目的 了解西安市17年间儿童超重/肥胖的变化情况,为制定有效的干预措施提供理论依据。方法 按照整群随机抽样方式,兼顾全市地理分布及经济状况,抽取了莲湖、未央和临潼3个区的0~7岁儿童10 374人,男5 498人,女4 876人。以WHO 2007身高别体重肥胖标准作为诊断超重和肥胖的指标,筛查出超重/肥胖儿童,并与1996年同年龄段儿童超重/肥胖率进行比较。对3岁及以上超重/肥胖儿童发放自行设计的0~7岁儿童饮食行为调查问卷。结果 1)2013年0~7岁儿童的超重率为16.87%,肥胖率为8.18%。2)2013年0～7岁男、女童超重率较1996年增加了约2倍,差异有高度统计学意义(χ2=413.611,401.898,P<0.001)。2013年0～7岁儿童不同年龄段肥胖率的均显著高于1996年。3)超重/肥胖儿童食欲好,进食速度快,喜食甜饮料与肉食。结论 17年间西安市城区0~7岁儿童超重/肥胖显著增高,培养儿童良好的饮食行为习惯,制定儿童超重/肥胖的干预措施势在必行。
Abstract
Objective To understand the trend of the changes of overweight / obesity of children in Xi′an City in seventeen years,and to provide theoretical basis for intervention measures. Methods A total of 10 374 children aged 0~7 years old were investigated prevalence of overweight and obesity using random sampling method,of whom 5 498 were boys and 4 876 were girls.overweight and obesity were defined with according to WHO weight-for-height standard.Overweight/obesity rates were compared between 2013 and 1996. Results 1) The overweight rate of children with 0~7 years old was 16.87% and the obesity rate was 8.18% in 2013.2)The prevalence of overweight and obesity in 2013 and 1996 showed that the overweight rate increased by about 3 times in 2013 compared with 1996 in boys and girls aged 0~7 years old.Differences were statistically significant (χ2=413.611,401.898,P<0.001).The rate of obesity among children aged 0~7 years old in 2013 was significantly higher than that in 1996.3)The overweight/obese children had a good appetite,eatingfast,eating more sugary drinks and meat. Conclusions The overweight/obesity are significantly higher in children 0~7 years old in Xi′an city during seventeen years,and it is imperative to develop the intervention measures of overweight and obesity in children.
关键词
超重 /
肥胖 /
儿童
Key words
overweight /
obesity /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Ng M,Fleming T,Robinson M,et al.Global,regional,and national prevalence of overweight and obesityin children and adults during 1980~2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384:766-781.
[2] 全国儿童期单纯肥胖症研究协作组,中国疾病预防控制中心妇幼保健中心.全国0~6岁儿童单纯性肥胖流行病学研究[J].中华儿科杂志,2008,46(3):179-184.
[3] Sabo RT,Lu Z,Daniels S,et al.Serial childhood BMI and associations with adult hypertension and obesity:the Fels Longitudinal Study[J].Obesity (Silver Spring),2010,20:1741-1743.
[4] Yu ZB,Han SP,Cao XG,et al.Intelligence in relation to obesity:a systematic review and meta-analysi[J].Obes Rev,2010,11:656-670.
[5] 张美仙,米杰.儿童肥胖遗传易感性研究现状[J].中华预防医学杂志,2014,48(9):836-841.
[6] 陈玉霞,麦锦城,武汉荣.超重肥胖对儿童青少年生活质量的影响[J].中国学校卫生,2013,31(5):522-523.
[7] 郝利楠,李艳平,杜松明.北京市城区小学生对肥胖儿童的看法和态度[J].中国学校卫生,2010,31(2):161-162.
[8] Tsai AG,Fabricatore AN.Obesity:psychological and behavioral considerations[J].Am Fam Physician,2006,74(5):867-868.
[9] Lee A,Mandy MH,Very MW,et al.Global epidemics of childhood obesity is hitting a ′ less industrialized ′corner in Asia:a case study in Macao[J].International Journal of Pediatric Obesity,2011,6:e252-e256.
[10] Ma Y,Chen T,Wang D,et al.Prevalence of overweight and obesity among preschool children from six cities of northeast China[J].Archives of Medical Research,2011,42:633-640.
[11] 朱美红,花静,郭云琴,等.上海1320名儿童肥胖流行状况调查[J].中国儿童保健杂志,2011,19(4):309-312.
[12] 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.
[13] 曾果,芮溧,冉隆蓉,等.成都市学龄前儿童肥胖影响因素的病例对照研究[J].现代预防医学,2007,34(18):3483-3486.
[14] 马冠生,胡小琪.影响我国四城市儿童青少年肥胖的环境和行为因素[J].中国慢性病预防与控制,2002,10(3):114-116.
[15] 张琚,王红,冉域辰,等.3~6岁肥胖儿童饮食与行为特点病例对照研究[J].现代预防医学,2008,35(14):2662-2664.
[16] National Bureau of Statistics of China.Fifth national population census[R].Beijing:China Statistics Pres,2001.
[17] Backhed F.99th dahlem conference on infection,inflammation and chronic in-flammatory disorder:the normal gut microbiota in health and disease[J].Clin ExpImmunol,2010,160(1):80-84.
[18] Vandenplas Y,Huys G,Danbe G.Probiotics:an update[J].J Pediate(Rio J),2015,91(1):6-21.
基金
国家自然科学基金(81172689);西安交通大学附属二院计划[YJ(ZDJH)201303(3)]
PDF(544 KB)
