Initiating BMI Prevalence Studies in Vietnamese Children: Changes in a Transitional Economy

越南孩童身體質量指數趨勢的研究：經濟變遷下的改變

Chinh-Van Dang ； R-Sue Day ； Beatrice Selwyn ； Yolanda Munoz Maldonado ； Khan-Cong Nguyen ； Tuyen-Danh Le ； Mai-Bach Le

《Asia Pacific Journal of Clinical Nutrition》 19卷2期 (2010/05) Pp. 209-216

https://doi.org/10.6133/apjcn.2010.19.2.08

摘要

背景：越南飲食型態與生活型態的快速改變，使得有必要注意越南孩童的體重、身高、身體質量指數的變化趨勢。目的：測定1992-2000年間的越南6-15歲學童的體重、身高及身體質量指數分層趨勢，參照其社經水平及城鄉差異。方法：使用越南居住標準調查（1992-1993）及全面營養調查（2000）的資料，為越南孩童的代表性樣本。身體質量指數的分層是使用國際肥胖特別工作組的準則，計算各資料庫及兩個資料庫匯總分析的孩童肥胖盛行率及趨勢。結果：在兩個調查間，孩童的平均體重、身高、身體質量指數有顯著的增加（各為2.1 kg、4 cm及0.28 kg/m^2）。身高增加的程度，鄉村的孩童大於都市的孩童；且身體質量指數的增加程度，鄉村的孩童小於都市孩童。結論：越南都市孩童過重的盛行率上升是個需要關注的問題，並需要經由政策上的改變來監控；而鄉村男孩體重過低的盛行率未改變也值得關注。需要一個整體國家的小學營養計畫來處理孩童的體重過低及過重的問題。

關鍵字

體重 ； 身高 ； 身體質量指數 ； 越南孩童 ； 體重過重

並列摘要

Background: Rapid changes in dietary patterns and lifestyles in Vietnam warrant monitoring trends of weight, height and body mass index (BMI) among children. Objective: To determine the trends of weight, height and BMI classification of Vietnamese children, 6-15 years of age, from 1992 to 2000 with reference to socioeconomic, urban and rural differences. Methods: Data in the Vietnam Living Standard Survey (1992-1993) and the General Nutrition Survey (2000) were collected from representative samples of children. Body mass index classification was determined using the International Obesity Task Force criteria to calculate the prevalence and trends in each survey, and in a pooled survey analysis. Results: Statistically significant increases were seen in children's mean weight, height and BMI between the two surveys: 2.1 kg for weight, 4 cm for height, and 0.28 kg/m^2 for BMI. Increases in height were greater in rural than urban areas, and BMI increases were smaller in rural than urban areas. Conclusions: The rising prevalence of children at risk of overweight in urban Vietnam is a concern that must be monitored to guide policy changes. The unchanging prevalence of rural underweight boys requires attention. A national nutrition program to address under- and overweight for children throughout primary school is needed.

並列關鍵字

weight ； height ； BMI ； Vietnamese children ； overweight