Global Prevalence of Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analysis

作者全名："Zhang, Xinyue; Liu, Jiaye; Ni, Yinyun; Yi, Cheng; Fang, Yiqiao; Ning, Qingyang; Shen, Bingbing; Zhang, Kaixiang; Liu, Yang; Yang, Lin; Li, Kewei; Liu, Yong; Huang, Rui; Li, Zhihui"

作者地址："[Zhang, Xinyue; Liu, Jiaye; Yi, Cheng; Fang, Yiqiao; Ning, Qingyang; Shen, Bingbing; Zhang, Kaixiang; Li, Zhihui] Sichuan Univ, Frontiers Sci Ctr Dis, Lab Thyroid & Parathyroid Dis, Div Thyroid Surg,Dept Gen Surg,West China Hosp, Chengdu, Peoples R China; [Zhang, Xinyue; Huang, Rui] Sichuan Univ, West China Hosp, Dept Nucl Med, Chengdu, Peoples R China; [Zhang, Xinyue; Liu, Jiaye; Ni, Yinyun; Yi, Cheng; Fang, Yiqiao; Ning, Qingyang; Shen, Bingbing; Zhang, Kaixiang; Li, Zhihui] Sichuan Univ, Frontiers Sci Ctr Dis, Ctr Precis Med, Dept Resp & Crit Care Med,Precis Med Key Lab Sichu, Chengdu, Peoples R China; [Liu, Jiaye] Sichuan Univ, Frontiers Med Ctr, Tianfu Jincheng Lab, Chengdu, Peoples R China; [Liu, Yang] Chongqing Med Univ, Affiliated Hosp 2, Dept Obstet & Gynecol, Chongqing, Peoples R China; [Yang, Lin] Chongqing Med Univ, Affiliated Hosp 1, Dept Gynecol, Chongqing, Peoples R China; [Li, Kewei] Sichuan Univ, West China Hosp, Dept Pediat, 37 Guoxue Alley, Chengdu 610000, Peoples R China; [Liu, Yong] Sichuan Univ, West China Hosp, Dept Gen Surg, Div Gastrointestinal Surg, Chengdu, Sichuan, Peoples R China; [Li, Zhihui] Sichuan Univ, West China Hosp, Dept Gen Surg, Div Thyroid Surg, 37 Guoxue Alley, Chengdu 610000, Peoples R China"

通信作者："Li, KW (通讯作者)，Sichuan Univ, West China Hosp, Dept Pediat, 37 Guoxue Alley, Chengdu 610000, Peoples R China.; Li, ZH (通讯作者)，Sichuan Univ, West China Hosp, Dept Gen Surg, Div Thyroid Surg, 37 Guoxue Alley, Chengdu 610000, Peoples R China."

来源：JAMA PEDIATRICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001247598300003

JCR分区：Q1

影响因子：26.1

年份：2024

卷号：178

期号：8

开始页：800

结束页：813

文献类型：Article

关键词：　

摘要："Importance Overweight and obesity in childhood and adolescence is a global health issue associated with adverse outcomes throughout the life course. Objective To estimate worldwide prevalence of overweight and obesity in children and adolescents from 2000 to 2023 and to assess potential risk factors for and comorbidities of obesity. Data Sources MEDLINE, Web of Science, Embase, and Cochrane. Study Selection The inclusion criteria were: (1) studies provided adequate information, (2) diagnosis based on body mass index cutoffs proposed by accepted references, (3) studies performed on general population between January 2000 and March 2023, (4) participants were younger than 18 years. Data Extraction and SynthesisThe current study was performed in accordance with the Meta-analysis of Observational Studies in Epidemiology guidelines. DerSimonian-Laird random-effects model with Free-Tukey double arcsine transformation was used for data analysis. Sensitivity analysis, meta-regression, and subgroup analysis of obesity among children and adolescents were conducted. Main Outcomes and Measures Prevalence of overweight and obesity among children and adolescents assessed by World Health Organization, International Obesity Task Force, the US Centers for Disease Control and Prevention, or other national references. Results A total of 2033 studies from 154 different countries or regions involving 45 890 555 individuals were included. The overall prevalence of obesity in children and adolescents was 8.5% (95% CI 8.2-8.8). We found that the prevalence varied across countries, ranging from 0.4% (Vanuatu) to 28.4% (Puerto Rico). Higher prevalence of obesity among children and adolescents was reported in countries with Human Development Index scores of 0.8 or greater and high-income countries or regions. Compared to 2000 to 2011, a 1.5-fold increase in the prevalence of obesity was observed in 2012 to 2023. Substantial differences in rates of obesity were noted when stratified by 11 risk factors. Children and adolescents with obesity had a high risk of depression and hypertension. The pooled estimates of overweight and excess weight in children and adolescents were 14.8% (95% CI 14.5-15.1) and 22.2% (95% CI 21.6-22.8), respectively. Conclusions and Relevance This study's findings indicated 1 of 5 children or adolescents experienced excess weight and that rates of excess weight varied by regional income and Human Development Index. Excess weight among children and adolescents was associated with a mix of inherent, behavioral, environmental, and sociocultural influences that need the attention and committed intervention of primary care professionals, clinicians, health authorities, and the general public."

基金机构：China Postdoctoral Science Foundation

基金资助正文：No Statement Available