四川医学2026,Vol.47Issue(3):307-312,6.DOI:10.16252/j.cnki.issn1004-0501-2026.03.012
南充市主城区6~18岁儿童青少年超重肥胖不同筛查标准比较
Comparison of Two Screening Criteria for Overweight and Obesity Among Children and Adolescents Aged 6 to 18 Years in the Main Urban Area of Nanchong
孙晓平 1曾晓敏 1李欣瑶 1徐巧 1罗世豪 1刘安东 1陈敏1
作者信息
- 1. 川北医学院附属医院内分泌科,四川南充 637000
- 折叠
摘要
Abstract
Objective To explore the prevalence and distribution characteristics of overweight and obesity among 6~18-year-old children and adolescents in the main urban area of Nanchong under different criteria,aiming to offer references for sub-sequent prevention and control efforts.Methods Through the application of the stratified cluster random sampling method,3505 primary and secondary school students from the main urban area of Nanchong(Shunqing,Jialing,and Gaoping)were selected for physical examinations and questionnaire surveys.Body mass index(BMI)and waist-to-height ratio(WHtR)were employed to screen for overweight and obesity.Results The overall detection rate of overweight and obesity screened by the BMI standard was 35.09%(18.43%for overweight and 16.66%for obesity),whereas that screened by the WHtR standard was 24.25%(6.96%for abdominal overweight and 17.29%for abdominal obesity).Under both criteria,the prevalence rates among boys in each grade were higher than those among girls with statistically significant differences(P<0.05).The detection rate of abdominal overweight and obesity among primary school students screened by the WHtR standard was higher than that among junior and senior high school students(P<0.05).The detection rate of abdominal overweight and obesity in Shunqing was higher than that in Jialing and Gaoping(P<0.05).There was no statistically significant difference in the detection rate of overweight and obesity among primary and secondary school students of different grades and districts screened by the BMI standard.The Kappa value comparing the BMI standard with the WHtR standard was 0.666,and for primary school boys,the Kappa value was 0.777,both indicating a high de-gree of consistency.Conclusion The situation regarding overweight/obesity and abdominal overweight/obesity among 6~18-year-old children and adolescents in the main urban area of Nanchong is not promising.It is imperative to attach great significance to this issue and implement corresponding prevention and control measures.关键词
儿童青少年/超重/肥胖/流行现况/标准Key words
children and adolescents/overweight/obesity/prevalence/standard分类
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孙晓平,曾晓敏,李欣瑶,徐巧,罗世豪,刘安东,陈敏..南充市主城区6~18岁儿童青少年超重肥胖不同筛查标准比较[J].四川医学,2026,47(3):307-312,6.