目的 了解甘肃省临夏回族自治州农村学龄儿童营养及体格发育状况,为改善贫困地区儿童健康提供数据支持。方法 于2019年采用横断面调查方法抽取甘肃省临夏回族自治州农村10～12岁学龄儿童进行研究,测量身高和体重,计算体重指数(BMI)和儿童营养不良、生长迟缓、超重与肥胖检出率,评价儿童生长发育状况。 结果 临夏州农村10岁男女童平均体重分别为33.3、31.7 kg,平均身高分别为139.8、138.7 cm;11岁男女童平均体重分别为33.8、33.2 kg,平均身高分别为141.1、141.7 cm;12岁男女童平均体重分别为34.6、35.2 kg,平均身高分别为143.2、143.8 cm。营养不良检出率为35.1%(男36.9%,女33.0%),其中中重度消瘦检出率为23.4%,轻度消瘦检出率为11.7%;儿童超重检出率为4.7%,肥胖检出率为4.6%;儿童营养状况性别间(Z=368 213.0)和年龄间(H=0.132)差异均无统计学意义(P＞0.05)。儿童总生长迟缓检出率为5.8%,随年龄的增长而升高,男童为4.2%,女童为7.4%,儿童生长迟缓检出率性别间(χ2=99.000)和年龄间(χ2=198.000)比较,差异均有统计学意义(P＜0.001)。儿童身高发育水平性别间(Z=346 398.0)和年龄间(H=150.97)差异均有统计学意义(P＜0.05)。 结论 甘肃省临夏州农村学龄儿童体格发育水平滞后,营养不良状况突出,应加强对当地儿童生长发育的关注,采取有效措施促进儿童健康发展。
Abstract
Objective To investigate the physical development and nutrition status of rural school-age children in Linxia Hui Autonomous Prefecture, Gansu Province, so as to provide data support for improving children′s health in ethnic minority areas. Methods School children aged 10 to 12 years in Linxia Hui Autonomous Prefecture of Gansu Province in 2019 were selected in this cross-sectional survey. Height and weight of the participants were measured, then body mass index(BMI) was calculated. The detection rates of malnutrition, growth retardation, overweight and obesity were analyzed to assess children′s growth and development. Results The average weight was 33.3 kg and 31.7 kg for 10-year-old boys and girls in rural Linxia, which was 33.8 kg and 33.2 kg for 11-year-old boys and girls, 34.6 kg and 35.2 kg in 12-year-old boys and girls. The average height was 139.8 cm and 138.7 cm for 10-year-old boys and girls in rural Linxia, which was 141.1 cm and 141.7 cm for 11-year-old boys and girls, 143.2 cm and 143.8 cm in 12-year-old boys and girls. The detection rate of malnutrition was 35.1%(36.9% for boys and 33.0% for girls), including moderate malnutrition of 23.4%, mild malnutrition of 11.7%, overweight of 4.7% and obesity of 4.6%. There was no statistically significant difference in nutritional status among different gender and age groups(Z=368 213.0, H=0.132, P＞0.05). The growth retardation rate increased with age, and the overall rate was 5.8%(4.2% for boys and 7.4% for girls). There were significant differences in growth retardation rate(χ2=99.000, 198.000, P<0.001) and height(Z=346 398.0, H=150.97, P<0.05) among different gender and age groups. Conclusion The physical development level of rural school-age children in Linxia Prefecture, Gansu Province lags behind, so it is supposed to strengthen the growth and development of children, and take effective measures to promote the healthy development of children.
关键词
学龄儿童 /
营养不良 /
超重 /
肥胖
Key words
school-age children /
malnutrition /
overweight /
obesity
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参考文献
[1] 王岚,刘婵.学龄儿童营养状况与行为变化趋势[J].公共卫生与预防医学,2021,32(4):150-152.
Wang L,Liu C.Nutrition status and behavioral trends in school-aged children[J].J Pub Health Prev Med, 2021,32(4):150-152.
[2] 张岚,郭强,马玉宝,等.甘肃省回族地区结核病健康扶贫重点指标监测分析[J].疾病监测,2021,36(11):1129-1132.
Zhang L,Guo Q,Ma YB,et al.Monitoring and analysis of key indicators of tuberculosis health Poverty alleviation in Hui areas of Gansu province[J].Disease Surveillance,2021,36(11):1129-1132.
[3] 中华人民共和国国家卫生和计划生育委员会.WS/T456-2014 学龄儿童青少年营养不良筛查[S].北京:中国标准出版社,2014.
The National Health and Family Planning Commission of the PRC.WS/T456-2014 screening For malnutrition in school-aged children and adolescents[S].Beijing:China Standards Press,2014.
[4] 中华人民共和国国家卫生和计划生育委员会.WS/T586-2018学龄儿童青少年超重与肥胖筛查[S].北京:中国标准出版社,2018.
