城市、农村学龄前儿童单纯性肥胖流行病学调查

发布时间：2018-10-17 12:14

【摘要】：目的:了解城市与农村学龄前儿童单纯性肥胖的发生情况及影响因素,提出相应的干预措施。方法 "采用随机整群抽样法对托幼机构学龄前儿童进行体格测量、生长发育评价,同时对儿童家长进行问卷调查。结果:共抽取学龄前儿童2 597例,其中男童1 360例,女童1 237例,学龄前儿童单纯性肥胖发生率5.58%,男女童肥胖发生率分别为5.96%、5.17%,两者比较差异无统计学意义;各年龄组肥胖发生率差异有统计学意义(P0.05),以6岁组肥胖发生率最高;2 597例城市儿童1 447例(男童746例、女童701例),农村1 150例(男童614例、女童536例),学龄前儿童超重和肥胖发生率分别为9.36%、5.58%。城市学龄前儿童超重和肥胖发生率分别为12.37%、6.57%;农村学龄前儿童超重和肥胖发生率分别为5.57%、4.35%。城市与农村学龄前儿童超重和肥胖、农村学龄前男童与女童超重和肥胖发生率经χ2检验,差异均有统计学意义(P0.05);城市学龄前男、女童超重和肥胖发生率经χ2检验,差异无统计学意义(P0.05)。学龄前儿童单纯性肥胖影响因素经Logistic多因素回归分析,结果显示影响较大的因素为年龄、遗传因素、出生体重、是否喜食蔬菜水果、食欲情况、看电视时间、进食速度、运动时间、家庭饮食习惯。结论:西宁市城中区城市学龄前儿童期单纯性肥胖症日益增多,家庭、托幼机构及社会应加强健康教育,从而使学龄前儿童养成良好的生活习惯和饮食行为,降低学龄前儿童期单纯性肥胖的发生率。
[Abstract]:Objective: to investigate the incidence and influencing factors of simple obesity among preschool children in urban and rural areas and to put forward corresponding intervention measures. Methods A random cluster sampling method was used to measure preschool children's physique, to evaluate their growth and development, and to make a questionnaire survey on their parents. Results: a total of 2 597 preschool children were selected, including 1 360 boys and 1 237 girls. The incidence of simple obesity in preschool children was 5.58, and the incidence of obesity in boys and girls was 5.966.17. There was no significant difference between the two groups. There were significant differences in the incidence of obesity among different age groups (P0.05), the incidence of obesity in 6 years old group was the highest, 1 447 cases of urban children (746 boys and 701 girls) and 1 150 cases of rural children (614 boys) in urban areas. The prevalence of overweight and obesity in preschool children were 9.36 and 5.58 respectively. The prevalence of overweight and obesity among preschool children in urban areas was 12.37 and 6.57 respectively, and the incidence of overweight and obesity among preschool children in rural areas was 5.574.35, respectively. The prevalence of overweight and obesity in urban and rural preschool children was significantly higher than that in boys and girls in rural areas (P0.05), and the prevalence of overweight and obesity in urban preschool boys and girls was significantly higher than that in girls (P0.05), and the prevalence of overweight and obesity in urban preschool boys and girls was significantly higher than that in girls (P < 0.05). The difference was not statistically significant (P0.05). Logistic multivariate regression analysis showed that the influential factors of simple obesity in preschool children were age, genetic factors, birth weight, eating vegetables and fruits, appetite, time to watch TV, speed of eating. Exercise time, family eating habits. Conclusion: simple obesity of preschool children is increasing in the city of Xining city. Health education should be strengthened in families, nurseries and society so as to make preschool children develop good living habits and eating behaviors. To reduce the incidence of simple obesity in preschool children.
【作者单位】：青海省西宁市妇幼保健站儿保科;
【分类号】：R181.3;R723.14

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