Abstract: Objective To explore the change trend of 0~6 years old scattered children's nutritional status in 2007-2011 of Beijing Dongcheng district and to take corresponding measures to improve the nutritional status of children. Method Analysing the scattered children's health status form 2007 to 2011 year in Dongcheng district and testing the change trend of nutrition index of scattered children along with time by SPSS trend χ² test. Results The child malnutrition (low body weight,growth retardation,weight loss) prevalence rate of 3~6 years old children's was higher than of 0~2 years old; showing a declining trend year by year (P< 0.05).The prevalence of anemia in children was mainly to mild anemia,the obesity rate was between 3.08% and 3.89%;the prevalence rate of anemia,obesity of 0~2 years old children was more than of 3~6 years old.The prevalence of anemia and obesity did not show a downward trend (P>0.05).Conclusion The nutritional status of children in the region is good,the malnutrition prevalence rate of scattered children showed a drop tendency,should focus on Intervening the 0~2 years old children's anemia and obesity,adopting comprehensive prevention and control measures.

Key words: nutrition and development, scattered children of 0~6 years old, trend analysis

摘要： 目的 探讨北京市东城区2007-2011年间0~6岁散居儿童营养状况的变化趋势,发现儿童健康管理中存在的问题,以采取相应的措施改善儿童的营养状况。 方法 对东城区2007-2011年5年散居儿童健康状况进行分析,采用SPSS趋势χ²检验儿童营养状况指标随时间的变化趋势。结果 全区0~6岁散居儿童营养不良(低体重、发育迟缓、消瘦)的患病率由2007年的1.159%下降为2010年的0.479%,2011年略有回升;3~6岁儿童的患病率高于0~2岁儿童;呈现逐年下降的趋势(P<0.05)。儿童贫血患病情况以轻度贫血为主,发病率介于3.08%到6.09%之间;中度贫血患病率介于0.23%到0.53%之间。肥胖患病率为介于3.08%和3.89%之间;0~2岁儿童贫血、肥胖的患病率高于3~6岁儿童。儿童贫血、肥胖患病率未表现出逐年下降的趋势(P＞0.05)。 结论1)全区儿童营养状况良好,儿童营养不良患病率呈下降趋势;2)应重点对0~2岁儿童进行肥胖和营养性贫血的干预,进行综合防治。

关键词: 营养发育, 0~6岁散居儿童, 趋势分析