摘要
目的了解不同出生体重、胎龄及宫内营养状况与儿童期肥胖之间的关系，为围产期干预提供依据。方法对上海市东北区域10所小学6～10岁共2395名儿童进行体格检查，收集每位儿童的出生资料，分析出生体重、胎龄以及宫内营养状况与儿童期肥胖的关系。结果出生时巨大儿（出生体重≥4000g）儿童期发生肥胖的危险是正常出生体重儿的1．55倍（OR=1．55，95％CI：1．17～2．05，χ^2=9．380，P=0．002）；与足月儿相比，早产儿和过期儿的儿童期肥胖检出率有升高趋势，但差异无统计学意义（OR=1．38，95％CI：0．82～2．3，χ^2=1．448，P=0．229；OR=1．34，95％CI：0．71～2．51，χ^2=0．834，P：0．361）；大于胎龄儿（LGA）儿童期发生肥胖的危险是适于胎龄儿（AGA）的1．38倍（OR=1.38，95％CI：1．05～1．82，χ^2=5．206，P=0．023）。结论巨大儿、大于胎龄儿均为发生儿童期肥胖的高危因素。
Objective To determine the relationship between birth weight, gestational age at birth,intrauterine nutritional status and childhood obesity. Methods Physical examinations of 2395 6 to 10-year-old children were performed, and questionnaire survey was used to collect their birth data. The relationship between birth weight, gestational age at birth and childhood obesity was analyzed. Results The risk of childhood obesity for macrosomia at birth （birth weight≥4000 g） was 1.55 times as much as that of children with normal birth weight （OR= 1.55,95%CI： 1.17- 2.05, χ^2=9. 380, P=0. 002）, and the risk of obesity for large for gestational age （LGA） babies was 1.38 times as much as that of appropriate for gestational age babies （AGA） （OR= 1.38, 95% CI： 1.05-1.82,χ^2=5. 206, P=0. 023）. Compared with the normal term infants, the rate of obesity in preterm infants and postdated child increased, but there was no statistical difference （OR=1. 38, 95%CI： 0.82-2.3,χ^2=1.448,P=0.229; OR=1.34, 95% CI： 0.71-2.51, χ^2=0.834,P=0.361）. Conclusions Macrosomia and LGA are the risk factors for childhood obesity.
出处
《中华围产医学杂志》
CAS
2009年第4期253-256,共4页
Chinese Journal of Perinatal Medicine
基金
上海卫生系统2007～2009年度三年健康促进项目
上海市儿童发展研究课题（2007SHET07）
关键词
出生体重
孕龄
儿童
肥胖症
Birth weight
Gestational age
Child
Obesity
