PMID- 27855292 OWN - NLM STAT- MEDLINE DCOM- 20171113 LR - 20171113 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 227 DP - 2017 Jan 15 TI - The current prevalence and regional disparities in general and central obesity among children and adolescents in Shandong, China. PG - 89-93 LID - S0167-5273(16)33595-1 [pii] LID - 10.1016/j.ijcard.2016.11.135 [doi] AB - BACKGROUND: Childhood obesity has increased dramatically during the past decades, both in developing and developed countries. The present study examined the prevalence and regional disparities in general and central obesity among children and adolescents in Shandong, China. METHODS: A total of 30,459 students (15,249 boys and 15,210 girls) aged 7-18years participated in the study. Height, weight and waist circumference (WC) of all subjects were measured, body mass index (BMI) and waist-to-height ratio (WHtR) were calculated. The BMI cutoff points recommended by the International Obesity Task Force (IOTF) were used to define general obesity. Central obesity was defined as WHtR>/=0.5. Both BMI and WHtR were used to define three types of obesity as follows: general obesity only, central obesity only and combined obesity. RESULTS: The overall prevalences of general obesity only, central obesity only and combined obesity were 10.99, 8.47 and 8.70% for boys and 9.47, 5.12 and 3.19% for girls, respectively. The sum of the prevalence of the three types of obesity was 28.16% for boys and 17.78% for girls, boys had higher prevalence of obesity than girls (P<0.01). Substantial urban-rural and regional disparities exist in childhood obesity, children and adolescents from urban, coastal and high socioeconomic status (SES) districts showed a higher prevalence of obesity than their counterparts from rural, inland and low SES districts (P<0.01). CONCLUSION: The widespread prevalence of obesity in children and adolescents has become an important public health concern. Results from this study also suggested that the additional measurement of WC (WHtR) is better than BMI alone to identify obese individuals, distinguishing the types of obesity and examining the prevalence of various types of obesity is useful in practice. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Zhang, Ying-Xiu AU - Zhang YX AD - Shandong Center for Disease Control and Prevention, Shandong University Institute of Preventive Medicine, Shandong, China. Electronic address: sdcdczyx@163.com. FAU - Wang, Zhao-Xia AU - Wang ZX AD - Yantai Center for Disease Control and Prevention, Shandong, China. FAU - Zhao, Jin-Shan AU - Zhao JS AD - Shandong Center for Disease Control and Prevention, Shandong University Institute of Preventive Medicine, Shandong, China. FAU - Chu, Zun-Hua AU - Chu ZH AD - Shandong Center for Disease Control and Prevention, Shandong University Institute of Preventive Medicine, Shandong, China. LA - eng PT - Journal Article DEP - 20161109 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 SB - IM MH - Adolescent MH - Child MH - China/epidemiology MH - Cross-Sectional Studies MH - Female MH - *Health Status Disparities MH - Humans MH - Male MH - Obesity/diagnosis/economics/epidemiology MH - Obesity, Abdominal/*diagnosis/economics/*epidemiology MH - Prevalence MH - *Rural Population MH - *Social Class MH - *Urban Population/trends MH - Waist Circumference/physiology OTO - NOTNLM OT - Adolescent OT - Body mass index OT - Prevalence OT - Regional disparity OT - Types of obesity OT - Waist-to-height ratio EDAT- 2016/11/18 06:00 MHDA- 2017/11/14 06:00 CRDT- 2016/11/18 06:00 PHST- 2016/08/22 00:00 [received] PHST- 2016/11/06 00:00 [accepted] PHST- 2016/11/18 06:00 [pubmed] PHST- 2017/11/14 06:00 [medline] PHST- 2016/11/18 06:00 [entrez] AID - S0167-5273(16)33595-1 [pii] AID - 10.1016/j.ijcard.2016.11.135 [doi] PST - ppublish SO - Int J Cardiol. 2017 Jan 15;227:89-93. doi: 10.1016/j.ijcard.2016.11.135. Epub 2016 Nov 9.