Pay attention to the health and weight of young children, correctly understand and evaluate the body

"Chinese Resident Dietary Guide (2022)" shows that my country under the age of 6 and 6 to 17 years old and adolescents and adolescents reached 10.4%and 19.0%, respectively. This data means that every five children and teenagers have one ultra -heavy or obesity. If effective intervention measures are not taken, the detection rate of obesity in my country from 2030 will reach 6.0%, and the number of obesity children will increase to 6.64 million; The number of superb obesity children will increase to 49.48 million. This means that every 10 children and teenagers have 3 ultra -weight or obesity. Therefore, it is urgent to pay attention to the health of children and adolescents and super -weight obesity in children and adolescents.

The impact of obesity of children and adolescents on health is far -reaching. First, the influence is ultimately height. In recent years, studies have shown that obese children are 0.5 to 2 years older than normal age, which means that height growth will end in advance, and may affect its eventual height. The ultimate height of obese children is 0.57cm shorter than normal people. Second, damage joints and load -bearing parts. Due to the weight of the joints and bearing parts due to excessive weight, such as flat feet, internal knees, or spine bending, causing dysfunction of exercise system (bone development disorders or motion bone damage. Hidden penis, scrotal development and other reproductive systems; girls obese can cause girls' early sexual tide and breast development of the second sexual characteristics, which can also increase the risk of the onset of polycystic ovary syndrome. Fourth It can make the response and thinking slow, the movement is slow, and the limbs are difficult. Guangzhou has also conducted intelligence levels of 1090 primary and secondary school students and found that the intelligence level of overweight and obese children is significantly lower than that of non -overweight obesity children.焦虑等心理问题。肥胖对儿童青少年的身心健康产生诸多危害，不容忽视。主要表现为情绪易激、易分心、反应阈值低、自我意识受损、自我评价低、不合群、不快乐、不Satisfaction, poor social adaptability, etc. Six, the risk of chronic diseases after adulthood has increased significantly. 88%of obese children are still obese after adulthood. After 10 fat children grow up, 9 are still fat, only 1 thin. 65%of 65%. 65%. Obesity children will develop into III degree to obesity after adulthood (physical index ≥40 kg/m2).

How to diagnose children and adolescents to be overweight? The constitution index is called BMI, BMI (kg/m2) = weight (kg)/height (M2) is the most commonly used indicator and recognized standard for judging systemic obesity. The "Chinese Resident Dietary Guide (2022)" is recommended to use BMI as the preliminary screening indicator for general obesity. According to my country's health industry standards, the "School-age Children and Adolescents Obesity Screening" (WS/T 586-2018) are carried out for children's overweight obesity. "Screening for Obes and Obesity Children and Adolescents of Schools and Children" (stipulates that the screening method of overweight and obesity of young people and adolescents 6 to 18 years old in my country is suitable for 6-8 years old children and adolescents in all parts of our country. Check (see Table-1).

In addition, it is recommended to use waist circumference as the auxiliary screening of the central obesity. According to my country's health industry standard, the "7 ~ 18-year-old children's adolescent high-waist screening world value" (WS/T 611-2018) Table 2). According to the "Standards for the Health Industry of the People's Republic of China --- Public Health Monitoring Human Measurement Methods" (standard number WS/T 424-2013), the correct measurement method is to use the soft ruler, and the lower edge of the ribs of the bilateral armpits and the iliac crickets. The point position in the connection is the standard measurement position. Specific measurement method: The subject takes the standing position, and the eyes are calmed forward. They naturally breathe uniformly, relax on the abdomen, sagging their arms naturally, and both feet together (the legs are uniformly load). Lands, marked at the lower edge of the rib bow on the bilateral armpit and the midpoint of the iliac cavity connection. Gently stick the soft ruler to the skin, pass the bilateral marking point, surround the body for 1 week, and calm the reading. In CM as the unit, accurate to 0.1 cm. Repeat measurement once, the difference between the two measurements must not exceed 1cm, and take the average measurement of two measurements.

Table-16 to 18 years old, school-age children and adolescents.

The unit is kg/m2

Note: The National Health and Health Commission. The health industry standard of the People's Republic of China "Overweight and Obesity Screening", implemented on August 1, 2018.

Table-27-year-old children and adolescents P75 and P90 waist circumference values

The unit is centime

Note: Children and adolescents of different gender children are 75 percentage levels of waist circumference as high value of normal waist circumference for children and adolescents; 90th percentage levels as high waist circumference points for children and adolescents;

Edit: Liu Qian

Popular Science Hunan specially invited correspondent: Tang Hanfen Tan Yan, Health Education Propaganda Center, Hunan Province

Popular Science Hunan special expert: Tang Hanfen, chief physician of the Department of Nutrition Department of Xiangya Second Hospital of Central South University

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