“中華誦20xx全國(guó)學(xué)生規(guī)范漢字(1)(已修改)
2025-01-24 09:07 本頁(yè)面
【正文】 Overweight Children Prevalence, Problems, and Solutions (?) David L. Gee, PhD FCSN 547 – Nutrition Update Summer 2022 Assessment of Overweight in Children ? 1997 Expert Panel ? The Maternal and Child Health Bureau, Health Resources and Services Administration, the Department of Health and Human Services ? PEDIATRICS Vol. 102 No. 3 September 1998, p. e29 ? Remends that BMI be routinely used to screen children for overweight ? Defined ? Overweight as a BMI for age over the 95th percentile ? Risk for overweight as a BMI for age between the 85th and 95th percentile Is a child?s BMI useful in predicting adult obesity? Note: in 19992022, 26% of 2039 yo were obese. Prevalence of Overweight Children in the US Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 19992022 19992022 A. Hedley et al. JAMA 2022。 291: 28472850 C. Ogden et al. JAMA 2022。 295: 15491555 Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 19992022 (20222022) ? NHANES ? 19992022 ? N=4115 adults ? N=4018 children ? 20222022 ? N=4390 adults ? N=4258 children ? Adult prevalence ? % overweight or obese (%) ? % obese (%) ? % extreme obese (BMI40) (%) Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 19992022 20222022 ? Children 619 yrs ? 31% at risk for overweight or overweight ? 611: % 1219: % ? 16% overweight ? At risk for overweight or overweight ? by age ? 25 = % (%) ? 611 = % (%) ? 1219 = % (%) Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 19992022 20222022 ? At risk for overweight or overweight ? by gender ? Boys = % (%) ? Girls = % (%) ? At risk for overweight or overweight ? By ethnicity ? White = % (%b, 27%g) ? %, %b, %g ? Black = % (31%b, 40%g) ? %, %b, %g ? MexicanAmerican = % (%b, %g) ? %, %b, %g Type 2 Diabetes in the Young The evolving epidemic (review article) Z. Bloomgarden Diabetes Care 2022 (Apr)。 27:9981010 Type 2 Diabetes in the Young The evolving epidemic Prevalence ? NHANES III (19881994) ? ~3000 subjects, 1219 yo ? IFG: per 1000 ? HbA1c6%: per 1000 ? Diabetes (all types): per 1000 ? Extrapolate: ~600,000 US adolescents with some degree of glycemic abnormality ? How many with Type 2 diabetes? Type 2 Diabetes in the Young The evolving epidemic Prevalence ? Sinha et al., NEJM 346:802810, 2022 ? 167 obese adolescents and children ? 4% prevalence of Type 2 DM ? All in Hispanic and black adolescents ? IGT ? 16% obese white ? 27% obese black ? 26% obese Hispanic ? (UK study found risk of Type 2 DM times greater in Asian than white children) Prevalence of T2 diabetes has increased significantly (23X) among Indian childre
教學(xué)課件相關(guān)推薦
鄂ICP備17016276號(hào)-1