|本期目录/Table of Contents|

[1]刘乾,陈祥禹.威海市6~13 岁儿童肥胖症现状及影响因素分析[J].慢性病学杂志,2016,(07):739-742.
　LIU Qian*,CHEN Xiang-yu.Epidemiologic trends and risk factors for obesity of children aged 6 to 13 years inWeihai[J].,2016,(07):739-742.
点击复制

威海市6~13 岁儿童肥胖症现状及影响因素分析(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2016年07期
页码:
739-742
栏目:
论著
出版日期:
2016-08-27

文章信息/Info

Title:
Epidemiologic trends and risk factors for obesity of children aged 6 to 13 years inWeihai
作者:
刘乾1;  陈祥禹2
1. 威海市妇幼保健院，山东威海264200；2. 威海市立医院，山东威海264200
Author(s):
LIU Qian*;  CHEN Xiang-yu
*Maternal and Child Health Care Service Center of Weihai, Weihai, Shandong 264200,China Corresponding author: LIU Qian, E-mail: winlle@163.com
关键词:
肥胖症; 儿童; 危险因素
Keywords:
Obesity;  Children;  Risk factor
分类号:
R723
DOI:
-
摘要:
目的调查威海市不同城区6~13 岁儿童肥胖症患病情况，分析儿童肥胖的危险因素。方法采用分层整 群抽样方法，选取3个不同的城区，再从每个城区中随机抽取1所小学，每所小学每个年级随机选择1个班级，共 计3 所小学，18 个班级的757 名小儿童做为研究对象，调查人口学基本情况、饮食行为及习惯、身体活动等内 容。采用SPSS17.0 统计软件包进行统计学分析，率的比较用χ2检验，用多因素logistic 回归分析研究儿童肥胖的 危险因素，P＜0.05 为差异有统计学意义。结果儿童肥胖率为10.70%，其中男童肥胖症患病率高于女童(χ2= 6.53，P<0.05)；不同年龄组患病率不同，年龄越低患病率越高(χ2=14.36，P<0.05)；不同上学方式儿童肥胖患病 率不同(χ2=28.93，P<0.05)，不吃早餐的儿童肥胖症患病率高于吃早餐者(χ2=40.01，P<0.05)，吃快餐者不同频次 的儿童肥胖症患病率差异无统计学意义(χ2=0.32，P>0.05)；吃甜食多的儿童肥胖患病率高于很少吃甜食者(χ2= 9.08，P<0.05)，晚饭后很少运动的儿童肥胖症患病率高于晚饭后运动较多的儿童(χ2=14.71，P<0.05)，经常看电 视的儿童肥胖患病率高于很少看电视的儿童(χ2=70.33，P<0.05)。结论威海市儿童肥胖症患病率较高，城区、 性别、年龄、上学方式、吃早餐、快餐、甜食的习惯、晚饭后运动、看电视是儿童肥胖症发病的危险因素。
Abstract:
Objective To investigate the epidemic trends and risk factors of children with obesity aged 6 to 13 years in different districts of Weihai. Methods A total of 757 pupils in 18 classes of three schools in three districts were selected using multistage stratified cluster sampling. Their demographic characterstics, eating behavior and habits, physical activities and so on were studied. χ2 test and logistic regression analysis were used to analyze the risk factor for chiledren with obesity. All the analyses were made by statistics software SPSS17.0. P＜0.05 was taken as statistically significant. Results The prevalence of obesity in children of this study was 10.70%．The prevalence of obesity in boys was higher than that in girls (χ2=6.53，P＜0.05). There was significant difference in the prevalence of obesity of different age, the younger of the ages, the higer of the obesity rate (χ2=14.36, P<0.05) . The prevalence of obesity was different by different ways to school (χ2=28.93，P<0.05). The prevalence of obesity in children with breakfast was higher than those without breakfast (χ2=40.01, P<0.05).There was no significant difference in the prevalence of obesity stratified by frequency of eating fast food (χ2=0.32, P>0.05). The prevalence of obesity in child often eating sweet food was higher than those rarely eating sweet food (χ2=9.08, P<0.05), and the prevalence of obesity in children who rarely exercised after supper or often waching TV was high-er than those with more exercise, rarely watching TV (χ2=14.71, P<0.05; χ2=70.33,P<0.05). Conclusion The prevalence of obesity in children aged 6 to 13 in Weihai is high. District, sex, age, way to school, the habit of having breakfast and fast food and sweet food, exerciseafter dinner, watching television may be the risk factors for Children with obesity.

