目的 研究我国学龄儿童中肥胖的发病率以及相关生活方式对肥胖发病的影响。方法 数据来源于2005年11-12月在我国进行的一项学龄儿童睡眠相关问题的普查。选取与生活方式相关因素,主要包括:饮食方面,屏幕暴露,生活质量以及体育活动四大方面,并进行多因素Logistic回归。结果 我国儿童肥胖的发病率大约为10.2%,经过单因素分析得出学龄儿童与肥胖有关的生活方式包括社交少,长期屏幕暴露,经常被师长责骂,运动少,咖啡因摄入过多。最终模型中,各方面的OR值(95%CI)分别为:长时间电视屏幕暴露1.104(1.035～1.178),经常被老师责骂1.099(1.036～1.166),较少的体育运动1.096(1.050～1.143)和朋友很少1.091(1.044～1.141)。结论 在我国部分肥胖学龄儿童中存在不良的生活方式,家长应予以足够的重视。对未患肥胖的儿童也应避免出现这些情况。
Abstract
Objective To investigate the prevalence of childhood obesity in Chinese children at school age and the influence of bad lifestyle in contributing to childhood obesity. Methods Data were from a sleep survey conducted from November to December in 2005.Lifestyle like eating habits,screen viewing,quality of life,and physical sports were included in our analysis,and Logistic regression analysis was used. Results The general prevalence of obesity in Chinese children was about 10.2%.And univariate Logistical regression showed that the related factors included less friends,long time screen viewing,being blamed by teachers and parents,less physical sport,more caffeine intake.Multivariate Logistic analysis indicated long time screen viewing (OR=1.104,95%CI:1.035～1.178),being blamed by teachers (OR=1.099,95%CI:1.036～1.166),less physical sports (OR=1.096,95%CI:1.050～1.143) and less friends (OR=1.091,95%CI:1.044～1.141) were the risk factors of childhood obesity. Conclusions Parents should pay more attention to the bad lifestyles of the obese Chinese children,and try to avoid these situations.
关键词
肥胖 /
学龄期儿童 /
生活方式
Key words
obesity /
school-age children /
lifestyle
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参考文献
[1] Yanovski JA.Pediatric obesity.An introduction[J].Appetile,2015,93:3-12.
[2] Kelly AS,Barlow SE,Rao G,et al.Severe obesity in children and adolescents:Identification,associated health risks,and treatment approaches[J].Circulation,2013,128(15):1689-1712.
[3] Xu SM,Xue Y.Pediatric obesity:causes,symptoms,prevention and treatment[J].Exp Ther Med,2015,11(1):15-20.
[4] Leech RM,Manaughton SA,Timperio A.Clustering of diet physical activity and secondary behavior among Australia children:cross-sectional and longitudinal association with overweight and obesity[J].Int J Obes (Lond),2015,39(7):1079-1085.
[5] Janicke DM,Steele RG,Gayes LA,et al.Systemic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity[J].J PediatrPsychol,2014,39(8):809-825.
[6] Riggs KR,Lozano P,Mohelnitzky A,et al.An adaptation of family-based behavioral pediatric obesity treatment for a primary care setting:group health family wellness program pilot[J].Perm J,2014,18(3):4-10.
[7] Li S,Jin X,Wu S,et al.The impact of media use on sleep patterns and sleep disorders among school-aged children in China[J].Sleep,2007,30(3):361-367.
[8] 李生慧,金星明,沈晓明,等.儿童睡眠习惯问卷中文版制定以及测量性能考核[J].中华儿科杂志,2007,45(3):176-180.
[9] Bahk J,Khanf YH.Trends in measures of childhood obesity in Korea from 1998-2012[J].J Epidemiol,2016,26(4):199-207.
[10] Sampasa-Kanyinga H,Chaput JP,Hamilton HA.Associations between the ues of social networking sites and unhealthy eating behaviours and excess body weight in adolescents[J].Br J Nutr,2015,114(11):1941-1947.
[11] Li L,Shen T,Wen LM,et al.Lifestyle factors associated with childhood obesity:a cross-sectional study in Shanghai,China[J].BMC Res Notes,2015,8(1):6.
[12] Farajian P,Panagiotakos DB,Risvas G,et al.Hierarchical analysis of dietary,lifestyle and family environment risk for childhood obesity:the GRECO study[J].Eur J ClinNutr,2014,68(10):1107-1112.
[13] Guarn T,Bereket A.International epidemic of childhood obesity and television viewing[J].Minerva Pediatr,2011,63(6):483-490.
[14] Kavehmanesh Z,Saburi A,Maavaiyan A.Comparison of body mass index on children with functional constipation and healthy controls[J].J Family Med Prim Care,2013,2(3):222-226.
[15] Pashankar DS,Loening-Baucke V.Increased prevalence of obesity in children with function constipation evaluated in an academic medical center[J].Pediatrics,2005,116(3):e377-380.
[16] Fishman L,Lenders C,Fortunato C,et al.Increased prevalence of constipation and fecal soiling in a population of obese children[J].J Pediatr,2004,145(2):253-254.
[17] Lampard AM,Franckle RL,Davison KK.Maternal depression and childhood obesity:a systematic review[J].Prev Med,2014,59(1):60-67.
基金
上海市科学技术委员会2014年度医学引导类基金(14411969200);上海市2016年度“科技创新行动计划”项目基金 (16411952800)
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