目的 分析身材矮小儿童睡眠、饮食及行为问题,为矮小症的预防与早期干预提供科学依据。方法 选取2017年9月—2018年9月西安交通大学第二附属医院儿科门诊的110例矮小儿童及正常对照组110例,对受试儿童家长进行问卷调查。 结果 生长激素缺乏症62例(56.4%),特发性矮身材48例(43.60%)。矮小男童49人(44.5%),女童61人(55.5%),平均年龄(7.53±2.26)岁。对照组男49人(44.5%),女61人(55.5%),平均年龄(7.33±2.19)岁。两组年龄性别差异无统计学意义(P>0.05),出生体重,目前身高体重及父母身高差异均有统计学意义(P<0.05);饮食行为比较过饱响应、进食缓慢、食物喜好、情绪性饮食减少差异均有统计学意义(P<0.05);睡眠层面比较就寝习惯、入睡潜伏期、睡眠持续时间、睡眠焦虑、夜醒、异态睡眠、白天困倦矮小儿童均高于对照组(P<0.05)。行为分析4～5岁矮小组儿童“抑郁”、“体诉”、“社交退缩”、“分裂样”、“攻击”因子得分显著高于对照组(P<0.05);6～11岁“抑郁”、“体诉”、“社交退缩”“多动”、“分裂样”、“攻击”、“违纪”因子得分显著高于对照组(P<0.05)。 结论 饮食、睡眠及行为问题与儿童生长发育密切相关,是身材矮小症的重要影响因素。
Abstract
Objective To investigate the sleep,diet and behavioral problems of short stature children, in order to provide scientific basis for early preventing and intervention of short stature. Methods From September 2017 to September 2018,110 cases of short stature children and 110 cases of normal control group were selected from the pediatric outpatient department of the Second Affiliated Hospital of Xi′an Jiaotong University.Their parents were asked to finish the questionnaire survey. Results There were 62 cases with growth hormone deficiency (56.4%),48 cases with idiopathic short stature (43.60%).There were 49 short boys (44.5%) and 61 short girls (55.5%),with an average age of (7.53±2.26) years.The control group consisted of 49 males (44.5%) and 61 females (55.5%),with an average age of (7.33±2.19) years.There was no difference in age and sex between the two groups(P>0.05), but significant differences were found on birth weight,current height and weight,and parental height(P<0.05).There were significant differences on over-satiety response,slow eating,food preference and emotional eating between two group(P<0.05).Compared with the control group,bedtime habits,sleep latency,sleep duration,sleep anxiety,night wake,abnormal sleep,daytime sleepiness of short stature group were all higher.The score of depression,body complaint,social withdrawal,schizoid and aggression of short stature children aged 4-5 years were higher than the control group.The score of body complaint,hyperactivity,schizoid,aggression and discipline violation of short stature group aged 6-11 years old were higher than the control group. Conclusion Diet,sleep and behavioral problems are closely related to children′s growth and development,and are important factors affecting short stature.
关键词
身材矮小症 /
睡眠 /
饮食行为 /
行为问题
Key words
short stature /
sleep /
eating behavior /
behavioral problems
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参考文献
[1] 中华医学会儿科分会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华儿科杂志,2008,,46(6):428-430.
[2] 宋晓东,范淑玲.儿童睡眠障碍发病机制的研究[J].医学信息,2015,29(3):368-369.
[3] 朱锦渊,宋娟,农雪艳,等.特发性矮小对不同年龄阶段儿童心理行为的影响[J].中国医学创新,2015,12(23):36-39.
[4] 戴杨,徐通,马永红,等.学龄前儿童饮食行为及其影响因素研究[J].中国儿童保健杂志,2018,26(3):243-246.
[5] 中华医学会儿科学分会内分泌遗传代谢学组,《中华儿科杂志》编辑委员会.基因重组人生长激素儿科临床规范应用的建议[J].中华儿科杂志,2013,51(6):426-431.
[6] Carnell S,Wardle J.Measuring behavioural susceptibility to obesity:Validation of the child eating behaviour questionnaire[J].Appetite,2007,48(1):104-113.
[7] 李生慧,金星明,沈晓明,等.儿童睡眠习惯问卷中文版制定及测量性能考核[J].中华儿科杂志,2007,45(3):176-180.
[8] Owens JA,Spirito A,Mcguinn M.The Children′s Sleep Habits Questionnaire (CSHQ):psychometric properties of a survey instrument for school-aged children[J].Sleep,2000,23(8):1043-1051.
[9] Achenbach TM,Edelbrock CS.Manual for the child behavior checklist and revised child behavior profile[M].Burlington:University of Vermont,Department of Psychiatry.1983.
[10] 苏林雁,李雪荣,罗学荣,等.Achenbach儿童行为量表的再标准化及效度检验[J].中国心理卫生杂志,1998,12(2):67-69.
[11] 郭春艳,贺波,呼延佳,等.儿童矮身材病因及其骨龄发育情况374例分析[J].中国妇幼健康研究,2015,26(1):3-5.
[12] 陈丽梅,刘戈力.天津市汉沽地区2529名6～11岁儿童身高发育状况及相关影响因素调查[J].天津医科大学学报,2015,21(3):258-261.
[13] Domoff SE,Miller AL,Kaciroti N,et al.Validation of the Children′s Eating Behaviour Questionnaire in a low-income preschool-aged sample in the United States.[J].Appetite,2015,95:415-456.
[14] 刘慧燕,陈蓁蓁,林穗方,等.广州地区1～6岁儿童饮食行为问题与家庭环境关系研究[J].中国社会医学杂志,2018,35(1):53-56.
[15] 吴墨源,黄婷红.中国儿童睡眠障碍报告率的Meta分析[J].重庆第二师范学院学报,2015,28(6):162-165.
[16] 张家平.鼾症对儿童睡眠结构及生长发育的影响[J].世界最新医学信息文摘,2019,19(17):41-44.
[17] 雷晓梅,杨玉凤.西安城区6～13岁儿童睡眠状况及其相关因素分析[J].临床儿科杂志,2010,28(8):738-740.
[18] 李生慧,沈晓明,金星明,等.上海市学龄儿童电视和电脑使用对睡眠行为的影响[J].上海交通大学学报:医学版,2009,29(7):763-766.
[19] Elaine T,Nora S,Birit B.Infant sleep and its relation with cognition and growth:a narrative review [J].Nat Sci Sleep,2017,9:135-149.
[20] 李生慧,沈晓明,金星明,等.上海市学龄儿童“白天困倦”相关危险因素研究[J].中国儿童保健杂志,2009,17(4):376-379.
[21] Zlotkin D,Varma SK.Psychosocial effects of short stature[J].Indian Journal of Pediatrics,2006,73(1):79-80.
[22] Voss L,Sandberg D.The psychological burden of short stature:evidence against [J].Eur Endocrinol,2004,151(Suppl 1):29-33.
[23] 王荣芳,王一青,王媛.淄博市矮小儿童自我意识情况调查[J].中外医疗,2011,30(1):20-24.
基金
2017年陕西省重点研发计划(2017SF027)
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