出生体重与学龄儿童青少年超重肥胖的关系

发布时间：2018-05-08 12:21

本文选题：儿童青少年 + 出生体重　；参考：《现代预防医学》2017年23期

【摘要】：目的了解宁夏银川、吴忠市7~18岁儿童以及青少年超重和肥胖发生情况,及与出生体重的关系,为保障及促进儿童青少年的健康成长提供科学依据。方法本研究运用分层整群随机抽样方法,于2014年5月在宁夏银川和吴忠市抽取学生3 399人,对其进行问卷调查和体格检查。结果本次共调查3 399名学生,其中男生1 636人,女生1763人,平均年龄(12.27±3.28)岁,平均BMI(18.51±3.22)kg/m~2,平均出生体重(3.25±0.52)kg。低出生体重发生率为6.3%,巨大儿发生率为7.1%。超重检出率为8.8%,肥胖检出率为5.0%。随着出生体重的增加,儿童青少年的BMI亦增加,差异有统计学意义,且高出生体重者较正常出生体重者的BMI高(P0.05)。低、高出生体重儿的超重、肥胖检出率分别为5.6%、2.8%、10.8%、8.7%。高出生体重儿的超重肥胖发生率较正常出生体重儿高,差异有统计学意义(X~2=8.321,P=0.0160.017)。多元Logistic回归显示,高出生体重是肥胖的危险性因素(P0.05)。结论高出生体重儿易在儿童青少年时期出现肥胖,应从胚胎期即开始着手肥胖的预防。
[Abstract]:Objective to investigate the prevalence of overweight and obesity among 718 year old children and adolescents and their relationship with birth weight in Yinchuan and Wuzhong, Ningxia, so as to provide a scientific basis for ensuring and promoting the healthy growth of children and adolescents. Methods using stratified cluster random sampling method, 3 399 students were selected from Yinchuan and Wuzhong in Ningxia in May 2014, and were investigated by questionnaire and physical examination. Results A total of 3 399 students were investigated, including 1 636 boys and 1763 girls, with an average age of 12. 27 卤3. 28 years, an average of BMI(18.51 卤3. 22 kg / m ~ (2) and an average birth weight of 3. 25 卤0. 52 kg / g. The incidence of low birth weight and macrosomia was 6.3 and 7.1 respectively. The detection rate of overweight was 8.8 and that of obesity was 5.0. With the increase of birth weight, the BMI of children and adolescents also increased, the difference was statistically significant, and the BMI of high birth weight group was higher than that of normal birth weight group (P 0.05). The detection rates of overweight and obesity in low and high birth weight infants were 5.6and 2.8and 10.8, respectively. The incidence of overweight and obesity in high birth weight infants was higher than that in normal birth weight infants, and the difference was statistically significant. Multiple Logistic regression showed that high birth weight was the risk factor of obesity. Conclusion High birth weight infants are prone to obesity in childhood and adolescence, and the prevention of obesity should begin from embryonic stage.
【作者单位】：宁夏医科大学公共卫生与管理学院;
【基金】：卫生行业科研专项-学生重大疾病防控技术和相关标准研制及应用(1147计划)(201202010)
【分类号】：R179

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