目的 了解十年间济南市5岁以下儿童营养状况的变化,为儿童营养不良、肥胖等常见病的防治提供科学依据。方法 在济南市10个县市区,分别于2004年和2013年对5岁以下儿童进行同样方法的两次营养状况流行学调查。测量身高、体重值,根据WHO推荐的判断标准进行诊断。结果 2004-2013年济南市5岁以下儿童营养不良下降率为66.30%,其中城市下降率为63.80%,农村下降率为64.81%;十年间肥胖增长率为264.00%,其中城市增长率为375.96%,农村增长率为190.00%。结论 济南市5岁以下儿童营养不良发病率明显下降,但肥胖问题日益突出。营养不良和肥胖的防治是济南市儿童保健工作的重要内容,重点在农村。
Abstract
Objective To know the change of the nutritional status of children under 5 years old in Jinan of Shandong,provide a scientific basis for prevention and control of malnutrition and obesity. Methods A total of 15 985 children under 5 years old were selected by cluster sampling.The questionnaires of nutrition were answered,the weight and height of the children were measured. Results The reduction rate of malnutrition under 5 years old in 2004-2013 was 66.30%,instead the prevalence rate of obesity increased 264.00%. Conclusions In the last 10 years,the nutritional status under 5 years old improved significantly.The prevention and control of malnutrition and obesity is still the keys of preschool children in Jinan of Shandong.
关键词
营养状况 /
营养不良 /
肥胖症 /
儿童
Key words
nutrition status /
malnutrition /
obesity /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 黎海芪,毛萌.儿童保健学[M].2版.人民卫生出版社,2009,16-17.
[2] 马丽霞,赵冬梅,杨良政.济南市5岁以下儿童营养健康状况研究[J].中国儿童保健杂志,2005,13(6):469-471.
[3] DeOnis M,Monteiro C,Akre G,et al.The worldwide magnitude of protein-energy malnutrition:an overview from the WHO global database on child growth[J].Bull WHO,1993,71:703-712.
[4] 李辉,张璇,阎桂凤.八城市7岁以下儿童单纯性肥胖症的十年流行变化趋势[J].中国儿童保健杂志,2002,10(5):316-317.
[5] Ogden CL,Troiano RP,Briefel RR,et al.Prevalence of overweight among preschool children in the United States,1971 through 1994[J].Pediatrics,1997,95(1):1-15.
[6] Chinn S,Rona RJ.Prevalence and trends in overweight and obesity in three cross sectional studies of british children,1974-94[J].BMJ,2001,322(1):24-26.
[7] 李辉,张璇,阎桂凤.八城市7岁以下儿童单纯性肥胖症的十年流行变化趋势[J].中国儿童保健杂志,2002,10(5):316-317.
[8] Reilly JJ,Methven E,McDowell ZC.Health consequences of obesity[J].Arch Dis Child,2003,88(9):748-752.
[9] Calle EE,Rodrigue ZC,Walker-Thurmond K,et al.Overweight,obesity,and mortality from cancer in a prospectively studied cohort of US adults[J].N Engl J Med,2003,348(17):1625-1638.
[10] 王玉英,陈春明,何武,等.中国儿童营养状况15年变化分析[J].卫生研究,2006,35(6):768-771.
PDF(282 KB)
