Secular Trends in Prevalence and Risk Factors of Obesity in Infants and Preschool Children in 9 Chinese Cities, 1986–2006 英文参考文献.docVIP

SecularTrendsinPrevalenceandRiskFactorsofObesity inInfantsandPreschoolChildrenin9ChineseCities, 1986–2006 Xin-NanZong,HuiLi* DepartmentofGrowthandDevelopment,CapitalInstituteofPediatrics,Beijing,China Abstract Introduction: Noprevalence/trends werereported inChineseinfants andpreschoolchildren atthenationallevelinthis historical period of 1980s–2000s. The objectives of this paper were to present the 20-year trends in prevalence and risk factorsofobesityinchildrenbelow7years. Methods:Dataobtainedfromaseriesofthreesequentialnationalsurveysperformedusingthesamedesigninthesame9 citiesin1986,1996and2006.Weightandheight(length,3years)weremeasuredusingunifiedproceduresateachperiod. Obesity was defined as a weight-for-height $120% of median of the NCHS/WHO international reference. A population- basedpairedmatchingcase-controlstudywasemployedforscreeningriskfactors. Results:In1986,therewasnosubstantialobesityepidemic,buttheoverallobesityprevalencereached3.4%(boys4.1%and girls2.7%)in2006,risingby2.8timesbetween1986and2006.Reversedgenderdifference,relativelyhigherprevalencein preschool age and more rapid increase in the second 10-year were three very obvious characteristics in China, e.g. prevalenceofboys9.9%andgirls4.9%in2006andincreasingrateofboys0.45percentagepointsperyear(pp/y)andgirls 0.21pp/yat6–7yearsgroups,0.17pp/yofthesecond10-yearhigher1-foldthanprevious. Conclusions:Chinahasbeenmovingintothealarmingepidemicofchildhoodobesity.Effortshouldbeimmediatelymade topreventfurtherdeterioration.Highbirthweight,highparentalBMIandseveralbehavioralandfamily-relatedfactorswere identifiedandhadimportantpracticalvalueforobesityintervention. Citation:ZongX-N,LiH(2012)SecularTrendsinPrevalenceandRiskFactorsofObesityinInfantsandPreschoolChildrenin9ChineseCities,1986–2006.PLoS ONE7(10):e46942.doi:10.1371/journal.pone.0046942 Editor:ClaireThorne,UCLInstituteofChildHealth,UniversityCollegeLondon,UnitedKingdom ReceivedMay11,2012;AcceptedSeptember6,2012;PublishedOctober8,2012 Copyright:?