高级检索
周婷, 王婉宜, 孙晓蒙, 刘元元. 中国7~18岁儿童青少年超重肥胖危险因素meta分析[J]. 中国公共卫生, 2016, 32(10): 1444-1448. DOI: 10.11847/zgggws2016-32-10-39
引用本文: 周婷, 王婉宜, 孙晓蒙, 刘元元. 中国7~18岁儿童青少年超重肥胖危险因素meta分析[J]. 中国公共卫生, 2016, 32(10): 1444-1448. DOI: 10.11847/zgggws2016-32-10-39
ZHOU Ting, WANG Wan-yi, SUN Xiao-meng.et al, . Risk factors of overweight/obesity in Chinese child aged 7-18: a meta-analysis[J]. Chinese Journal of Public Health, 2016, 32(10): 1444-1448. DOI: 10.11847/zgggws2016-32-10-39
Citation: ZHOU Ting, WANG Wan-yi, SUN Xiao-meng.et al, . Risk factors of overweight/obesity in Chinese child aged 7-18: a meta-analysis[J]. Chinese Journal of Public Health, 2016, 32(10): 1444-1448. DOI: 10.11847/zgggws2016-32-10-39

中国7~18岁儿童青少年超重肥胖危险因素meta分析

Risk factors of overweight/obesity in Chinese child aged 7-18: a meta-analysis

  • 摘要: 目的 探讨中国7~18岁儿童青少年超重肥胖的危险因素,为控制儿童青少年时期超重肥胖提供参考依据。方法 检索中国生物医学文献数据库(CBM)、中国学术文献总库(CNKI)、维普中文科技期刊数据库(VIP)、万方数据库、Pubmed数据库、Medline数据库和Embase数据库,并辅以手工检索和文献追溯法收集2003年1月-2016年4月公开发表的关于中国7~18岁儿童青少年超重肥胖影响因素的相关文献;应用RevMan 4.4.2统计软件对纳入的文献进行meta分析。结果 男性、居住在城镇、出生体重较大、父母超重、静息时间较长和睡眠时间不充足是中国7~18岁儿童青少年超重肥胖的主要危险因素。结论 最终纳入23篇中英文文献(中文文献13篇,英文文献10篇),累计病例组儿童青少年22 909例,对照组儿童青少年103 654人;meta分析结果显示,男性(OR=1.92,95%CI=1.69~2.18)、居住在城镇(OR=1.68,95%CI=1.28~2.21)、出生体重≥4 kg(OR=1.98,95%CI=1.31~2.99)、父亲体质指数≥25 kg/m2OR=1.84,95%CI=1.61~2.10)、母亲体质指数≥25 kg/m2OR=2.28,95%CI=1.82~2.84)、静息时间2 h/d(OR=1.55,95%CI=1.30~1.85)和睡眠时间不充足(OR=1.47,95%CI=1.27~1.69)是中国7~18岁儿童青少年超重肥胖的危险因素;敏感性分析和发表偏倚评估结果均显示,纳入的文献不存在发表偏倚,结果较为可靠。

     

    Abstract: Objective To explore risk factors of overweight/obesity in Chinese children aged 7 to 18 years and to provide references for intervention on overweight/obesity among the children.Methods A systematic search for literatures on risk factors of overweight/obesity in Chinese children aged 7-18 years published from January 2003 to April 2016 was conducted throuhg seven electronic databases (including China Biological Medicine,China National Knowledge Infrastructure,Chongqing VIP Database,WanFang Database,Pubmed,Medline,and Excerpta Medica Database) and the search was supplemented with manual retrieval.A meta-analysis was performed adopting RevMan 4.4.2.Results Totally 23 studies (13 published in Chinese and 10 in English) involving 126 563 participants (22 909 cases and 103654 controls) were included in the analysis.The results revealed that male gender (odds ratioOR=1.92,95% confidence interval95%CI=1.69-2.18),residing in urban area (OR=1.68,95%CI=1.28-2.21),with a birth weight higher than 4 kilograms (OR=1.98,95%CI=1.31-2.99),maternal overweight (OR=2.28,95%CI=1.82-2.84),paternal overweight (OR=1.84,95%Cl=1.61,2.10),having sedentary behavior of longer than one hour perday (OR=1.55,95%CI=1.30-1.85),and inadequate sleep duration (OR=1.47,95%CI=1.27-1.69)were associated with overweight/obesity among the children.Sensitivity analysis and bias estimation showed no publication bias for the studies included and the results were reliable.Conclusion Being a boy,residing in urban area,having an overweight father and/or mother,sedentary behavior,and inadequate sleep duration are main influencing factors of overweight and obesity among Chinese children aged 7 to 18 years.

     

/

返回文章
返回