武汉市流动儿童肥胖及其营养KAP的病例对照研究

发布时间：2018-02-02 23:48

本文关键词： 肥胖流动儿童营养KAP 病例对照研究　出处：《中国卫生事业管理》2017年12期 　论文类型：期刊论文

【摘要】：目的:了解肥胖流动儿童营养知识、态度及行为状况,探讨影响流动儿童肥胖的相关因素,为流动儿童肥胖防治提供科学依据。方法:采用整群抽样,抽取两所小学3~6年级学生。按照中国学龄儿童青少年MBI肥胖筛查标准,筛选出流动儿童中肥胖者62名(发生率8.2%)作为病例,按年龄、性别匹配181名BMI正常的流动儿童作为对照,通过对两组儿童及其看护人发放营养KAP问卷的形式展开调查。结果:营养KAP结果显示,两组儿童在家庭收入来源、家中做饭人员、儿童早餐地点、看护人营养知识、儿童吃水果频率方面的差异有统计学意义(P0.05);多因素Logistic回归分析显示,儿童高频率摄入水果(β=-0.495,OR=0.610,95%CI∶0.411~0.905)和看护人良好的营养知识(β=-0.518,OR=0.595,95%CI∶0.390~0.910)是肥胖发生的保护因素,而家长打零工(β=1.886,OR=6.593,95%CI∶1.293~33.614)是儿童发生肥胖的危险因素。结论:流动儿童肥胖发生率接已近城市儿童,其因素与儿童吃水果频率、看护人营养知识水平、看护人打零工密切相关。因此,有必要对流动儿童及看护人进行营养健康教育,使流动儿童肥胖趋势得以控制。
[Abstract]:Objective: to investigate the nutritional knowledge, attitude and behavior of obese floating children, to explore the related factors affecting obesity among floating children, and to provide scientific basis for the prevention and treatment of obesity among floating children. Methods: cluster sampling was used. According to the MBI obesity screening criteria of Chinese school-age children and adolescents, 62 obese children (incidence rate 8.2) of floating children were selected as cases according to age. Sex matched 181 floating children with normal BMI as control, and investigated the form of nutritional KAP questionnaire issued by the two groups of children and their caregivers. Results: nutritional KAP results showed. There were significant differences between the two groups in the sources of family income, family cooking staff, children's breakfast location, nutrition knowledge of caregivers, and the frequency of children eating fruit (P 0.05). Multivariate Logistic regression analysis showed that children had a high frequency of fruit intake (尾 -0.495A OR0.610). 95CI: 0.4110.905) and the nurse's good knowledge of nutrition (尾 -0.518). 95 CI: 0.390 / 0.910 is the protective factor for obesity, while parents work odd jobs (尾 1.886 / OR6.593). Conclusions: the incidence of obesity in floating children is close to the urban children, and the factors and the frequency of fruit consumption. Therefore, it is necessary to carry out nutrition health education to migrant children and caregivers so that the obesity trend of floating children can be controlled.
【作者单位】：武汉科技大学公共卫生学院;
【基金】：教育部人文社会科学研究项目“城市流动学龄儿童营养状况影响因素及干预模式研究”(编号:15YJAZH104)
【分类号】：R723.14
【正文快照】： 肥胖已成为社会各界普遍关注的公共卫生问题[1],世界卫生组织预计到2025年全球肥胖儿童数量将达到7000万[2]。流动儿童作为我国政府高度关注的群体,是指6~14岁(或7~15岁)随父母或其他监护人在流入地暂时居住半年以上的儿童少年[3]。儿童肥胖不仅关系到其身心健康发展,而且对社

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