Prevalence of Obesity and its Comorbidities among Schoolchildren in Taiwan

臺灣地區學童肥胖及其相關合併正盛行率

Nain-Feng Chu ； Wen-Han Pan

《Asia Pacific Journal of Clinical Nutrition》 16卷S2期 (2007/07) Pp. 601-607

https://doi.org/10.6133/apjcn.2007.16.s2.12

摘要

本研究是以一代表性樣本，臺灣學童營養及健康調查來評估學童肥胖及其合併症盛行率，本調查是一分層多步驟抽樣調查。總計有2405名學童（男童1290名，女童1115名）參加本研究。男童過重及肥胖盛行率分別約為15.5％及14.7％；女童過重及肥胖盛行率分別為14.4％及9.1％。不同區域，男童肥胖盛行率最高地區為南部第三層（約23.3％），最低為山部地區（約4.3％）。女童肥胖盛行率最高為中部第三層區（約13.0％），最低為南部第三層抽樣地區（約2.6％）。肥胖學童的血壓、血三酸甘油酯、低密度脂蛋白膽固醇、尿酸及丙胺酸轉胺酶值等皆較正常體重學童為高，而高密度脂蛋白膽固醇值則較正常體重學童為低。肥胖及正常體重男童，其高血壓盛行率分別為12.9％比0.3％；血脂異常盛行率為31.4％比19.6％；肝功能指數異常盛行率為6.4％比0.8％。本研究發現，在臺灣約有三分之一男童及四分之一女童為體重過重或肥胖。更值得注意的是，肥胖或過重學童其肥胖相關合併症的盛行率也顯著的升高。

關鍵字

學童 ； 肥胖 ； 盛行率 ； 合併症 ； 臺灣

並列摘要

To evaluate the prevalence of obesity and its comorbidities among a representative sample of elementary schoolchildren in Taiwan, the Nutrition and Health Survey in Taiwan Elementary School Children used a stratified, multi-staged complex sampling scheme. In total 2,405 children (1,290 boys and 1,115 girls) were included. The prevalence of overweight and obesity was 15.5 and 14.7% in boys and 14.4 and 9.1% in girls. With respect to geographic differences, the prevalence of obesity for boys was highest in the southern area (23.3% for the 3^rd stratum) and lowest in the mountain area (4.3%). For girls, the prevalence of overweight and obesity was highest in the central area (13.0% for the 3rd stratum) and lowest in the southern area (2.6% for the 3^rd stratum). The obese children had higher mean levels of blood pressure, triglyceride, low density lipoprotein-cholesterol, uric acid and serum glutamic pyruvic transaminase, but lower level of high density lipoprotein-cholesterol when compared with the normal weight children. For obese and normal weight boys, the prevalence was 12.9 % vs. 0.3 % for high blood pressure, 31.4 % vs. 19.6 % for dyslipidemia, and 6.4 % vs. 0.8 % for abnormal serum glutamic pyruvic transaminase level. In conclusion, we found that about one third of the boys and one quarter of the girls were overweight and/or obesity in Taiwan. Furthermore, the prevalence of obesity-related comorbidities was significantly increased for obese and/or overweight elementary schoolchildren in the Taiwan area.

並列關鍵字

schoolchildren ； obesity ； prevalence ； comorbidities ； Taiwanese