cutoffs might help to estimate the prevalence of overweight and obesity in Asian children.     

中国7~17岁儿童青少年宏量营养素摄入与超重肥胖的关系

目的  探讨7~17岁儿童青少年宏量营养素摄入与超重肥胖的关系。方法  1997—2011年基于“中国居民健康与营养调查”的6轮调查数据,纳入膳食及BMI数据完整的7~17岁儿童青少年为研究对象。依照中国肥胖问题工作组制定标准判定超重肥胖,采用Logistic回归分析模型分析宏量营养素摄入与儿童青少年超重肥胖的关系。结果  最终纳入6 360名研究对象,其中7~＜12岁儿童青少年3 529人(55.5%),男生3 360人(52.8%),超重肥胖1 060人(16.7%)。校正相关混杂因素后,与脂肪供能比 < 25%组相比,≥30%组增加20%肥胖风险(OR=1.20, 95% CI：1.03~1.41, P=0.023);与蛋白质供能比 < 10%组相比,≥15%组增加61%肥胖风险(OR=1.61, 95% CI：1.25~2.04, P < 0.001);与碳水化合物供能比 < 55%组相比,55%~ < 65%组降低20%肥胖风险(OR=0.80, 95% CI：0.68~0.95, P=0.011),≥65%组降低21%肥胖风险(OR=0.79, 95% CI：0.66~0.94, P=0.010);脂肪及蛋白质供能比越高、碳水化合物供能比越低,发生超重肥胖的风险越高(P < 0.05);男生摄入过量蛋白质更可能发生肥胖(P=0.034)。结论  儿童青少年摄入过量脂肪和蛋白质可增加超重肥胖发生风险。     

上海市中小学生超重肥胖行为影响因素研究

分析上海市中小学生超重或肥胖发生的行为影响因素,为有针对性地制定儿童青少年超重肥胖防控策略提供理论依据.方法 选取2014年中国学生体质与健康调研上海地区调研资料中9~18岁中小学生11 913名,调查项目包括形态指标和问卷调查,采用Logistic回归分析学生睡眠、饮食、体育锻炼及静态生活方式等因素对不同群体学生超重或肥胖的影响.结果 男生每天睡眠时间≥10 h的超重或肥胖检出率(36.7%)高于睡眠不足8h的学生(31.3%)(P<0.01).女生不吃早餐的群体(36.4%)高于天天都吃早餐的群体(17.6%)(P<0.05).小学生不喜欢上体育课(38.2%)高于喜欢上体育课的学生(30.8%)(P<0.01).初中每天玩游戏和计算机时间≥2h的学生(28.1%)高于<1h的学生(23.0%)(P<0.05).Logistic回归分析显示,不愿意参加长跑(OR=1.16,95%CI=1.05~ 1.27)、每天看电视时间≥1h(OR=1.22,95%CI=1.05~1.43)的学生群体发生超重或肥胖的风险较高.女生中吃早餐的学生发生超重或肥胖的风险下降(OR=0.33,95%CI=0.16~0.67).城区学生每天看电视时间≥1h(OR=1.36,95%CI=1.07~ 1.74)发生超重或肥胖的风险提高,郊区每天睡眠时间≥10 h(OR=2.0,95%CI=1.23 ~ 3.25)的学生发生超重或肥胖的风险增加.小学生每天玩电子游戏和计算机≥2h(OR=1.45,95%CI=1.01~2.08)发生超重或肥胖的风险提高.结论 2014年上海市中小学生超重或肥胖检出率与睡眠、饮食习惯、锻炼意愿和静态生活方式相关,且具有明显的群体性特征.     

