嘉兴市学龄前儿童饮食行为流行病学调查

发布时间：2018-08-25 09:34

【摘要】：目的了解嘉兴市学龄前儿童饮食行为问题现状,为科学指导儿童饮食提供依据。方法采用分层整群抽样方法抽取嘉兴市2个街道和2个乡镇共8所幼儿园1 721名儿童。采用爱饭达工具(IMe Fe D)对饮食行为进行调查。结果城市与农村的家长与医生对儿童不同营养状况评价比较均有有统计学意义(χ2值分别为7.135,44.201,P值均0.05)。至少有1种饮食行为问题检出率为47.3%,其中城市为48.9%(438/895)、农村为45.5%(376/826),差异无统计学意义(χ2=2.013,P0.05)。各种饮食行为问题中,仅父母对儿童过度关注城市(24.3%)与农村(28.7%)差异有统计学意义(χ2=4.430,P0.05)。城市、农村儿童饮食行为问题检出率从高到低依次为胃口差(45.6%,43.8%)、不良饮食习惯(29.9%,32.0%)、食物的特别偏好(29.6%,30.7%)、父母过度关心(24.3%,28.7%)、害怕饮食(6.9%,9.1%)、有潜在疾病(3.6%,4.8%)。农村不同年龄组儿童饮食行为问题检出率比较差异有统计学意义(χ2=11.00,P0.05),其中4岁组最高(50%),6岁组最低(33.6%)。结论 3~6岁是学龄前儿童饮食行为问题的高发阶段。应采取综合措施,从儿童和家长两方面入手,多学科合作,预防和治疗饮食行为问题。
[Abstract]:Objective to understand the status of dietary behavior problems of preschool children in Jiaxing and provide scientific guidance for children's diet. Methods 1 721 children from 8 kindergartens in 2 streets and 2 towns in Jiaxing were selected by stratified cluster sampling. (IMe Fe D) was used to investigate the dietary behavior. Results there were significant differences between parents and doctors in urban and rural areas in the evaluation of children's nutritional status (蠂 ~ 2 = 7.135, P = 44.201, P = 0.05). The detection rate of at least one dietary behavior problem was 47.3%, 48.9% (43.8 / 895) in urban and 45.5% (376 / 826) in rural areas. The difference was not statistically significant (蠂 ~ 2. 013 ~ (13) P 0.05). Among all kinds of dietary behavior problems, only parents paid too much attention to children in cities (24.3%) and rural areas (28.7%) (蠂 ~ (2) 4.430) (P0.05). In urban and rural areas, the prevalence of dietary behavior problems in rural children was as follows: poor appetite (45.63.8%), bad eating habits (29.9%), special preference (30.7%), parents' excessive care (24.39.7%), fear of diet (6.99.1%), and potential diseases (3.64.8%). There were significant differences in the prevalence of dietary behavior problems among children of different age groups in rural areas (蠂 2 11.00 P 0.05). The highest rate (50%) was found in the 4-year-old group and the lowest (33.6%) in the 6-year-old group. Conclusion 3 ~ 6 years old is a high incidence stage of dietary behavior problems in preschool children. Comprehensive measures should be taken to prevent and treat dietary behavior problems through multidisciplinary cooperation between children and parents.
【作者单位】：浙江省嘉兴市妇幼保健院;新兴街道卫生服务中心;大桥镇卫生服务中心;南湖区中心卫生院;新加街道卫生服务中心;
【分类号】：R179

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