北京市小学生进食行为与超重肥胖的关系

发布时间：2018-04-22 21:07

本文选题：饮食习惯 + 行为　；参考：《中国学校卫生》2017年04期

【摘要】：目的分析北京市三~五年级小学生进食行为与超重肥胖的关系,为儿童超重肥胖预防和控制提供依据。方法采取整群抽样的方法,选取北京市某城区12所小学三~五年级的学生1 788名,测量身高、体重,计算身体质量指数(BMI),通过问卷调查了解学生的进食行为、膳食摄入频率、身体活动情况,分析进食行为与超重肥胖之间的关系。结果男生的超重肥胖率为47.8%,女生为25.6%,差异有统计学意义(χ~2=94.54,P0.01);男生在家吃饭时用碗大小和进食速度分布与女生的差异均有统计学意义(χ~2值分别为6.75,57.33,P值均0.01)。在Logistic回归模型中,控制年龄、性别、膳食评分、身体活动能量消耗值因素后,在家吃饭时用碗比大人小、吃饭速度比同班同性别的同学快是儿童超重肥胖的危险因素(OR值分别为1.55,2.50,95%CI=1.14~2.11,1.51~4.16)。结论小学生的用碗大小和吃饭速度快慢可能与超重肥胖有关。为预防和控制儿童超重肥胖,应提倡小学生和家长使用一样大小的碗,并减慢进食速度。
[Abstract]:Objective to analyze the relationship between eating behavior and overweight and obesity in children of grade 3 ~ 5 in Beijing, and to provide evidence for prevention and control of overweight and obesity in children. Methods using cluster sampling method, 1 788 students in grade 3 ~ 5 of 12 primary schools in a certain urban area of Beijing were selected to measure their height, weight and body mass index (BMI). The students' eating behavior and dietary intake frequency were investigated by questionnaire. To analyze the relationship between eating behavior and overweight and obesity. Results the rate of overweight and obesity was 47.8% in boys and 25.6 in girls (蠂 2 94.54% P 0.01), and there was significant difference in the distribution of bowl size and feeding rate between boys and girls (蠂 2 = 6.75%, 57.33%, P < 0.01). In the Logistic regression model, after controlling for age, gender, dietary score, and energy consumption for physical activity, eating at home was smaller than that of adults. The OR value of eating faster than that of the students of the same sex was 1.55 / 2.5095 / 1.142.111.51 / 1.51 / 4.160.The risk factors of overweight and obesity in children were 1.55 / 2.5095 / 1.142.111.51 / 4.16, respectively. Conclusion the size of bowl and the speed of eating may be related to overweight and obesity. In order to prevent and control overweight and obesity in children, primary school students and parents should be encouraged to use bowls of the same size and slow down their eating speed.
【作者单位】：北京大学公共卫生学院妇女与儿童青少年卫生学系;北京市东城区中小学卫生保健所;
【基金】：中华医学基金项目(CMB,11-064)
【分类号】：R723.14

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