摘要
目的:了解武汉市学龄前儿童超重和肥胖的流行情况,探讨其影响因素。方法:随机整群抽取武汉市江汉区5所幼儿园共1 120名儿童,按照标准方法测量其身高、体重,并以WHO儿童BMI标准作为超重和肥胖评价标准;采用自拟问卷对儿童及其家庭基本情况、饮食和运动习惯进行调查。结果:1 120名儿童中,超重和肥胖发生率分别为13.2%和11.9%,男童发生率均显著高于女童(P<0.001);多因素非条件Logistic回归分析结果显示,出生为巨大儿(OR=1.662,95%CI:1.066～2.590)、进食量多(OR=4.640,95%CI:3.319～6.486)、进食速度快(OR=2.121,95%CI:1.452～3.098)、喜欢吃洋快餐(OR=1.907,95%CI:1.363～2.668)、喜欢吃蛋类(OR=1.518,95%CI:1.115～2.086)等5个因素是学龄前儿童超重和肥胖的危险因素;经常吃蔬菜、水果(OR=0.659,95%CI:0.477～0.911)、周末平均户外活动时间≥2 h(OR=0.635,95%CI:0.469～0.858)则是超重和肥胖的保护因素。结论:武汉市学龄前儿童超重和肥胖流行率高于全国平均水平,改善不良饮食和运动习惯可有效地预防超重和肥胖的发生。
Objective：To understand the prevalences of overweight and obesity among preschool children in Wuhan city,explore the effect factors.Methods：A random cluster sampling method was used to select 1 120 children from 5 kindergartens from Jianghan district in Wuhan city,then the body height and body weight were measured according to a standard method,the standard of body mass index（BMI） among children reported by WHO was used as the evaluation criteria of overweight and obesity;a self-designed questionnaire was used to survey the general conditions of children and their families,the dietary and exercise habits of children.Results：Among 1 120 children,the incidences of overweight and obesity were 13.2% and 11.9%,respectively,the incidences of overweight and obesity in boys were significantly higher than those in girls（P0.001）;the results of multiple-factor non-conditional logistic regression analysis showed that the risk factors of overweight and obesity among preschool children included macrosomia（OR=1.662,95% CI： 1.066~2.590）,eating many foods（OR=4.640,95% CI： 3.319~6.486）,eating fast（OR=2.121,95% CI： 1.452~3.098）,favoring fast food（OR=1.907,95% CI： 1.363~2.668） and eggs（OR=1.518,95% CI： 1.115~2.086）;eating vegetables and fruits frequently（OR=0.659,95% CI： 0.477~0.911） and the average time of outdoor activity on weekends≥2 hours（OR=0.635,95%CI： 0.469~0.858） were the protective factors of overweight and obesity.Conclusion：The prevalences of overweight and obesity in preschool children in Wuhan city are higher than the national average levels.Improving poor dietary and exercise habits can prevent the occurrence of overweight and obesity effectively.
出处
《中国妇幼保健》
CAS
北大核心
2011年第36期5709-5712,共4页
Maternal and Child Health Care of China
基金
国家自然科学基金项目〔30800917〕
中央高校基本科研业务费专项资金资助项目〔2011TS017〕
关键词
学龄前儿童
超重
肥胖
影响因素
Preschool children
Overweight
Obesity
Effect factors
