摘要
目的通过对黄浦区低出生体重儿出生后2年的随访观察,了解营养失调性疾病的发病率,为科学喂养指导提供依据。方法对区域内2003-2007年出生的233名低出生体重儿定期进行随访观察,对观察对象作4-2-1体格检查,按上海市市区0～6岁男女儿童体格发育5项指标评价营养状况,用1985年WHO推荐的身高标准体重的中位数百分比法判定超重、肥胖,并分析不同月龄低出生体重儿的营养失调性疾病发病率。结果低出生体重女童患营养不良、超重、肥胖的发生率分别为2.80%、4.82%、3.12%;男童分别为4.10%、4.76%、2.51%;低体重儿身高未达标组的超重、肥胖发生率高于身高达标组(P<0.05);不同性别低出生体重儿在婴幼儿期患营养不良、超重、肥胖发生率差异无统计学意义(P>0.05)。结论在重视低出生体重儿营养不良的同时,应关注低出生体重儿的超重、肥胖,需辩证、科学地开展低出生体重儿童的喂养指导。
Objective To understand the incidence of dystrophic diseases among low birth weight infants,to provide the basis for scientific feeding guides.Methods Regular follow-up observation was carried out among 233 low birth weight infants born in the years of 2003-2007.Four-two-one physical examination was conducted on the subjects,and their nutritional status was evaluated according to the five physical development indexes of Shanghai City among 0-6 years old male and female children. Overweight and obesity among the subjects were determined based on the median percentage of overweight and obesity recommended by WHO standard.The incidence of dystrophic disease was analyzed in terms of the different months of birth among low birth weight infants.Results The incidences of suffering from malnutrition,overweight,and obesity are 2.80%,4.82%and 3.12%(P>0.05) respectively for low birth weight girls,and those for low birth weight boys are 4.10%,4.76%,2.51%(P<0.05) respectively.The incidence of overweight and obesity in the group of height below standard was higher than that in the group of height up to the standard among low birth weight infants(P<0.05) .No significant difference existed in malnutrition,overweight and obesity among low birth weight infants of different gender in their early childhood(P>0.05) .Conclusion In addition to low birth weight infants’malnutrition,attention should also be paid to their overweight and obesity.It is essential to provide a scientific guidance for feeding low birth weight children.
出处
《健康教育与健康促进》
2011年第4期249-250,258,共3页
Health Education and Health Promotion
关键词
低出生体重儿
肥胖
超重
营养不良
Low birth weight infant
Obesity
Overweight
Malnutrition