Body fat percentages measured by dual-energy X-ray absorptiometry corresponding to recently recommended body mass index cutoffs for overweight and obesity in children and adolescents aged 3-18 y

BACKGROUND: Body mass index (BMI; in kg/m2) cutoffs for use with children and adolescents aged 2-18 y that correspond to the well-accepted BMI cutoffs for overweight (> or = 25 but < 30) and obesity (> or = 30) in adults were published recently. OBJECTIVE: The objective was to estimate the percentage body fat (%BF) values typically associated with these BMI cutoffs in children and adolescents. DESIGN: The %BF was measured by dual-energy X-ray absorptiometry in 661 subjects (49% male) aged 3-18 y. Regression equations using BMI, age, and sex were developed to predict the %BF associated with BMI cutoffs for overweight (age-specific BMI equivalent to a BMI of 25 in an 18-y-old) and obesity (age-specific BMI equivalent to a BMI of 30 in an 18-y-old) over this age range. RESULTS: Measurements classified 17.1% of males and 19.8% of females as overweight and 5.5% of males and 7.5% of females as obese. The %BF associated with an obese BMI tended to be higher in peripubertal males (34-36%) than in younger (24-30%) or older (27-30%) males. Although the predicted %BF of young females was similar to that of young males, values rose steadily with age, such that an 18-y-old female with a BMI of 30 had an estimated %BF of 42%, whereas that in males of similar age was 27%. CONCLUSION: The %BF values associated with BMI classifications of overweight and obesity vary considerably with age in growing children, particularly in girls.     

济南市城区6～17岁儿童青少年超重和肥胖流行现状

目的采用国内外儿童超重肥胖筛查标准描述济南市城区儿童青少年超重和肥胖流行现状,为政府和教育部门制定儿童肥胖干预策略提供基础数据。方法数据来源于2012年9月-2014年9月开展的"十二五"国家科技支撑计划项目"儿童心血管疾病预警、诊治技术研究"分课题济南调查点。共纳入济南市城区7 840名6~17岁儿童青少年。使用中国标准、美国疾病预防控制中心(CDC)标准、国际肥胖问题工作组(IOTF)标准和世界卫生组织(WHO)标准描述济南市城区学龄儿童超重肥胖流行现状,并计算加权kappa值(kw)比较中国标准与国际标准之间的一致性。结果采用4种BMI筛查标准,济南市城区6~17岁儿童青少年超重率分别为21.0%(中国标准)、17.2%(CDC标准)、21.0%(IOTF标准)和22.1%(WHO标准),肥胖率分别为19.9%(中国标准)、17.4%(CDC标准)、12.4%(IOTF标准)和18.6%(WHO标准)。无论采用何种标准,男生肥胖率显著高于女生,6~11岁组肥胖率显著高于12~17岁组。中国标准与三种国际标准即CDC、IOTF和WHO标准之间的一致性很好,kw值分别为0.88、0.80和0.91。结论济南市城区6~17岁儿童青少年超重肥胖流行现状严峻,主要集中在男童和6~11岁儿童,提示相关部门应尽早采取干预措施。     

Factors associated with overweight and obesity among Kuwaiti kindergarten female teachers

Levels of overweight and obesity among Kuwaiti women are high, and the objective of this study was to explore factors that may be responsible. A sample of 461 Kuwaiti kindergarten female teachers was studied; weight and height were measured, and the classification of overweight or obese taken as having a Body Mass Index of 25-30 or >30, respectively. This revealed that 41.2 and 19.7% of the teachers were overweight or obese, respectively. Factors found to be significantly associated with overweight and obesity among the teachers included age, marital status, parents living at home, subjects' parental obesity, number of obese relatives, exercise, last dental check-up and dental status.     

