银川市中小学生体型自我评价与BMI一致性及其与抑郁的关系

发布时间：2018-01-01 07:15

本文关键词：银川市中小学生体型自我评价与BMI一致性及其与抑郁的关系　出处：《中国学校卫生》2015年09期 　论文类型：期刊论文

【摘要】：目的了解儿童青少年体型自我评价与BMI评价的一致性,并分析其与抑郁症状的关系,为儿童青少年肥胖及心理干预提供科学依据。方法以分层整群抽样的方法从银川市三区抽出小学、初中、高中学生共2 442名,对其进行问卷调查与体格检查。结果儿童青少年体型自我评价与BMI评价一致性一般,Kappa=0.43,男、女生体型自我评价与BMI评价一致性Kappa值分别为0.48和0.36(P值均0.05)。9岁组儿童体型低估率为19.4%,16岁组体型高估率为16.3%;男、女生体型高估率分别为4.6%和12.4%,低估率分别为14.3%和6.7%,差异均有统计学意义(χ2值分别为47.59,40.56,P值均0.05)。抑郁症状检出率为14.1%,自我评价肥胖组抑郁检出率为24.4%,且肥胖组超重组正常组,差异有统计学意义(χ2=7.529,P0.05);体型高估组抑郁检出率为19.2%,低估组为13.1%,差异有统计学意义(χ2=6.05,P0.05)。Logistic回归分析显示,不正确的体型自我评价与高估为抑郁症状发生的危险因素(OR值分别为2.679,1.504)。结论儿童青少年体型自我评价与BMI评价的一致性较差,体型高估为抑郁症状的危险因素。应在儿童青少年中进行相关干预,帮助他们正确认识自己体型,确立良好的生活方式。
[Abstract]:Objective to investigate the consistency of body type self-evaluation and BMI evaluation in children and adolescents, and to analyze the relationship between self-evaluation and depressive symptoms. Methods A total of 2 442 primary, junior and senior middle school students were selected from three districts of Yinchuan by stratified cluster sampling. Results the consistency between self-evaluation of body shape and BMI evaluation of children and adolescents was 0.43, male. The consistent Kappa values of self-evaluation and BMI evaluation of female body size were 0.48 and 0.36 P, respectively. The underestimated rate of body type in children aged 0.05 years was 19.4%. The overestimation rate of body type in 16 years old group was 16. 3%. The overestimation rate of body size of male and female was 4.6% and 12.4, and the underestimation rate was 14.3% and 6.7, respectively. The difference was statistically significant (蠂 ~ 2 = 47.59 / 40.56, respectively). P values were 0.050.The detection rate of depressive symptom was 14.1g, the rate of self-evaluation obesity group was 24.4%, and the obesity group was superrecombinant normal group. The difference was statistically significant (蠂 2, 7.529, P 0.05). The positive rate of depression in the overrated group was 19.2 and that in the undervalued group was 13.1.The difference was statistically significant (蠂 ~ 2 / 6.05 / P 0.05 P < 0.05). Logistic regression analysis showed that there was no significant difference between the two groups. The OR values of incorrect self-evaluation and overestimation as the risk factors of depression were 2.679 respectively. Conclusion the self-evaluation of somatotype in children and adolescents is not consistent with the evaluation of BMI, and the body size is overestimated as the risk factor of depressive symptoms. The intervention should be carried out in children and adolescents. Help them understand their size correctly and establish a good lifestyle.
【作者单位】：宁夏医科大学公共卫生学院;
【分类号】：R749.4
【正文快照】： 近年来,儿童肥胖和心理健康状况都是儿童保健领域的研究热点,已有研究发现超重和肥胖与同伴欺负、抑郁等社会心理问题密切相关[1]。伴随着成人社会对儿童肥胖关注度的升高,越来越多的儿童对自身体型和体重的关注度也随之上升。已有研究发现对儿童体型不满可导致许多不良减肥行

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