厦门市870例0~18个月儿童肥胖早期干预效果分析
- 陈桂霞1,简胤嘉2,曾国章1,黄海莹1,许立军1,古桂雄1
作者信息
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Analysis of obesity and overweight children of 0~18 months old in Xiamen
- CHEN Gui-xia1, JIAN Yin-jia2, ZENG Guo-zhang1, HUANG Hai-ying1, XU Li-jun1, GU Gui-xiong1
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文章历史
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摘要
【目的】 通过调查掌握厦门市870例0~18个月儿童的肥胖及超重现状,并对其进行干预效果分析,进而为预防和控制儿童肥胖的发生和发展提供科学依据。 【方法】 在厦门市6个区随机选取10个社区卫生服务中心(或社区卫生院)所服务的婴幼儿,并且根据人数配比分为干预组(4个社区卫生服务中心)和对照组(6个社区卫生服务中心)所服务的婴幼儿各870人。 【结果】 通过BMI评价基线调查结果显示:干预组儿童均呈现较高的肥胖超重发生率,对照组的超重发生率(12.6%)较高,但是肥胖发生率极低(仅有0.5%)。而通过WFH评价显示:干预组和对照组儿童均呈现较高的超重发生率;两组儿童超重发生率呈下降趋势;肥胖发生率方面,干预组有一点下降趋势(从出生时的5.4%降到18月龄时的2.6%),对照组趋于平稳。 【结论】 监测数据显示18个月来干预组和对照组儿童之间的肥胖超重发生率无显著性差异,但是由于基线数据显示干预组的肥胖超重发生率明显高于对照组,这就从侧面反映了干预组的肥胖超重发生率得到了一定的控制,说明干预措施取得了一定的效果。
Abstract
【Objective】 To analysie obesity and overweight children of 0~18 months old in Xiamen, provide the procedure of prevention and control of childhood obesity for them on scientific basis. 【Methods】 Infants were randomly selected from 10 communities from 6 districts in Xiamen city. Four of them were assigned as the observing group and 6 the control group with 870 infants each group. 【Results】 Evaluating the BMI of the infants in the observing group showed a higher incidence of obesity and overweight than control. In the control group the incidence of overweight (12.6%) was high, while the obesity rate (only 0.5%) was very low. Evaluating the WFH of both groups showed high incidences of overweight, and the rate of overweight and the obesity of the observing group decreased (from birth 5.4% to 18 months old 2.6%), while the control group was stable. 【Conclusions】 Monitoring the following data of two years, the rate of obesity and overweight has no stastic meaning among the observing group and control group. But baseline rates of obesity and overweight in observing group are significantly higher of than control group. Therefore it reflects the obesity and overweight of infants has been controlled under intervention and explain that the intervention protocols prevented children overweight and obesity to some extents.
关键词
Key words
overweight / obesity / prevention / monitor / children
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参考文献
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[15] Pauli-Pott U, O¨ zgu¨r Albayrak, Hebebrand J, et al. Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program[J]. Eur Child Adolesc Psychiatry,2010,19:135-141.
[2] 丁宗一.儿童单肥胖症诊断方法学[J].中华儿科杂志,1999,7(4):246-248.
[3] Martorell R, Kettel L, Hughes ML, et al. Overweight and obesity in preschool children from developing countries[J]. Int J Obes Relat Metab Disord,2000,24:959-967.
[4] Kelishadi R. Childhood obesity and the metabolic syndrome in developing countries[J]. Epidemiol Rev,2007,29(1):62-76.
[5] 陈荣华,李晓南.儿童和青少年肥胖的流行现状、远期影响和对策[J].中国儿童保健杂志,2006,14(6): 541-542.
[6] Koplan J P. Preventing Childhood Obesity[M]∥. Health in the Balance. Washington, DC: The National Academies Press,2005.
[7] 孔霞,吴静.单纯性肥胖儿童综合干预效果分析[J].中国健康教育,2008,24(11):880-885.
[8] Backett-Milburn K, Wills W, Gregory S, et al. Making sense of eating, weight and risk in the early teenage years: Views and concerns of parents in poorer socio-economic circumstances[J]. Social Science and Medicine,2006, 63:624-635.
[9] 孙志娟,娜琪.丰台区0~7岁儿童单纯性肥胖症流行现状调查[J].中国保健:医学研究版,2007,15(15):110-111.
[10] 龙磊,刘黎明.5岁以下儿童单纯性肥胖的干预现状与分析[J].中国妇幼健康研究,2008,19 (6):595-597.
[11] 金蕾萍,杨莉敏,张伟敏.学龄前儿童肥胖的预防和干预[J].中国儿童保健杂志,2008,16(3):363-364.
[12] 许培斌,郭志丽,曲新栋.0~3岁儿童单纯性肥胖预防性干预的纵向观察[J].中国儿童保健杂志,2009,17(2):212-214.
[13] 季成叶.生长轨迹现象和生长关键期[M]∥儿童少年卫生学.6版.2007:11-12.
[14] Pabayo R, Gauvin L, Tracie A, et al. Sustained active Transportation is associated with a favorable body mass index trajectory across the early school years: findings from the quebec longitudinal study of child Development birth cohort[J]. Preventive Medicine Preventive Medicine,2010,50(S):59-64.
[15] Pauli-Pott U, O¨ zgu¨r Albayrak, Hebebrand J, et al. Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program[J]. Eur Child Adolesc Psychiatry,2010,19:135-141.
基金
中国疾病强防控制中心妇幼保健中心项目(2008FY001)
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