Objective To explore epidemiological characteristics and risk factors of overweight/obesity among preschool children in Shunyi district, and to provide scientific basis of prevention and clinical intervention for obesity in children. Methods A total of 1 238 preschool children aged 3~7 were selected as participants from 5 kindergartens in Shunyi district via clustered-random sampling from September to November 2017. Weight and height of subjects were measured. A self-designed questionnaire was used to investigate risk factors of obesity in children, and related risk factors were analyzed by multivariate Logistic regression. Results Overweight and obesity rates of preschool children in Shunyi district were 13.3% and 15.2%,respectively.Multivariate Logisitic regression analysis showed that cesarean birth(OR=1.333, 95%CI:1.032~1.722),father overweight/obesity ((OR=1.723, 95%CI:1.293~2.295)), mother overweight/obesity (OR=1.617, 95%CI:1.234~2.119), fast eating (OR=1.403, 95%CI:1.125~1.748) were independent risk factors of overweight/obesity in preschool children. Average outdoor activity time more than 2 hours was protective factor for children overweight/obesity (OR=0.649, 95%CI:0.549~0.771). Conclusion Overweight/obesity in preschool children is caused by multiple factors. Comprehensive prevention and control measures with parents joined should be developed to reduce the incidence of overweight/obesity in preschool children.
Key words
preschool /
obesity /
risk factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Zhu WF,Wang CL,Liang L,et al. Triglyceride-raising APOA5 genetic variants are associated with obesity and non-HDL-C in Chinese children and adolescents[J].Lipids Health Dis,2014,13(6):93.
[2] 王付曼,金曦,蒋竞雄,等.我国部分城市学龄前儿童超重、肥胖现状及影响因素分析[J].中国儿童保健杂志,2017,25(4):346-349.
[3] 李辉,季成叶,宗心南,等.中国0-18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[4] Morgen CS,Sørensen TI.Obesity: global trends in the prevalence of overweight and obesity.[J]. Nature Reviews Endocri, 2014,10(9):513-514.
[5] 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.
[6] Ma YN, Chen T, Wang D, et al. Prevalence of overweight and obesity among preschool children from six cities of northeast China[J]. Arch of Med Res,2011,42(7):633-640.
[7] Mueller NT,Mao G,Bennet WL,et al.Does vaginal delivery mitigate or strengthen the intergenerational association of overweight and obesity?Findings from the Boston Birth Cohort[J]. Int J Obes (Lond),2017,41(4):497-501.
[8] Veile A,Kramer KL.Childhood body mass is positively associated with cesarean birth in Yucatec Maya subsistence farmers[J]. Am J Hum Biol,2017,29(2):13.
[9] Smithers LG,Mol BW,Jamieson L,et al.Cesarean birth is not associated with early childhood body mass index[J]. Pediatr Obes, 2017,12(1):120-124.
[10] Soubry A,Schildkraut JM,Murtha A,et al.Paternal obesity is associated with IGF2 hypomethylation in newborns: results from a Newborn Epigenetics Study (NEST) cohort[J]. BMC Medicine,2013,11(1):29.
[11] 陈欣妍,辛秀梅,王学涵,等.学龄前儿童超重肥胖早期危险因素研究[J].中华健康管理学杂志, 2017,11(2):144-147.
[12] 李少闻,张欣,张美真,等.西安城区3~6岁儿童超重/肥胖的影响因素分析[J].中国妇幼健康研究,2016,27(6):681-684.
[13] Zong XN,Li H,Zhang YQ.Family-related risk factors of obesity among preschool children: results from a series of national epidemiological surveys in China[J].BMC Public Health,2015,15(1):927.
[14] Vorwerg Y,Petroff D,Kiess W,et al.Physical activity in 3-6 year old children measured by sense wear pro®:direct accelerometry in the course of the week and relation to weight status,media consumption, and socioeconomic factors[J].PloS One,2013,8(4):e60619.
[15] Goldfield GS,Harvey A,Grattan K,et al.Physical activity promotion in the preschool years:a critical period to intervene[J].Int J Environ Res Public Health,2012,9(4):1326-1342.