摘要
目的了解张掖市3~6岁儿童单纯性肥胖及影响因素,为制定干预措施提供依据。方法2008—2020年每年6月抽调儿保科医师对辖区直管幼儿园3~6岁儿童进行体重、身高测量,并对肥胖儿童家长进行问卷调查。单纯性肥胖诊断标准以WHO(2006年)生长发育标准为准。结果3~6岁儿童单纯性肥胖患病率增长过快,2008年为2.3%,2020年为13.1%,12年上升幅度达57.0%。肥胖程度以轻度为主(P<0.01),年龄以5~6岁儿童为主(P<0.01),男童患病率高于女童(P<0.01)。文化程度(χ^(2)=365.132)、经济收入(χ^(2)=331.763)、遗传因素(χ^(2)=333.156)、饮食行为(χ^(2)=376.175)、饮食习惯(χ^(2)=356.285)、营养模式(χ^(2)=351.651)、体力活动(χ^(2)=332.268)、危害认知(χ^(2)=325.256)8个因素与儿童单纯性肥胖有关(P<0.01)。结论积极广泛开展健康教育,提出儿童期平衡膳食、规律运动、监测体重等干预措施,提高儿童营养水平,促进儿童身心健康。
Objective To investigate the simple obesity and influencing factors in children aged 3~6 years in Zhangye City,and to provide basis for the formulation of intervention measures.Methods The weight and height of children aged 3~6 in direct kindergartens were measured by pediatricians in June from 2008 to 2020,and the parents of obese children were surveyed by questionnaire.The diagnostic criteria for simple obesity was based on WHO(2006)growth and development standard.Results The prevalence of simple obesity in children aged 3~6 years increased rapidly,from 2.3%in 2008 to 13.1%in 2020,and increased by 57.0%in 12 years.The prevalence of obesity in boys was higher than that in girls(P<0.01).Educational level(χ^(2)=365.132),economic income(χ^(2)=331.763),genetic factors(χ^(2)=333.156),eating behavior(χ^(2)=376.175,P<0.01),eating habits(χ^(2)=356.285),nutritional pattern(χ^(2)=351.651),physical activity(χ^(2)=332.268),and hazard perception(χ^(2)325.256)were associated with simple obesity in children(P<0.01).Conclusion Health education should be carried out extensively,and intervention measures,such as balanced diet,regular exercise and weight monitoring,are proposed to improve children's nutritional level and promote children's physical and mental health.
作者
强燕
QIANG Yan(Zhangye Maternal and Child Health Hospital,Zhangye,Gansu 734000,China)
出处
《中国公共卫生管理》
2022年第3期385-388,共4页
Chinese Journal of Public Health Management
关键词
3~6岁儿童
单纯性肥胖症
干预措施
3~6 years old children
simple obesity
intervention measure
