【目的】 探讨社区0-3岁儿童超重和肥胖干预措施的有效性和可行性。 【方法】 通过医院系统保健门诊对干预组进行预防性干预和家庭行为治疗,监测2007年1-12月满3个月的婴幼儿超重和肥胖发生发展及转归情况。一直到3周岁。 【结果】 通过干预措施,婴幼儿超重发生率由21.59%降至16.53%,肥胖发生率由6.53%降至4.18%。干预前后儿童肥胖发生率差异有统计学意义(P＜0.05)。 【结论】 儿童在常规保健基础上,提供预防性干预和家庭行为治疗能有效防治儿童早期肥胖的发生和发展,并对建立健康的生活方式起到引导作用。

【Objective】 To study the effectiveness and feasibility of the overweight and obesity interventions on 0~3 years children in the community. 【Methods】 The progress and outcome of the overweight and obesity happened on the 3 months old infant was monitored during January to December of 2007 by method of the preventative interventions conducted in the healthcare clinics of hospital system and the family behavior therapy, till they got old to 3. 【Results】 By the intervention measures, the incidence of infant overweight fell to 16.53% from 21.59% , and the incidence of obesity fell to 4.18% from 6.53%. After interventions, there was very significant difference in the incidence of children obesity compared with those before intervention (P＜0.05). 【Conclusion】 In a routine healthcare basis for children, the preventive intervention and family behavioral therapy can effectively prevent the incidence and progress of early childhood obesity, and also can play a guiding role of a healthy lifestyle.