目的 了解湖北省6~23月龄婴幼儿超重肥胖状况及出生因素和早期喂养方式对婴幼儿超重肥胖的影响,为预防及控制儿童超重肥胖提供参考依据。方法 采用PPS抽样方法,调查湖北省贫困地区6县6~23月龄婴幼儿及其看护人,以WHO性别月龄别BMI为超重肥胖的标准。采用χ2检验和Logistic回归模型进行数据分析。结果 共调查婴幼儿2 667人,其中男童1 438人(53.92%),女童1 229人(46.08%);超重209人(7.84%), 肥胖151人(5.66%)。出生时为巨大儿的婴幼儿超重率较高,男童肥胖率高于女童,剖腹产的婴幼儿肥胖率较高,出生后前6个月纯母乳喂养是婴幼儿肥胖的保护因素(P均<0.05)。结论 湖北省贫困地区婴幼儿超重肥胖问题不容忽视,男童、剖腹产出生、出生后前6个月为非纯母乳喂养的婴幼儿发生肥胖的风险较高,需积极关注并采取有效措施进行预防与控制。
Abstract
Objective To analyze the prevalence of overweight and obesity in infants and young children aged 6~23 months in poor areas of Hubei Province,and to explore the impacts of birth-related factors and early feeding types on overweight and obesity,in order to provide basis for prevention and control of overweight and obesity. Methods Multi-staged PPS sampling was adopted in 6 counties in Hubei Province,and caregivers of infants and young children were surveyed.Overweight and obesity were defined by the WHO sex-age based body mass index.Chi-square and multivariate Logistic regression were used to analyze the data. Results A total of 2 667 infants and young children were investigated,including 1 438 boys (53.92%) and 1 229 girls (46.08%).And 209(7.84%) were overweight and 151(5.66%) were obese.Infants and young children with birth weight over 4 000 g had higher prevalence of overweight,and boys had higher prevalence of obesity than girls (P<0.05).Cesarean delivery and early feeding types were associated with obesity (all P<0.05). Conclusion Overweight and obesity in infants and young children in poor areas of Hubei Province should not be overlooked.Boys and children who were cesarean deliveried or without breastfeeding in the first 6 months have higher prevalence of obesity and need positive attention and effective measures to prevent and control obesity.
关键词
超重肥胖 /
出生因素 /
早期喂养方式 /
婴幼儿
Key words
overweight and obesity /
birth-related factors /
early feeding types /
infants and young 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 obesity in children and adults during 1980-2013:a systematic analysis for the global burden of disease study[J].Lancet,2014,384(9945):766-781.
[2] Yu Z,Han S,Chu J,et al.Trends in overweight and obesity among children and adolescents in China from 1981 to 2010:a meta-analysis [J].PLoS One,2012,7(12):e51949.
[3] Park MH,Falconer C,Viner RM,et al.The impact of childhood obesity on morbidity and mortality in adulthood:a systematic review [J].Obes Rev,2012,13(11):985-1000.
[4] Harrington JW,Nguyen VQ,Paulson JF,et al.Identifying the 'tipping point' age for overweight pediatric patients[J].Clin Pediatr (Phila),2010,49(7):638-643.
[5] 戎芬.出生体重与环境因素对儿童青少年超重肥胖影响的队列研究[D].上海:复旦大学,2012.
[6] 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.
[7] 余红,陈晓霞,刘丹,等.绍兴市0～2岁婴幼儿超重和肥胖现状及影响因素研究[J].中国儿童保健杂志,2012,20(8):749-750,755.
[8] Song Y,Wang HJ,Ma J,et al.Secular trends of obesity prevalence in urban Chinese children from 1985 to 2010:gender disparity[J].PLoS One,2013,8(1):e53069.
[9] 周爱琴,戴琼,赵职卫,等.婴幼儿超重与肥胖的影响因素研究[J].中国妇幼保健,2014,29(6):899-901.
[10] 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.
[11] 曹慧,严双琴,顾春丽,等.喂养方式和早期BMI增量对1岁婴幼儿超重与肥胖的预测作用[J].公共卫生与预防医学,2014,25(5):55-59.
[12] 戴家振,洪琴,张春梅,等.早期喂养方式对2岁以下婴幼儿肥胖影响的纵向研究[J].中国儿童保健杂志,2011,19(6):502-504.
[13] Hunsberger M,Lanfer A,Reeske A,et al.Infant feeding practices and prevalence of obesity in eight European countries-the IDEFICS study[J].Public Health Nutr,2013,16(2):219-227.
[14] Disantis KI,Collins BN,Fisher JO,et al.Do infants fed directly from the breast have improved appetite regulation and slower growth during early childhood compared with infants fed from a bottle?[J].Int J Behav Nutr Phys Act,2011,8:89.
PDF(414 KB)
