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目的了解儿童肥胖现状,探讨儿童肥胖与其母亲孕期增重和婴儿喂养方式之间的关系。方法对4所幼儿园的儿童及家长进行整群抽样调查。调查儿童的身高、体重,儿童母亲孕期相关情况以及儿童婴儿期的喂养方式等情况。采用Logistic回归分析法分析儿童肥胖与其母亲孕期增重和婴儿喂养方式的相关性。结果调查问卷的成功收回率为96.13%。受访的儿童中,肥胖发生率为7.89%。多因素Logistic回归分析显示:儿童肥胖的危险因素是母亲孕期体重增加超过12.5 kg(OR=2.139,P<0.05),儿童肥胖的保护因素是婴儿4月龄内纯母乳喂养(OR=0.528,P<0.05)。结论指导孕妇孕期注意体重的增加,鼓励婴儿出生后采用纯母乳喂养的方式进行喂养,能够在很大程度上预防儿童肥胖。
Objective To understand the status of childhood obesity and to explore the relationship between childhood obesity and its mothers’ weight gain during pregnancy and infant feeding patterns. Methods A cluster sampling survey was conducted on children and their parents in 4 kindergartens. Investigate children’s height, weight, pregnancy and child-related conditions, as well as children’s feeding patterns and so on. Logistic regression analysis was used to analyze the correlation between childhood obesity and maternal weight gain during pregnancy and infant feeding patterns. Results The successful recovery rate of the questionnaire was 96.13%. Among the children surveyed, the incidence of obesity was 7.89%. Multivariate Logistic regression analysis showed that the risk factor for childhood obesity was that the mother gained more than 12.5 kg of body weight during pregnancy (OR = 2.139, P <0.05). The protective factor of childhood obesity was exclusive breastfeeding within 4 months (OR = 0.528, P <0.05). Conclusions Guiding pregnant women to pay attention to the increase of body weight during pregnancy and encouraging the infants to adopt exclusive breastfeeding after birth to feed can largely prevent childhood obesity.