Song Y, Yan X J, Zhang J S, Ma N, Liu Y F, Hu P J, Ma J
Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 May 10;42(5):801-806. doi: 10.3760/cma.j.cn112338-20200804-01014.
To analyze the gender difference in secular trends of body height in Chinese Han adolescents aged 18 years from 1985 to 2014. Data were extracted from 1985, 1995, 2000, 2005, 2010 and 2014 Chinese National Surveys in Students' Constitution and Health. A total of 124 099 Chinese Han adolescents aged 18 years were included in the analysis. ANOVA test was used to compare the body height between different subgroups stratified by gender and the mean difference and ratio in body height were calculated. Quantile regression model was used to assess the association between body height and gender over time in the adolescents stratified by region or area. The mean body height of adolescents aged 18 years increased significantly from 1985 to 2014 with the rate of 1.3 cm/decade in male adolescents and 0.8 cm/decade in female adolescents, and the highest increment occurred from 1995 to 2005 in both groups. Male adolescents were taller than female adolescents at each subgroup (<0.05). Gender difference in body height increased from 11.1 cm in 1985 to 12.6 cm in 2014 and ratio remained to be 1.07-1.08. The body height was taller in adolescents in urban area than in rural area (<0.05) and in northeastern China than in other regions (<0.05) in both male and female adolescents. The body height of obese male adolescents had been taller since 2000 and the body height of obese female adolescents had been taller since 2010 than other groups. When adjusted for urban-rural areas, region, socioeconomic status and nutritional status, the body height increased over time at , , , and in both male and female adolescents, and the increments of gender difference in body height at different percentile ranged from 0.45 cm/decade to 0.57 cm/decade. When stratified by region, the gender difference in body height showed similar trend with total sample except and in northeastern China, the difference of increments were not significant. From 1985 to 2014, the gender difference in body height of Chinese Han adolescents aged 18 years increased, and male adolescents showed greater increase than female adolescents. Moreover, the adolescents in northeastern and eastern China had larger increment in body height. It is necessary to paid more attention to the adolescents in central and western China to promote their physical development.
分析1985年至2014年18岁中国汉族青少年身高的长期趋势中的性别差异。数据来自1985年、1995年、2000年、2005年、2010年和2014年中国学生体质与健康全国调查。分析共纳入124099名18岁的中国汉族青少年。采用方差分析检验比较按性别分层的不同亚组之间的身高,并计算身高的平均差异和比值。采用分位数回归模型评估按地区或区域分层的青少年身高与性别随时间的关联。1985年至2014年,18岁青少年的平均身高显著增加,男性青少年的增长速度为1.3厘米/十年,女性青少年为0.8厘米/十年,两组在1995年至2005年期间增长幅度最大。在每个亚组中,男性青少年均高于女性青少年(P<0.05)。身高的性别差异从1985年的11.1厘米增加到2014年的12.6厘米,比值保持在1.07 - 1.08之间。城市地区青少年的身高高于农村地区(P<0.05),中国东北地区青少年的身高高于其他地区(P<0.05),男女青少年均如此。2000年以来肥胖男性青少年的身高高于其他组,2010年以来肥胖女性青少年的身高高于其他组。在调整城乡地区、地区、社会经济地位和营养状况后,男女青少年的身高均随时间增加,在不同百分位数处身高性别差异的增加幅度为0.45厘米/十年至0.57厘米/十年。按地区分层时,除中国东北地区的某些亚组外,身高的性别差异与总样本呈现相似趋势,增加幅度差异不显著。1985年至2014年,18岁中国汉族青少年身高的性别差异增加,男性青少年的增幅大于女性青少年。此外,中国东北和东部地区青少年的身高增幅更大。有必要更加关注中国中西部地区的青少年,以促进他们的身体发育。