摘要
目的 了解学龄前肥胖儿及其家长饮食行为方式,为肥胖儿干预提供有力依据。方法 随机抽取西安市新城区4所幼儿园的所有儿童,筛查出肥胖儿童135人,按同班级、同年龄、同性别、身高相差5cm以内、身高别体重在标准体重10%以内、1:1的比例抽取正常儿童135人为对照,对其家长进行饮食行为调查。结果 ①84.2%的肥胖组家长和90.8%的对照组家长认为肥胖对健康有害,两组家长对肥胖的认识无明显差异(χ^2=0.113,P〉0.05)。但肥胖组有31.5%的家长认为自己的孩子不胖,这部分家长鼓励儿童进食的比例明显高于肥胖组认为自己孩子胖的家长(χ^2=6.604,P=0.037〈0.05);②两组家长都存在鼓励孩子多吃的不良养育行为,但鼓励儿童多进食的家长比例对照组明显高于肥胖组,两组之间差异显著(χ^2=17.275,P〈0.01);③两组儿童在进食量多、进食速度快、喜食油炸食品、甜饮料和糖果点心等行为上,肥胖组比例明显高于对照组(进食量多:χ^2=38.103,P=0.000;进食速度快:χ^2=8.512,P=0.004;喜食油炸食品:χ^2=9.037,P=0.003;甜饮料:χ^2=4.116,P=0.042;糖果点心:χ^2=9.876,P=0.002),均有显著性差异(P〈0.05)。两组儿童看电视时间超过2小时、运动时间少于1小时人数的比例均无明显差异(看电视时间:χ^2=0.096,P〉0.05;运动时间:χ^2=0.169,P〉0.05)。结论 对照组家长在鼓励儿童过度进食方面更为严重;肥胖儿仍存在进食速度快,过度进食的不良饮食行为;关于饮食行为的教育不仅仅局限于肥胖儿及家长,正常儿及家长同样重要。
Objective To investigate dietary bahaviorial patterns of obese preschool children and their parents, so as to provide a strong basis for performing intervention for obese children. Methods 135 obese children identified from 4 kindergartens in Xincheng district of Xi'an city were surveyed for dietary behaviors and 135 normal children were matched in same class, same age, same sex, height difference less than 5cm, difference in weightforheight within 10% of standard body weight as controls. At the same time,the dietary behaviors of parents of all children were surveyed.Results ①84.2% of parents in the obese children group and 90.8% of parents in the control group thought that obesity would be harmful to health, there was no significant difference between the two groups(χ^2=0.113, P〉0.05). But 31.5% of parents in the obese children group didn't think their children were obese, and in the obese children group the proportion of those parents who encouraged their children to eat too much foods was significantly higher than the proportion of those in the same group who considered that their children were obese (χ2=6.604, P=0.037〈0.05);②The parents in the two groups all encouraged their children to eat more, but the proportion of parents who encouraged their children to eat more in the control group was significantly higher than that in the obese children group and there was a significant difference (χ^2=17.275,P〈0.01); ③The proportions of children who had some adverse dietary behaviors such as overeating, eating fast, liking to eat fast foods, fried foods, sweet drinks and confectionery in the obese children group were significantly higher than the control group (for overeating: χ2 = 40.695, P = 0.000; for eating fast: χ^2= 8.512, P=0.004; for liking to eat fried foods: χ^2=9.037, P=0.003;for liking sween drinks : χ2=4.116,P=0.042;for liking to eat confectionery: χ^2= 9.876, P=0.002). But in proportions of children with time of watching TV longer than 2
出处
《中国妇幼健康研究》
2009年第5期514-516,共3页
Chinese Journal of Woman and Child Health Research
基金
西安市新城区科技局软科学研究资助项目(XCKJ-HJ0707)
关键词
肥胖儿
家长
学龄前期
饮食行为
obese children
parent
preschool period
dietary behavior