摘要
目的探讨中国部分民族儿童青少年超重肥胖的流行特征及其影响因素,为制定少数民族儿童青少年肥胖超重的预防干预策略提供科学依据。方法采用多阶段分层随机整群抽样的方法,随机抽取云南省7个州（市）汉族、白族、傣族、哈尼族、傈僳族、纳西族和佤族7个民族8~18岁中小学生,进行问卷和体格测量等调查。利用非条件Logistic回归分析儿童超重肥胖的流行态势及影响因素。结果 16 645名儿童青少年中,超重肥胖的检出率为11.38%,标化检出率为11.85%;腹型肥胖率为12.29%,标化腹型肥胖率为13.49%。其中超重率为7.83%,肥胖率为3.55%。居住地年平均气温低和每天适量体育锻炼是儿童青少年超重肥胖的保护因素（OR值分别为0.32,0.93）。腹型肥胖（OR=9.53）、男生（OR=1.74）、汉族（OR=0.50）、居住在高纬度（OR=2.92）和经济发展水平高（OR=1.11）的地区、平均每天玩计算机等电子设备时间长（OR=1.14）、睡眠时间过长（OR=1.12）和自觉课业负担重（OR=1.47）是超重肥胖的独立危险因素。结论中国各个民族儿童青少年超重肥胖问题不容忽视。应加强对少数民族地区儿童青少年的预防与干预,以减少儿童超重肥胖的发生。
Objective This research discussed the epidemiological characteristics and influencing factors of overweight,obesityin children and adolescents of different minorities in China in order to provide scientific evidence for effective interventions.Methods A multi-stage stratified cluster sampling method was applied to randomly select 7 primary and middle school students aged 8-18 from Han, Bai, Dai, Ha＇ni, Li＇su, Na＇xi, Wa ethnic groups in Yunnan Province for a questionnaire survey and physical examination. Unconditional Logistic regression model was used to analyze the epidemiological characteristics and influencing factors of overweight. Results The prevalence of overweight and obesity rate, overweight and obesity standard rate, abdominal obesity rate, abdominal obesity standard rate were 11.38%,11.85%,12.29%,13.49% respectively for 16645 students. The prevalence rate of overweight and obesity were 7.83% and 3.55% respectively. The low annual average temperature（ OR = 0.32） and everyday moderate physical exercise（ OR = 0. 93） are protective factors, while abdominal obesity（ OR = 9. 53）, male（ OR = 1. 74）, Han ethnic groups（ OR = 0.50）, high latitudes（ OR = 2.92, developed economic（ OR = 1.11）, longtime electronic equipments using（ OR = 1.14）,longtime sleeping（ OR = 1.12） and consciously schoolwork burden（ OR = 1.47） were independent risk factors of overweight and obesity. Conclusion The prevalence of overweight, obesity among children and adolescents of different minorities in China cannot be ignored. Prevention and intervention should be strengthened for the adolescents of different minorities in China to reduce the incidence of overweight and obesity.
出处
《中国学校卫生》
CAS
北大核心
2016年第8期1147-1150,共4页
Chinese Journal of School Health
关键词
超重
肥胖症
因素分析
统计学
学生
少数民族
Overweight
Obesity
Factor analysis
statistical
Students
Minority groups
