学龄期超重肥胖儿童膳食模式与进食障碍关系的病例对照研究

发布时间：2018-05-26 22:17

本文选题：超重 + 肥胖　；参考：《复旦大学》2012年硕士论文

【摘要】：目的：探讨膳食模式和进食障碍症状之间的关系及其对学龄儿童超重肥胖的影响,为预防肥胖和进食障碍的发生提供参考和依据。方法：以1：2配对的方法,采用儿童版进食障碍问卷(Eating Disorders Inventory of Children, EDI-C)和3天24小时膳食回顾问卷对上海某区6所小学2-4年级186名超重肥胖儿童以及372名正常体重儿童进行了调查,通过因子分析、1：2配伍Logistic回归分析等方法评价不同体重组儿童膳食模式与发生进食障碍的相关性。结果：①根据进食障碍问卷量表评分标准,超重肥胖组求瘦倾向(Drive for Thinness, DT)和形体不满(Body Dissatisfaction, BD)量表以及饮食障碍危险评分(Eating Disorder Risk Composite, EDRC)超出正常值的人数比例明显高于对照组(P0.001)。1：2配伍Logistic回归分析存在求瘦倾向进食障碍症状的儿童发生超重肥胖的风险是无求瘦倾向进食障碍症状儿童的1.088倍,患形体不满进食障碍症状儿童发生超重肥胖的风险是无形体不满进食障碍症状儿童的1.144倍,患饮食障碍的儿童发生超重肥胖的风险是无饮食障碍儿童的1.075倍(P0.001)；②用因子分析方法在两组人群中分别得出4种有意义的膳食模式。超重肥胖组的膳食模式累积方差贡献率为总变异的38.35%,对照组的膳食模式累积方差贡献率为总变异的33.39%。用回归法计算因子得分,发现同一因子总分分值段人群中,超重肥胖组在DT、BD量表评分超出正常值以及存在饮食障碍危险的人数比例上普遍高于对照组(P0.001)；③超重肥胖组儿童中第1种膳食模式——以零食为特征的膳食模式和第4种膳食模式——以高能量食物为特征的膳食模式得分越高,则相关进食障碍量表得分越高。而第3种膳食模式——以高纤类食物为特征的膳食模式得分越高,则贪食(Bulimia, B)量表得分越低；④性别间差异比较发现女生形体不满量表平均得分高于男生(P0.05)。结论：进食障碍中求瘦倾向和形体不满症状与超重肥胖显著相关。同一膳食模式因子得分分值段人群中,超重肥胖组出现求瘦倾向和形体不满症状以及存在饮食障碍危险的人数比例显著高于对照组。此外,零食类膳食模式、高能量膳食模式以及高纤类膳食模式可能与超重肥胖儿童的进食障碍相关症状的发生有一定的关联,需进一步研究加以证实。
[Abstract]:Objective: to explore the relationship between dietary pattern and eating disorder symptoms and its influence on overweight and obesity in school-age children so as to provide reference for prevention of obesity and eating disorder. Methods: at 1:2, 186 overweight and obese children and 372 normal weight children in 6 primary schools in Shanghai were investigated by using the children's eating disorder questionnaire "eating Disorders Inventory of Children, EDI-C") and the 3-day 24-hour dietary review questionnaire. The correlation between dietary pattern and eating disorder in children with different body weight was evaluated by factor analysis of 1: 2 and Logistic regression analysis. Results according to the scale of eating disorders, The proportion of overweight and obese people who asked for lean propensity drive for Thinness, DT) and body dissatisfied reality (BDD) scale and eating disorder risk score (eating Disorder Risk Composite, EDRC) exceeded the normal value was significantly higher than that in control group (P 0.001). 1: 2 Logistic regression analysis showed that there was a tendency to lean into the body. Children with eating disorders were 1.088 times more likely to be overweight and obese than those without eating disorders. Children with body disgruntled eating disorders were 1.144 times more likely to develop overweight and obesity than those without body dissatisfaction with eating disorders. The risk of overweight and obesity in children with dietary disorders was 1.075 times as high as that in children without eating disorders. Four significant dietary patterns were obtained in the two groups by factor analysis. The contribution rate of cumulative variance of dietary pattern was 38.35% of total variation in overweight group and 33.39% of total variation in control group. The regression method was used to calculate the factor score, and it was found that in the population with the same total score, In overweight and obese group, the proportion of people with abnormal DTBD-scale score and risk of eating disorder was generally higher than that of the control group (P0.001 / 3), the first dietary pattern, which was characterized by snacks, and the proportion of children who were at risk of eating disorders were generally higher than those in the control group (P 0.001 / 3). The fourth dietary pattern, which was characterized by high-energy foods, scored higher. The higher the score of the related eating disorder scale. However, the higher the score of the third dietary pattern, which was characterized by high fiber food, the lower the score of Bulimia (B) scale was, the lower the gender difference was, the higher the average score of female students was compared with that of male students (P 0.05). Conclusion: lean tendency and body dissatisfaction in eating disorders are significantly associated with overweight and obesity. In the group with the same dietary pattern factor score, the proportion of overweight and obese people who had the symptoms of seeking weight and body dissatisfaction and the risk of eating disorders was significantly higher than that of the control group. In addition, the snack diet pattern, high energy diet pattern and high fiber diet pattern may be related to the occurrence of eating disorders in overweight and obese children, which need further study to confirm.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R151

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