福建省第二次7岁以下儿童单纯性肥胖症患病率调查

目的:了解福建省7岁以下儿童单纯性肥胖症患病率情况,为卫生行政部门制定干预措施提供依据。方法:采取整群分层抽样方法,在9个流调点共调查0~7岁儿童8 058人,身高别体重按照WHO/NCHS标准认为超过标准20%为肥胖。结果:该次调查7岁以下儿童发现单纯性肥胖519人,检出率6.4%。其中轻、中、重度肥胖分别占4.4%、1.7%、0.3%,以轻度肥胖为主。9个不同流调点单纯性肥胖症患病率各不相同,轻度肥胖症以福州最高,达7.0%,其次是厦门6.3%,福安、芗城、惠安中等,将乐、仙游、连城较低,在0.8%~3.2%之间,将乐最低;不同地区中城市最高(8.7%),沿海中等(5.0%),山区最低(4.7%)。按年龄分组,0岁~组检出率最高,达18.9%,其次是6月组,达5.8%,12个月后开始下降,2~4岁在4%左右,5岁明显上升,达6.1%,6~7岁高达8.0%。结论:福建省7岁以下儿童单纯性肥胖症患病率高,有效防治单纯肥胖症是目前儿童保健工作的重要任务。干预重点首先是城市,干预年龄段为<6个月和5~7岁儿童。

The second investigation on prevalence of simple obesity in children under 7 years old in Fujian

Objective:To understand the prevalence of simple obesity in children under 7 years old in Fujian,provide a basis for health administrative departments to make intervention measures.Methods:Stratified cluster sampling method was adopted to survey 8 058 children aged 0～7 years old in 9 epidemiological investigation places,according to weight for height WHO/NCHS standards,over than 20% was obese.Results:519 children under 7 years old were obese,the detection rate was 6.4%;the proportions of mild,moderate and severe obesity were 4.4%,1.7% and 0.3%,respectively,the prevalence of mild obesity was the highest;the prevalence of obesity varied among 9 epidemiological investigation places,the prevalence of mild obesity in Fuzhou was the highest(7.0%),followed by Xiamen(6.3%),the incidences of mild obesity in Fuan,Xiangcheng and Huian were moderate,the incidences of mild obesity in Jiangle,Xianyou and Liancheng were low,accounting for 0.8%~3.2%,the prevalence of mild obesity in Jiangle was the lowest;among different regions,the incidence of obesity in cities was the highest(8.7%),followed by coastal areas(5.0%) and mountainous areas(4.7%);the detection rate of obesity in 0～6-month group was the highest(18.9%),followed by 6-month group(5.8%),then the detection rate decreased at 12 months,the detection rate in 2~4-year group was 4%,increased significantly at 5 years(6.1%),the detection rate in 6~7-year group was up to 8%.Conclusion:The prevalence of simple obesity in children under 7 years old in Fujian is high,preventing and treating simple obesity effectively are important tasks of children' health care;the key point is city,the age groups of intervention are the children less than 6 months and the children aged 5~7 years old.