中国儿童肥胖的评估、治疗和预防指南（第二版）

doi:10.12114/j.issn.1007-9572.2026.0076

中国全科医学 ›› 2026, Vol. 29 ›› Issue (23): 3233-3252.DOI: 10.12114/j.issn.1007-9572.2026.0076

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中国儿童肥胖的评估、治疗和预防指南（第二版）

《中国儿童肥胖的评估、治疗和预防指南》专家组, 中国妇幼健康研究会妇女儿童肥胖控制专业委员会

收稿日期:2026-05-22 修回日期:2026-06-09 出版日期:2026-08-15 发布日期:2026-07-03
（其余参考文献请扫描文章首页二维码查看）
基金资助:
北京协和医院中央高水平医院临床科研专项(2025-PUMCH-C-041)

Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China (Second Edition)

Expert Group on Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China, Professional Committee on Obesity Control in Women and Children, China Maternal and Child Health Research Association

Received:2026-05-22 Revised:2026-06-09 Published:2026-08-15 Online:2026-07-03

摘要/Abstract

摘要： 儿童肥胖已成为我国严峻的公共卫生问题。为规范儿童肥胖的评估、治疗与预防，《中国儿童肥胖的评估、治疗和预防指南》专家组在2021年第一版《中国儿童肥胖的评估、治疗和预防指南》的基础上更新发布了《中国儿童肥胖的评估、治疗和预防指南（第二版）》（以下简称本指南）。本指南采用推荐分级的评估、制定与评价（GRADE）方法系统评价证据质量，整合已发表的系统评价及独立研究证据，针对我国儿童肥胖现状形成了评估、治疗与预防的循证推荐意见。主要内容包括：推荐采用分层、分型筛查策略，及早识别肥胖及并发症；强调以家庭为中心的生活方式干预作为治疗的基石；严格限制减重药物在儿童青少年中的应用；对于生活方式干预和/或药物治疗失败的重度肥胖青少年，经多学科评估后可谨慎考虑手术治疗。

关键词: 儿童, 青少年, 肥胖, 评估, 治疗, 预防, 指南

Abstract:

Childhood obesity has become a major public health concern in China. To standardize the assessment, treatment, and prevention of childhood obesity, the Expert Group on Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China updated the first edition published in 2021 and developed the Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China (Second Edition) (hereinafter referred to as the guideline). The guideline applies the GRADE approach to systematically assess the quality of evidence and integrates evidence from published systematic reviews and individual studies to formulate evidence-based recommendations tailored to the current situation of children and adolescents obesity in China. The main recommendations include adopting a stratified and phenotype-based screening strategy to facilitate the early identification of obesity and related complications; emphasizing family-centered lifestyle intervention as the cornerstone of treatment; strictly restricting the use of weight-loss medications in children and adolescents; and cautiously considering bariatric surgery, following multidisciplinary evaluation, for adolescents with severe obesity who fail to respond adequately to lifestyle intervention and/or pharmacotherapy.

Key words: Children, Adolescents, Obesity, Evaluation, Treatment, Prevention, Guideline

中图分类号:

R 179

《中国儿童肥胖的评估、治疗和预防指南》专家组,中国妇幼健康研究会妇女儿童肥胖控制专业委员会. 中国儿童肥胖的评估、治疗和预防指南（第二版）[J]. 中国全科医学, 2026, 29(23): 3233-3252. DOI: 10.12114/j.issn.1007-9572.2026.0076.
Expert Group on Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China,Professional Committee on Obesity Control in Women and Children, China Maternal and Child Health Research Association. Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China (Second Edition)[J]. Chinese General Practice, 2026, 29(23): 3233-3252. DOI: 10.12114/j.issn.1007-9572.2026.0076.

图/表 1

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分类	等级	具体含义
证据质量	高（⊕⊕⊕⊕）	对效应估计值有充分信心，真实效应值接近效应估计值
	中（⊕⊕⊕○）	对效应估计值有中等程度信心，真实效应值可能接近效应估计值，但仍存在较大差异的可能
	低（⊕⊕○○）	对效应估计值信心有限，真实效应值可能与效应估计值存在较大差异
	极低（⊕○○○）	对效应估计值几乎没有信心，真实效应值很可能与效应估计值存在较大差异
推荐强度	强推荐（1）	获益明确大于风险或不利影响，或风险明显大于获益
	弱推荐（2）	获益与风险之间的平衡尚不确定，或不同人群和实践情境下可能存在不同选择

分类	等级	具体含义
证据质量	高（⊕⊕⊕⊕）	对效应估计值有充分信心，真实效应值接近效应估计值
	中（⊕⊕⊕○）	对效应估计值有中等程度信心，真实效应值可能接近效应估计值，但仍存在较大差异的可能
	低（⊕⊕○○）	对效应估计值信心有限，真实效应值可能与效应估计值存在较大差异
	极低（⊕○○○）	对效应估计值几乎没有信心，真实效应值很可能与效应估计值存在较大差异
推荐强度	强推荐（1）	获益明确大于风险或不利影响，或风险明显大于获益
	弱推荐（2）	获益与风险之间的平衡尚不确定，或不同人群和实践情境下可能存在不同选择

中国儿童肥胖的评估、治疗和预防指南（第二版）

Guidelines for the Assessment, Treatment, and Prevention of Childhood Obesity in China (Second Edition)

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