摘要
目的通过调查上海市7～12岁儿童超重肥胖率及饮食行为特征,探讨饮食行为与学龄儿童超重肥胖发生的相关性。方法根据家长报告的儿童身高体质量计算体质量指数(BMI),依据2004年发布的"中国学龄儿童青少年超重、肥胖筛查体质量指数值分类标准"筛查超重、肥胖儿童,将其分为体质量正常、超重、肥胖三组,通过家长填写的儿童饮食行为问卷(CEBQ)定量分析儿童的饮食行为,比较各组间及男女性别间的差异。结果本次调查得到儿童超重率为12.33%,肥胖率为11.46%,合计23.79%。其中男童的超重肥胖率明显高于女童(分别为30.63%和16.19%)。超重肥胖儿童"饱食反应"和"慢食表现"两个分量表得分显著低于体质量正常儿童,而"食物反应"和"食物享受"两个分量表得分明显高于体质量正常儿童。其他分量表得分在超重、肥胖和体质量正常组间的差异没有统计学意义。结论学龄儿童超重肥胖率总体处于较高水平,男童中超重肥胖者远多于女童。超重肥胖儿童表现出进餐速度快、对内部饱食信号反应不足、对外部食物信号反应水平和对食物喜好程度增高等饮食行为特征。家长和老师应注重学龄儿童饮食习惯的培养。
Objective To explore the correlation between dietary behavior and obesity in school-age children by investigating the rate of obesity and dietary behavior characteristics of children aged 7 to 12 in Shanghai. Methods The body mass index(BMI) was calculated according to parents’ reported height and weight of children. The overweight and obese children were screened on the basis of the BMI for Overweight and Obesity Screening of Chinese School-Age Children and Adolescents’ published in 2004 and children were classified as normal weight, overweight and obesity groups. Besides, children’s dietary behaviors were quantitatively analyzed by Children’s Eating Behavior Questionnaire(CEBQ) and the differences between boy and girl groups were compared. Results The survey found that the overweight rate of children was 12.33%, and the obesity rate was 11.46%, totaling 23.79%. The rate of overweight and obese boys were significantly higher than that of girls(30.63% and 16.19%, respectively). The scores of ‘Satiety responsiveness’ and ‘Slowness in eating’ in overweight and obese children were significantly lower than those in normal weight children, and the scores of ‘Food responsiveness’ and ‘Enjoyment of food’ were significantly higher than those in normal weight children. There was no statistically significant difference between overweight, obese and normal weight groups in the scores of other subscales. Conclusion The overweight and obesity rates of school-age children are generally at a relatively high level, and boys are far more overweight and obese than girls. Overweight and obese children showed fast eating habits, insufficient response to internal satiety signals, increased levels of response to external food signals, and increased food preference. Parents and teachers should pay attention to the cultivation of eating habits among school-age children.
作者
高梅影
杨敏佳
郭红卫
朱俭
薛琨
GAO Mei-ying;YANG Min-jia;GUO Hong-wei;ZHU Jian;XUE Kun(School of Public Health of Fudan University,Shanghai 200032;Maternal and Child Health Center in Qingpu District,Shanghai 201799;Centerfor Disease Control and Prevention in Songjiang District,Shanghai 201620,China)
出处
《营养学报》
CAS
CSCD
北大核心
2018年第6期554-558,共5页
Acta Nutrimenta Sinica
关键词
学龄儿童
饮食行为
肥胖
超重
儿童饮食行为问卷
school-age children
diet behavior
obesity
overweight
children's eating behavior questionnaire(CEBQ)
