目的 分析家庭环境对学龄前儿童肥胖的影响,为今后儿童肥胖防治工作的开展提供依据和指导。方法 采用随机整群抽样的方法,病例组和对照组按照1∶1配对,通过家长问卷调查儿童家庭环境情况。采用单因素、多因素回归分析,探讨影响儿童肥胖的危险因素或保护因素。结果 多因素结果显示,女童(OR=0.55,95%CI:0.32~0.96)、父母经常鼓励孩子多吃(OR=0.37,95%CI:0.22~0.65)、父母认为子女体力活动过多(OR=0.24,95%CI:0.08~0.71)是儿童超重或肥胖的保护因素,有超重肥胖家族史(OR=2.25,95%CI:1.21~4.20)、认为孩子胖(OR=12.99,95%CI:7.08~23.84)是儿童发生超重或肥胖的危险因素。结论 父母对儿童肥胖的认知态度是儿童超重肥胖的重要影响因素,可对肥胖儿童开展以家庭为基础的行为治疗措施。

Objective To analyze the effect of family factors relating to the obesity of pre-school children,so as to figure out the epidemiology evidence and available intervention on the children obesity. Methods As to quantitative research,the obesity children of a series of communities in Minhang district were selected relied on the randomized cluster sampling method,meanwhile the non-obesity children were paired simultaneously. Results Girl taking more physical activity relied on the attitude of parents,having more food required by parents were the protective factors of obesity and overweight of children,but family history of overweight and obesity,overtaken food,longtime sleep,the attitude of obesity no harm were the risk factors of obesity and overweight. Conclusion Of prime importance is the recognition that the attitude of parents is the risk factors,so as to available intervention of children obesity based on family will be effective.