The National Health and Family Planning Commission of the PRC.WS/T586-2018[S].Beijing:China Standards Press,2018.
[5] 中华人民共和国国家卫生和计划生育委员会. WS/T612-2018 7～18岁儿童青少年身高发育等级评价[S].北京:中国标准出版社,2018.
The National Health and Family Planning Commission of the PRC. Evaluation of the height development grade of children and adolescents aged WS/T612-2018 7 to 18 years[S].Beijing:China Standards Press,2018.
[6] 中国学生体质与健康调研组. 2014年中国学生体质与健康调研报告[R].北京:高等教育出版社,2016.
Chinese Students′ Physical Fitness and Health Research Group. 2014 fitness and health of chinese students[R].Beijing:Higher Education Press,2016.
[7] 董彦会,王政和,杨招庚,等. 2005年至2014年中国7～18岁儿童青少年营养不良流行现状及趋势变化分析[J].北京大学学报(医学版),2017,49(3):424-432.
Dong YH,Wang ZH,Yang ZG,et al.Analysis of the epidemic status and trend change of malnutrition among children aged 7 to 18 years in China from 2005 to 2014[J].Journal of Peking University(Health Sciences), 2017,49(3):424-432.
[8] 杲强,郭秀文,蒲陶菊.2010年甘肃省汉族学生营养状况调查分析[J].中国校医,2014,28(1):21-23
Gao Q,Guo XW,Pu TJ.Investigation and analysis of the nutrition status of han students in gansu province in 2010[J].Chin School Doctor,2014,28(1):21-23
[9] 陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志,2017,21(9):866-869,878.
Chen YS,Zhang YM,Kong ZX,et al.Survey on the prevalence of overweight and obesity in children and adolescents in China[J].Chin J Dis Control Prev,2017,21(9):866-869,878.
[10] 杜亚琴.武汉市江汉区36441名学龄前儿童健康检查结果分析[J].中国妇幼保健,2021,36(2):388-392.
Du YQ. Analysis of the health examination results of 36,441 preschool children in Jianghan District,Wuhan[J].Maternal and Child Health Care in China,2021,36(2):388-392.
[11] 赵瑞兰,李子昂,肖惠迪,等.北京学龄儿童青少年体格发育指标增长速度性别差异[J].中国学校卫生,2021,42(4):510-514.
Zhao RL,Li ZA,Xiao HD,et al. Sex differences in the growth rate of school-aged children and adolescents in Beijing[J].Chin J Sch Health,2021,42(4):510-514.
[12] 李辉.中国儿童青少年身高变化趋势的启示[J].中国儿童保健杂志,2019,27(1):1-5.
Li H.Implications for the trend of height change in children and adolescents in China[J].Chin J Child Health Care,2019,27(1):1-5.
[13] 郭冰冰,蒋新液,卫雅蓉,等.中国儿童青少年生长迟缓患病率Meta分析[J].中国儿童保健杂志,2021,29(3):296-300.
Guo BB,Jiang XY,Wei YR,et al.Meta-analysis of the prevalence of growth retardation in Chinese children and adolescents[J].Chin J Child Health Care,2021,29(3):296-300.
[14] 曹薇,杨媞媞,徐培培,等.中国2012—2017年农村营养改善计划地区学生生长迟缓状况[J].中国学校卫生,2021,42(3):346-349.
Cao W,Yang TT,Xu PP,et al.Growth retardation of Students in China Rural Nutrition Improvement Plan 2012-2017[J].Chin J Sch Health,2021,42(3):346-349.
[15] 刘文,李红霞.分析营养早餐影响学生体质发育的效果[J].中国社区医师,2020,36(30):164-165.
Liu W,Li HX.Analyze the effect of nutritious breakfast on students′ physical development[J].Chin Comm Doc,2020,36(30):164-165.
[16] 周雪,王玉.甘肃省裕固族、东乡族、保安族小学生膳食营养评价[J].重庆医学,2019,48(5):821-824.
Zhou X,Wang Y.Dietary nutrition evaluation of Yugu, Dongxiang and Baoan primary school students in Gansu Province[J].Chongqing Medicine,2019,48(5):821-824.
[17] 刘舒瑜,王舒颖,席金恩,等.甘肃省某农村小学学生营养健康状况及知识行为调查[J].疾病预防控制通报,2021,36(4):15-18.
Liu SY,Wang SY,Xi JE,et al.Survey on the nutrition and health status and knowledge and behavior of students in a rural primary school in Gansu Province[J].Bull Dis Control Prev,2021,36(4):15-18.
基金
甘肃省卫生行业科研计划项目(GSWSKY2021-008);甘肃省科技计划资助项目(22JR11RA184)
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