山东省城市学龄儿童超重、肥胖现状及影响因素研究
- 张茜1,谭晓艳2,于连龙3,祁华金1,于小龙1,徐凌忠1
作者信息
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Status and influencing factors of overweight and obesity among school-age children in Shandong urban areas.
- ZHANG Qian1,TAN Xiao-yan2,YU Lian-long3,QI Hua-jin1,YU Xiao-long1,XU Ling-zhong1.
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文章历史
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摘要
目的 了解山东省城市学龄儿童超重、肥胖的流行现状,探讨其影响因素,为预防干预学龄儿童超重、肥胖提供理论依据。方法 采用多阶段随机整群抽样法,抽取山东省济南市、淄博市、临沂市3所小学共1 584名学龄儿童进行问卷调查和体格测量。结果 山东省城市学龄儿童超重检出率13.76%,肥胖检出率13.26%,超重、肥胖合并检出率27.02%;多因素分析结果显示,细嚼慢咽、挑食/偏食与否、是否每天吃水果、喝甜饮、吃早餐等饮食习惯因素,以及性别、周岁体重、父母体质指数等因素是学龄儿童超重、肥胖的可能影响因素。 结论 山东省有超过1/4的城市学龄儿童超重、肥胖。建议教育并引导儿童培养合理的饮食习惯,采取综合措施对学龄儿童超重、肥胖进行干预。
Abstract
Objective To understand the incidence of overweight and obesity among school-age children in Shandong urban areas and identify the influencing factors in order to provide theoretic basis for the prevention and intervention of children overweight and obesity. Method A total of 1 584 pupils in 3 primary schools in Jinan,Zibo,Linyi of Shandong province were selected by using the stratified cluster sampling method for questionnaire survey and physical measurement. Results The rates of overweight and obesity were 13.76% and 13.26%,respectively; and the merge rate was 27.02%.Multi - factor analysis showed that dietary habit factors such as chewing repeatedly,being a picky eater or not,having fruit,sweet drink and breakfast everyday or not,as well as gender,yearling weight and parent BMIs were associated with children overweight and obesity. Conclusions Over a quarter of school-age children in Shandong urban areas were overweight or obese.Children need education and guidance in developing healthy dietary habit and comprehensive measures should be taken in the prevention and intervention of children overweight and obesity.
关键词
Key words
overweight / obesity / influencing factors / school-age children
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参考文献
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[2] 马军,吴双胜.中国学龄儿童青少年超重肥胖流行趋势分析[J].中国学校卫生,2009,30(3):195-200.
[3] I'Allemand-Jander D.Clinical diagnosis of metabolic and cardiovascular risks in overweight children:early development of chronic diseases in the obese child[J].Int J Obes (Lond),2010,34(S2):32-36.
[4] 中国肥胖问题工作组.中国学龄儿童青少年超重,肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[5] Camell S,Wardle J.Appetite and adiposity in children:evidence for a behavioral susceptibility theory of obesity[J].Am J Clin Nutr,2008,88(1):22-29.
[6] 林蓉,杜琳,刘伟佳,等.广州市城区儿童超重、肥胖影响因素分析[J].中国儿童保健杂志,2011,19(5):409-411.
[7] 张霞.上海市长宁区小学生体质量超标肥胖现况和影响因素分析[J].中国学校卫生,2012,26(3):189-192.
[8] 谭凤珠,马玉霞,赵丽娟,等.城市学龄儿童超重和肥胖危险因素分析[J].中国公共卫生,2007,23(11):1283-1284.
[9] 唐晴,陈少科,罗静思,等.儿童青少年超重、肥胖现状及影响因素的研究[J].中国儿童保健杂志,2011,19(11):1014-1017.
[10] Moraeus L,Lissner L,Yngve A,et al.Multi-level influences on childhood obesity in Sweden:societal factors,parental determinants and child's lifestyle[J].Int J Obes (Lond),2012,36(7):969-976.
[11] 陈友兰,杜玉开,杨晓剑,等.厦门市某小学儿童肥胖影响因素分析[J].中国健康教育,2010,26(10):756-759.
[12] Birbilis M,Moschonis G,Mougios V,et al.Obesity in adolescence is associated with perinatal risk factors,parental BMI and sociodemographic characteristics[J].Eur J Clin Nutr,2013,67(1):115-121.
[13] 曹凌峰,罗飞宏,支涤静,等.FTO基因SNP rs9939609,rs1421085多态性与儿童青少年肥胖及其代谢指标的相关性研究[J].中国偱证儿科杂志,2010,5(1):46-50.
[14] Ozmert EN,Ozdemir R,Pektas A,et al.Effect of activity and television viewing on BMI Z-score in early adolescents in Turkey[J].World J Pediatr,2011,7(1):37-40.
[15] 谭晓艳,刘冬梅,徐凌忠.基于5-2-1-0模式的儿童超重、肥胖影响因素研究[J].中国儿童保健杂志,2012,20(2):127-129.
[16] 蒋丽,周穗玲,殷比,等.青少年儿童饮食中膳食纤维与健康状况的关系调查[J].现代食品科技,2010,26(12):1379-1393,1398.
[17] 尚现文,李艳平,刘爱玲,等.早餐食用频率和食物种类与儿童肥胖及相关慢性病患病率的关系[J].中国健康教育,2010,26(11):811-816.
[18] Carlson JA,Crespo NC,Sallis JF,et al.Dietary-related and physical activity-related predictors of obesity in children:a 2-year prospective study[J].Child Obes,2012,8(2):110-115.
[19] 郭苑,徐乔,孔玉梅,等.饮食、运动习惯对学龄前儿童超重和肥胖的影[J].中国妇幼保健,2011,26(36):5709-5712.
基金
山东大学优秀研究生科研创新基金项目(yyx10131)
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