参考文献/References:

[1] 李辉,张漩,阎桂凤.八城市岁以下儿童单纯性肥胖症的十年流行 变化趋势[J].中国儿童保健学志,2002,10(5):316-318.
[2] 阎淑娟. 我国儿童肥胖干预方法研究现状及分析[J]. 中国妇幼保 健,2006,21(17):2463-2466.
[3] 唐志刚,黄明学.儿童单纯性肥胖症研究现状与进展[J].中华实用 医药杂志,2003,21(3):234-236.
[4] Bhardwaj S, Misra A, Khurana L, et al. Childhood obesity in Asian Indians: a burgeoning cause ofinsulin resistance, diabetes and sub- clinical inflammation [J]. Asia Pac J Clin Nutr, 2008,17(1):172-175.
[5] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体质 量指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[6] 张云,李庭玉. 重庆市学龄儿童血压状况及影响因素分析[D]. 重 庆:重庆医科大学,2010.
[7] 石玲,罗胡兰.2006 年重庆市沙坪坝区学龄前儿童肥胖及其影响 因素调查[J].预防医学论坛,2007,13(12):1095-1096.
[8] 王凯,商晓红,陈焕芝,等.济南市6～13岁儿童高血压患病率及影 响因素[J].中国公共卫生,2007,23(11):1297-1299.
[9] 宋文辉,江文胜,高进,等.铜陵市城区3146 名儿童高血压患病率 调查[J].安徽医科大学学报,2006,41(6):711-713.
[10] 丁贤彬,张春华,毛德强.重庆市6～13 岁儿童肥胖状况及其影响 因素[J].中国学校卫生,2013,34(10):1263-1264.
[11] 赵进,郭向晖.北京市朝阳区12 所监测点校儿童营养状况调查分 析[J].慢性病学杂志,2013,19(3):218-220.
[12] Cambuli VM, Incani M, Pilia S, et al. Oral glucose tolerance test in Italian overweight/obese children and adolescents results in a very high prevalence of impaired fasting glycaemia, but not of diabetes [J]. Diabetes Me tab Res Rev, 2009,25(6):528-534.
[13] 马冠生,胡小琪,李艳平,等. 影响我国四城市儿童少年肥胖的环 境和行为因素[J].中国慢性病预防与控制杂志,2002,10(3):114－ 117.
[14] Martorell R, Khan K, Hughes ML, et al. Overweight and obesity in preschool children from developing countries [J]. Int J Obes, 2004,24(8):959-867.
[15] 刘秀荣,李澜,韩梅,等. 北京市中小儿童肥胖及其相关因素分析 [J].中国学校卫生,2007,28(1):15－16,18.
[16] 陈春明. 对儿童肥胖问题的防治不可坐失良机[J]. 中华流行病学 杂志,2004,25(2):95-96.
[17] 杜松明,李艳平,崔朝辉,等.北京城区9～10岁儿童超重肥胖与血 压的关系[J].中国慢性病预防与控制,2007,15(3):213-215.
[18] 李艳平,胡小琪,马文军,等.我国4城市儿童少年食用早餐频度和 肥胖率关系分析[J].中国学校卫生,2005,26(1):10-12.
[19] Wolfe WS, Campbell CC, Frongillo EA, et al. Overweight school children in New York State: prevalence and characteristics [J]. Am J Public Health, 1994,84(5):807- 813.
[20] Bull NL. Studies of the dietary habits, food consumption and nutrition in- takes of adolescents and young adults [J]. World Rev Nutr Diet, 1998, 5(7):24-74.
[21] Resnicow K. The relationship between breakfast habits and plasma cholesterol levels in school children [J]. J Sch Health, 1991,61(2):81-85.
[22] Ortega RM, Requejo AM, Lopez, et al. Difference in the breakfast habits of overweight/obese and normal weight schoolchildren [J]. Int J Vit Nutr Res, 1998,68(2):125-132.
[23] Guldan GS, Cheung ILT, Chui KKH. Childhood obesity in Hong Kong: embracing an unhealthy lifestyle before puberty [J]. Int J of Obes, 1998,22(Suppl 4):S49.
[24] 吕书红. 儿童肥胖流行趋势及干预对策探讨[J]. 中国健康教育, 2002,18(8):526-528.

备注/Memo

备注/Memo:
作者简介：刘乾，硕士，主治医师，主要从事：儿童保健工作 通信作者：刘乾，E-mail:winlle@163.com
更新日期/Last Update: 2016-08-27