基于广义估计方程的婴儿超重的影响因素分析

发布时间：2018-10-15 10:03

【摘要】：目的探讨广义估计方程在婴儿超重影响因素研究中的应用,为婴幼儿保健提供科学指导。方法选取长沙市开福区2013年全年内出生的575例婴儿,回顾性收集婴儿0、1、3、6、8、12月龄的身长及体重。以婴儿是否超重为因变量,婴儿超重可能的影响因素为自变量,用SPSS19.0构建广义估计方程,筛选出婴儿超重的影响因素。结果婴儿高出生体重(OR=5.080,P=0.000)、母亲孕前高BMI值(OR=1.064,P=0.002)、男性婴儿(OR=1.547,P=0.002)及孕期体重增长过高(OR=11.058,P=0.007)均是0~12月龄婴儿超重的危险因素,孕期进行体育锻炼(OR=0.605,P=0.002)、早孕反应(OR=0.925,P=0.007)及4月龄内纯母乳喂养(OR=0.516,P=0.018)是婴儿超重的保护因素。结论针对上述影响因素,在客观因素不能改变的情况下,提倡孕妇孕前即保持正常体重,孕期注意运动、控制体重过快增长,减少巨大儿的发生率,尽可能纯母乳喂养,采取有针对性的干预措施从多方面控制婴儿超重的发生。
[Abstract]:Objective to explore the application of generalized estimation equation in the study of influencing factors of infant overweight, and to provide scientific guidance for infant health care. Methods 575 infants born in Kaifu District of Changsha City in 2013 were collected retrospectively. The body length and body weight of the infants at the age of 8 months and 12 months were collected retrospectively. Taking whether the infant is overweight as the dependent variable and the possible influencing factors of the infant being overweight as independent variables, the generalized estimation equation is constructed by using SPSS19.0, and the influencing factors of infant overweight are screened out. Results High birth weight (OR=5.080,P=0.000), high BMI before pregnancy (OR=1.064,P=0.002), male infants (OR=1.547,P=0.002) and high weight gain during pregnancy (OR=11.058,P=0.007) were all risk factors for overweight of 0 to 12 months old infants. Physical exercise (OR=0.605,P=0.002), early pregnancy response (OR=0.925,P=0.007) and exclusive breast-feeding (OR=0.516,P=0.018) were the protective factors for overweight. Conclusion in view of the above influencing factors, under the condition that the objective factors can not be changed, it is recommended that pregnant women should keep normal weight before pregnancy, pay attention to exercise during pregnancy, control the rapid growth of body weight, reduce the incidence of macrosomia, and only breast-feed as far as possible. Take targeted intervention measures to control the occurrence of overweight infants in many ways.
【作者单位】：中南大学公共卫生学院流行病学与卫生统计学系;
【基金】：国家自然科学基金(81373101)
【分类号】：R174

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