中国城市学龄儿童超重肥胖流行现状及危险因素分析

发布时间：2018-02-27 20:39

本文关键词： 城市学龄儿童超重肥胖流行病学危险因素　出处：《中国公共卫生》2017年09期 　论文类型：期刊论文

【摘要】：目的了解中国城市学龄儿童超重肥胖流行现状并分析其危险因素。方法于2013年12月-2014年6月,选取石家庄、上海、深圳、兰州、武汉5个城市共3896名小学生进行问卷调查。结果超重肥胖检出率为19.8%,其中超重率为10.6%,肥胖率为9.2%;超重肥胖分布存在年龄、性别、地区差异,男童超重肥胖率(22.8%)高于女童(16.5%)(P0.01)。校正地域和年龄后,多因素分析结果显示,儿童超重肥胖危险因素:体力活动不足(OR=4.179,95%CI=3.492~5.002)、男童(OR=1.218,95%CI 1.019~1.456)、不爱吃零食(OR=1.346,95%CI=1.047~1.731);而进食速度一般(OR=0.532,95%CI=0.335~0.845)或进食速度慢(OR=0.352,95%CI=0.211~0.586)、不爱吃肉类食物(OR=0.723,95%CI=0.549~0.952)、饮食结构为荤素搭配(OR=0.556,95%CI=0.324~0.965)有助于降低城市儿童超重肥胖发生率。结论以促进儿童体力活动水平、促进健康饮食习惯为目标的干预策略是预防和干预超重肥胖的重点和关键。
[Abstract]:Objective to investigate the prevalence and risk factors of overweight and obesity among school-aged children in China. Methods Shijiazhuang, Shanghai, Shenzhen and Lanzhou were selected from December 2013 to June 2014. Results the prevalence rate of overweight and obesity was 19.80.Among them, the overweight rate was 10.6 and the obesity rate was 9.2. The rate of overweight and obesity in boys (22.8%) was higher than that in girls (16.5%). After adjusting for area and age, the results of multivariate analysis showed that, Risk factors of overweight and Obesity in Children: insufficient physical activity, OR4.17995 CII 3.492CI-5.002, boys OR1.218995 CI 1.0191.456, do not like snacks OR1.34695CII 1.0471.731; and consumption rate generally OR0.53295CII 0.3350.350.845) or slow eating rate OR0.35295CII 0.2110.586a, do not like eating meat food OR0.723995 CIQ 0.5490.952, diet structure is 0.55695C / 0.350.966.This can help to reduce the number of children living in urban areas. Conclusion to promote children's physical activity level, The intervention strategy of promoting healthy eating habits is the key to prevention and intervention of overweight and obesity.
【作者单位】：武汉理工大学体育部;湖北工业大学体育部;
【基金】：教育部人文社会科学研究项目(13YJA890005) 湖北省教育规划课题(2015GA007) 湖北省自然科学基金(2014CFB861)
【分类号】：R181.3;R723.14

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