摘要
选取珠海市城区3275名小学生进行单纯性肥胖症及相关影响因素研究。总检出率为21.69％(男26.61％,女16.71％),其中总轻度肥胖(超重)检出率为10.11％(男10.83％,女9.29％),总重度肥胖检出率为11.85％(男15.79％,女7.41％)。除8岁组外,各年龄组均有显著性差异,以10、11岁两个年龄组最为明显。病例对照研究表明,超重肥胖组心肺功能明显低于对照组,血压、血脂明显高于对照组。肥胖家族史(尤其母亲肥胖)、肥胖时间长、进食量大,爱吃油腻性食品,饮食偏咸,不爱参加课外活动和体育锻炼与儿童单纯性肥胖症有明显相关关系;63.51％小学生认为肥胖会影响交朋友,49.6％认为会受到同伴的嘲笑,但没有发现对学习成绩造成影响;在超重和肥胖儿童中,仅有34.5％意误识到自己肥胖(其中男生仅29.6％)。提示我市儿童肥胖已经到了相当严重程度,应引起足够重视,加强健康教育。
3275 school children were of Epidemiological Survey to explore the related influence factors of simple obesity in Zhuhai city.The total prevalence of simple obesity was 21.69% (26.61 for boys,16.71% for girls),10.11% (10.83% for boys,9.29% for girls) forover-weight (defined as weight for height between 110%-120% of the ideal weight) andll.85% (15.79% for boys,7.4% for girls) forobvious fat (defined as weight for height > 120% of the ideal weight) respectively.Each age set all shows the significantly difference excepted 8 ages.Matched case-control study results: The simple obesity children showed higher age and sex-adjusted mean value of blood pressure and lower value of HDL/LDL.The multivariate stepwise regression analysis showed that the fat household history (particularly the mother is fat),obesity time is long and take a meal to have great capacity,loving to eat the greasy food,the food is partial to salty and less physical activity were obvious related to children obesity; 63.51% school children think that the obesity will affect to make friend,49.6% think would be laughed by the classmates,but having no detection to the study score descends.In excess with fat child,there is 34.5% being aware of the oneself the obese only.(Among them the boy is only 29.6% ).The Obesity of Zhuhai City School children is very serious,health education to student and their parents is an effective primary prevention for hypertension and cardiovascular in adults.
出处
《医学研究通讯》
2004年第4期25-27,共3页
Bulletin of Medical Research
基金
广东省卫生厅立项课题(编号A1999562)
