目的 分析儿童肥胖症的相关影响因素与控制对策分析及其对糖尿病发病情况的影响,为制定针对儿童肥胖症的防控措施提供理论依据。方法 将2012年5月—2018年1月期间于沈阳市第五人民医院儿科进行体检的836名儿童作为研究对象,统计本组研究对象中肥胖症发生率,并调查所有研究对象性别、年龄、学校性质、生活习惯等因素与肥胖症发生率的相关性。将出现肥胖症的患儿作为观察组,将正常儿童作为对照组,对比两组对象空腹血糖、餐后2 h血糖(2 hPBG),空腹血糖受损(IFG)、葡萄糖耐量异常(IGT)以及糖尿病发生率的差异。结果 836名儿童中,89名存在肥胖症,231名儿童体重超重,516名儿童BMI正常,肥胖症发生率为10.65%;多因素Logistic回归分析结果显示,男性(OR＝6.415,95%CI:2.714~12.684,P=0.027)、年龄>10岁(OR＝9.328,95%CI:2.413~10.152,P=0.003)、居住地在城市(OR＝6.413,95%CI:2.748~8.503,P=0.015)、早餐地点在家里(OR＝6.349,95%CI:2.692~8.419,P=0.009)、周末活动时间<1 h(OR＝14.928,95%CI:4.210~15.384,P<0.001)均是儿童肥胖症的危险因素;观察组FPG及2 hPBG表达水平均显著高于对照组(P<0.05);观察组IFG、IGT及糖尿病发生率均显著高于对照组(P<0.05)。结论 儿童肥胖症的发生与外界及自身多项因素有密切联系,还可能诱发糖尿病等并发症,临床中应针对诱导儿童肥胖症产生的具体因素制定相应控制对策,改善肥胖患儿生活质量,使其健康成长。

Objective To analyze the related influencing factors and control strategies of childhood obesity and its impact on the incidence of diabetes,so as to provide theoretical basis for the prevention and control of childhood obesity. Methods Totally 836 children who were examined in Fifth Hospital of Shenyang from May 2012 to January 2018,were studied as subjects.The incidence of obesity in the subjects was investigated,and the correlations between the sex,age,school and life habits of all the subjects and the incidence of obesity were analyzed.Obese children were treated as the observation group and normal children were used as control group.The differences on fasting blood glucose,postprandial 2 h blood glucose(2 h PBG),impaired fasting glucose(IFG),glucose tolerance(IGT) and diabetes incidence were compared between the two groups. Results Of the 836 children,89 were obese,231 children were overweight,516 children had normal BMI index,and the incidence of obesity was 10.65%.The main factors affecting childhood obesity were sex(OR=6.415,95%CI:2.714~12.684,P=0.027),age(OR=9.328,95%CI:2.413~10.152,P=0.003),residence (OR=6.413,95%CI:2.748~8.503,P=0.015),breakfast location(OR=6.349,95%CI:2.692~8.419,P=0.009),weekend activity time(OR=14.928,95%CI:4.210~15.384,P<0.001).Thelevel of FPG and 2 hPBG of the observation group were significantly higher than those of the control group(P<0.05),and the incidence of IFG,IGT and diabetes in the observation group were significantly higher than those in control group(P<0.05). Conclusions The occurrence of childhood obesity is closely related to many factors in the outside world and itself.Moreover, obesity may also induce diabetes,which threatens the safety of children.Clinically,the specific factors that induce the development of childhood obesity should be controlled.thereby ensuring the healthy growth of children and improving their quality of life.