儿童青少年体质指数与心肺功能关系

目的分析安徽省城乡男女儿童青少年体质指数（BMI）与年龄变化特征，探讨儿童青少年心肺功能指标与BMI的相关性。方法以安徽省参加2005年全国学生体质与健康调研的9000名学生为研究对象，通过两样本t检验分析各年龄组间BMI的性别差异和城乡差异；比较肺活量、肺活量指数、舒张压、收缩压和脉搏Z分在各个BMI—Z分组间的分布特征。分析心肺功能指标Z分与BMI—Z分的相关性。结果6～22岁城乡男女BMI随年龄增加呈现一致平稳增长趋势，BMI的性别差异较城乡差异明显；肺活量、舒张压和收缩压Z分与BMI—Z分均呈较强的正相关（P=0．000），肺活量指数Z分与BMI—Z分呈负相关（P=0．000）。脉搏的Z分与BMI—Z分的相关性较弱（r=0．006，P=0．552）。结论不同性别儿童青少年BMI在青春期有交叉现象，高年龄青少年BMI城乡差异小；随BMI增加，儿童青少年肺活量指数下降，收缩压和舒张压上升，需要及早监测较高BMI儿童青少年的心肺功能。     

成都市2144名中小学生超重肥胖现状分析

分析成都市7~15岁学龄儿童青少年超重肥胖现状,为预测该地区超重肥胖发展趋势提供依据.方法 采用分层整群抽样法,共获得成都市中、小学各2所7~15岁儿童青少年有效数据2 144份.测量儿童青少年的身高、体重,计算体质量指数(BMI).分别采用中国肥胖问题工作组(WGOC)推荐的“中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准”以及国际肥胖工作组(IOTF)推荐的“儿童青少年超重肥胖筛查标准”评价超重和肥胖.结果 根据WGOC标准和IOTF标准,成都市7~15岁儿童青少年的超重率和肥胖率分别为10.68%,12.92%和6.53%,3.17%.不同性别学生超重率差异无统计学意义,男生肥胖率高于女生(P<0.05);男生超重率和肥胖率最高的年龄段分别为10~12岁和7~9岁,而女生超重率和肥胖率最高的年龄段均为10~12岁.结论 成都地区儿童青少年的肥胖问题男生较女生更为严重,且超重和肥胖出现低龄化.     

唐山市45～64岁城乡居民超重肥胖流行现状调查

目的 了解河北省唐山市45 ～ 64岁城乡居民肥胖流行现状,为采取干预措施提供参考依据.方法 采用随机整群抽样方法对在河北省唐山市14个县(市)区抽取的5 759名45 ～64岁城乡居民进行问卷调查和体格检查.结果 按WHO成人体质指数(BMI)分类标准,唐山市城乡居民超重率、超重/肥胖率、肥胖率分别为44.0％、12.3％、56.3％,男性和女性居民分别为41.3％和45.5％、50.0％和59.7％、8.7％和14.2％,男性居民超重率、超重/肥胖率和肥胖率均低于女性居民(P＜0.01);按中国成人超重和肥胖症预防控制指南,唐山市城乡居民超重率、肥胖率、超重/肥胖率、中心性肥胖率分别为43.3％、24.8％、68.1％、73.5％,男性和女性居民分别为44.6％和42.5％、18.6％和28.2％、63.2％和70.7％、65.2％和77.9％,男性居民肥胖率、超重/肥胖率和中心性肥胖率均低于女性居民(P＝0.000),男性和女性居民超重率间差异无统计学意义(P＞0.05);按中国成人血脂异常防治指南推荐标准,中心性肥胖率为54.1％,男性居民中心性肥胖率为48.1％,低于女性居民的57.3％,差异有统计学意义(x2＝ 44.59,P＝0.000);按WHO成人BMI分类标准,不同年龄男性居民和不同文化程度女性居民肥胖率均不同(P＜0.05);按中国成人超重和肥胖症预防控制指南,不同年龄、文化程度男性居民和不同文化程度女性居民肥胖率均不同(P＜0.05),不同文化程度、地区男性居民和不同年龄、文化程度、地区女性居民中心性肥胖率均不同(P＜0.05);按中国成人血脂异常防治指南推荐标准,不同年龄、文化程度、地区男性和女性居民中心性肥胖率均不同(P＜0.05).结论 唐山市45 ～ 64岁城乡居民超重和肥胖率较高,女性居民超重/肥胖率、肥胖率和中心性肥胖率均高于男性居民