目的 了解华东地区儿童超重及肥胖的分布特点,探讨基于微信平台收集数据的优缺点,为今后进行调查和制定有效的干预措施提供理论依据。方法 0~5岁儿童家长通过微信平台在线填写,19 793名儿童纳入分析,其中男童11 770例,女童8 023名,以2007年世界卫生组织推荐的身高标准体重值作为诊断超重和肥胖的指标。将本次调查儿童的超重和肥胖率与2006年中国九市超重和肥胖检出率进行比较。结果 本研究华东地区0~5岁儿童超重和肥胖检出率分别为10.1%和4.2%,男童肥胖的总检出率高于女童(χ2=14.965,P<0.001),尤其0~1岁和2~3岁男童肥胖的检出率均高于女童(χ2=9.528和14.066,P值均<0.001),华东地区各年龄段儿童超重和肥胖的检出率均高于2006年中国九市水平。结论 华东地区0~5岁儿童超重和肥胖检出率较高,使用移动平台进行人群调查研究更快捷和简便。
Abstract
Objective To understand the prevalence of overweight and obesity among children in the eastern China,and to explore the advantages and disadvantages of data collection based on WeChat in order to give support for the future investigation and effective intervention. Methods Parents of children aged 0~5 years filled the data on the WeChat platform.A total of 19 793 children in eastern China were selected in this study,including 11 770 boys and 8 023 girls.Weight for height obese criteria recommended by WHO in 2007 was used as the diagnostic indexes of overweight and obesity.The incidence rates of overweight and obesity among children were compared with the data in nine cities of China in 2006. Results The incidence rates of overweight and obesity among children aged 0~5 years in eastern China were respectively 10.1% and 4.2%.The incidence rates of obesity among boys were higher than those among girls(χ2=14.965,P<0.001).In 0~1-year-old group and 2~3-year-old group,the incidence rates of obesity among boys were higher than those among girls(χ2=9.528 and 14.066,all P<0.001).The incidence rates of overweight and obesity among children in eastern China were higher than that in nine cities of China in 2006(P<0.01). Conclusion The incidence rates of overweight and obesity among children aged 0~5 years in eastern China are high,and the utilization of mobile platforms for research is faster and more convenient.
关键词
超重 /
肥胖 /
儿童 /
华东地区
Key words
overweight /
obesity /
children /
eastern China
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Barbiero SM,D'Azevedo SC,Schuh DS,et al.Overweight and obesity in children with congenital heart disease:combination of risks for the future?[J].BMC Pediatrics,2014,14(1):1-6.
[2] Lo JC,Maring B,Chra M,et al.Prevalence of obesity and extreme obesity in children aged 3~5 years[J].Pediatric Obes,2014,9(3):167-175.
[3] 李少闻,王思思,雷晓梅,等.西安市城区2013年0~6岁儿童超重肥胖流行病学调查[J].中国妇幼保健,2016,37(19):1380-1382.
[4] Pwint MK,Lee YS,Wong TY,et al.Prevalence of overweight and obesity in Chinese preschoolers in Singapore[J].Ann Acad Med Singapore,2013,42(2):66-72.
[5] Maggio AB,Saunders GC,Gal-Duding C,et al.BMI changes in children and adolescents attending a specialized childhood obesity center:a cohort study[J].BMC Pediatrics,2013,13(1):1-6.
[6] Lyu Y,Ouyang F,Ye XY,et al.Trends in overweight and obesity among rural preschool children in southeast China from 1998 to 2005[J].Public Health,2013,127(12):1082-1089.
[7] Ye X,Jia W,Li Z,et al.Design and implementation of a mobile system for lung cancer patient follow-up in China and initial report of the ongoing patient registry[J].Oncotarget,2017,8(3):5487-5497.
[8] 王卫平,毛萌,李廷玉,等.儿科学 [M].8 版.北京:人民卫生出版社,2013:86-89.
[9] 储嘉慧,郑雨潇,余章斌,等.中国0~7岁儿童单纯性肥胖症流行病学Meta分析[J].中华实用儿科临床杂志,2013,28(7):506-509.
[10] Xiao Y,Qiao Y,Pan L,et al.Trends in the prevalence of overweight and obesity among Chinese preschool children from 2006 to 2014[J].Plos One,2015,10(8):e0134466.
[11] 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 2013[J].Lancet,2005,384(9945):766-781.
[12] Ma YN,Chen T,Wang D,et al.Prevalence of Overweight and obesity among preschool children from six cities of Northeast China[J].Arch Med Res,2011,42(7):633-640.
[13] 冯海霞,万燕萍,周一泉,等.上海学生家长对儿童肥胖及其相关慢病知晓率的横断面研究[J].中国儿童保健杂志,2016,24(1):57-61.
[14] 张晶,魏梅,姚国英,等.上海市0~6岁儿童单纯性肥胖的现状及流行变化趋势[J].中国妇幼保健,2011,26(13):1996-1999.
[15] 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.
[16] Do LM,Tran TK,Eriksson B,et al.Preschool overweight and obesity in urban and rural Vietnam:differences in prevalence and associated factors[J].Glob Health Action,2015,8(1):28615.
基金
上海市加强公共卫生体系建设三年行动计划(2015-2017)示范项目(GWIV-19);上海市科学技术委员会科技成果转化和产业化项目(16511104903)