摘要
目的分析正常体重儿童体像不满的影响因素。方法采用分层整群随机抽样的方法，于2012年10月从北京市昌平区抽取680名中小学生，测量其身高、体重、腰围指标，采用“Ma体形图”调查学生自身及父母对其体像认知态度，采用自编调查问卷调查学生对肥胖危害因素的认知态度，依据中国肥胖问题工作组制定的《中国学龄儿童青少年超重肥胖筛查BMI分类标准》和《中国6～19岁学龄儿童青少年分年龄BMI筛查消瘦界值范围》筛查正常体重学生，按性别分层分析学生体像不满与肥胖危险因素认知态度的关系。结果有效调查测量学生680名，其中超重或肥胖学生占36．6％（249／680），消瘦占4．0％（27／680），正常体重学生占59．4％（404／680）。正常体重学生中，体像满意占32．7％（132／404），期望变瘦占35．1％（142／404），期望变胖占32．2％（130／404），期望变瘦比例女生高于男生、中学高于小学[依次为46．4％（102／220）、21．8％（40／184）、39．8％（88／221）、29．5％（54／183）]（x2值分别为26．65、4．67，P值均〈0．05）。期望变胖比例男生高于女生[依次为（42．9％（79／184）、23．2％f51／220）1（X。=17．91，P〈O．001）；学生自身与父母对其体像认知态度一致率为60．4％（244／404），一致性系数为0．41（P〈O．001）。父母期望子女变瘦以及对少喝含糖饮料、每天吃早餐持不赞成态度会增加男生期望变瘦风险，OR（95％CI）值分别为5．20（1．51～17．89）、3．43（1．11～10．59）、6．53（1．14—37．58）；父母期望子女变胖会增加男生期望变胖的风险，0R（95％CI）值为7．57（3．47～16．52）；父母期望子女变瘦以及对少吃高热量零食持赞成态度会增加女生期望变瘦的风险，OR（95％CI）值分别为65．74（8．45—511．21）、3．03（1．01—9．09）；父母期�
Objective To analyze the influence factors of body image dissatisfaction among children and adolescents with normal weight. Methods The primary and middle school students who were selected from Changping district of Bejing city using the stratified cluster sampling method were measured body height, weight, and waist circumference. Body image cognitive attitude of students or their parents was surveyed using ＇Ma figural shape＇. The cognitive attitude of obesity risk factors was surveyed by self-designed questionnaires. The students with normal weight were selected according to ＇reference norm for screening overweight and obesity in Chinese children and adoleseents（WGOC） in 2005＇ and ＇reference norm for screening underweight in Chinese children and adolescents aged 6-19 years＇. The association between body image dissatisfaction and cognitive attitude of obesity risk factors was analyzed for each gender. Results The study validly surveyed and measured 680 students, and there were 36.6%（249/680） students with overweight or obesity, 4.0%（27/680） students with underweight, and 59.4%（404/680） students with normal weight. Prevalence of body image satisfaction, expecting to be thinner, and to be fatter in students with normal weight was 32.7%（132/404）, 35.1% （142/404）, and 32.2% （130/404）, respectively. The prevalence of expecting to be thinner in females and middle students was higher than that in males and primary students（46.4% （102/220） vs 21.8%（40/184））, 39.8%（88/221） vs 29.5%（54/183））, respectively; X2 values were 26.65 and 4.67 respectively（P〈0.05）. The prevalence of expecting to be fatter in males was higher than that in females（（42.9%（79/184） vs 23.2%（51/220））（X2=17.91, P〈0.001）. The concordance ratio on body image cognitive attitude between students and their parent was 60.4% （244/404）, and the consistency coefficient was 0.41（P〈0.001）. The factors including parents expecting their children to be thinner, the negati
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2015年第5期411-418,共8页
Chinese Journal of Preventive Medicine
基金
卫生公益性行业科研专项（201202010）
蚌埠医学院校企产学研合作项目（byhxl4001）
关键词
儿童
青少年
体像不满
肥胖危险因素
横断面研究
Children
Adolescent
Body image dissatisfaction
Obesity risk factors
Cross-sectional studies
