Objective To understand the prevalence of obesity among the preschool children aged 3 to 6 years old in rural areas of Zhengzhou,analyze the realted influence factors,and to put forward the effective control measures. Method A total of 1 042 children aged 3～6 years old were selected from 6 kindergartens in rural areas of Zhengzhou by stratified cluster sampling,and investigated with questionnaire and physical measurement. Results The boy's prevalence rate was 6.94%,the girls was 4.08%,the average obesity rate was 5.66%.There was significant difference in prevalence rate between boys and girls(χ2=3.964,P<0.05),the obesity rate of boys was higher than that of girls,parents' BMI influenced their children's body.Multivariable logistic regerssion analysis showed that risk factors included mother was overweight or obese(OR=3.674),heavy birth weight(OR=2.987),the high frequency of meat food intake(OR=2.313),eating fast(OR=1.736),protective factors included mother with high education level (OR=0.762),breast feeding(OR=0.783),reasonable exercise time(OR=0.640). Conclusions Preschool children's obesity rate in rural areas of Zhengzhou has been close to the level of some city of Henan.Obesity is the result of various factors,comprehensive measures of prevention is should be taken.
Key words
rural areas /
preschool children /
obesity /
influencing factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] White B,Nicholls D,Christie D,et al.Childhood psychological function and obesity risk across the lifecourse:findings from the 1970 British Cohort Study[J].International Journal of Obesity 2012,36(4):511-516.
[2] 吴旭龙,赵雯,李晶晶,等.北京市学龄前儿童单纯性肥胖影响因素研究[J].中国儿童保健杂志,2015,23(4):340-343.
[3] 姬志清.安阳市学龄前儿童肥胖相关因素分析[J].江苏医药,2014,40(12):1436-1438.
[4] 陈晶,曾国章,黄海莹.厦门市9517名学龄前儿童肥胖检出率及原因分析[J].中国儿童保健杂志,2011,19(1):57-59.
[5] 王丽,王念蓉,甘文玲.重庆市婴幼儿超重、肥胖危险因素分析[J].中国儿童保健杂志,2014,22(5):549-551.
[6] 陈晓霞,余红,蒋丽萍.绍兴地区3~6岁儿童单纯性肥胖的流行病学调查[J].中国儿童保健杂志,2014,22(3):318-320.
[7] 戎芬,武俊青,李玉艳,等.出生体重与儿童期超重肥胖的关系[J].中国儿童保健杂志,2011,19(11):989-991.
[8] Herring SJ,Rose MZ,Skouteris H,et al.Optimizing weight gain in pregnancy to prevent obesity in women and children[J].Diabetes,Obesity and Metabolism,2012,14(3):195-203.
[9] 张暹,朱美红,花静,等.儿童肥胖与母亲孕期增重及婴儿喂养方式的关系[J].中国儿童保健杂志,2011,19(11):1011-1013.
[10] 余仁强,马路一.早期喂养方式及肠道菌群与儿童肥胖的研究进展[J].中国儿童保健杂志,2013,21(11):1166-1168.
[11] Daniels LA,Mallan KM,Battistutta D,et al.Evaluation of an intervention to promote protective infant feeding practices to prevent childhood obesity:outcomes of the NOURISH RCT at 14 months of age and 6 months post the first of two intervention modules[J].Int J Obes(Lond),2012,36(10):1292-1298.
[12] 薛绍兵,赛娜瓦尔,张叶飘,等.学龄前儿童肥胖影响因素1∶1匹配病倒对照研究[J].江苏预防医学,2015,26(1):105-106.
[13] 张隽,陶晔璇,汤庆娅,等.上海市7-9岁儿童肥胖现状及危险因素分析[J].上海交通大学学报:医学版,2013,33(5):672-675.
PDF(441 KB)
