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目的了解儿童单纯性肥胖症的综合干预效果,为儿童保健工作提供参考依据。方法采取健康教育、饮食和运动的综合干预措施,选取银川市二十一小学(二～六年级)中符合中国肥胖工作组2004年制定的《中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准》的106名单纯性肥胖儿童,进行体格测量和问卷调查。结果干预1,2,3,4个月后单纯性肥胖儿童BMI值差异均有统计学意义(P值均<0.01);不同干预时间肥胖儿童饮食结构变化差异有统计学意义(χ2=40.536,P=0.000);不同干预时间肥胖儿童运动类型的差异有统计学意义(χ2=11.909,P=0.008);不同干预时间肥胖儿童持续运动时间对BMI的变化差异无统计学意义(χ2=3.942,P=0.685)。不同干预时间饮食结构对肥胖儿童BMI值的影响差异无统计学意义(P>0.05)。结论实施以健康教育、饮食和运动干预的综合干预措施对控制肥胖儿童体重有明显效果。
Objective To understand the effect of comprehensive intervention in children with simple obesity and provide reference for child health care. Methods Taking the comprehensive interventions of health education, diet and exercise, the author selected the “Chinese Obesity and Adolescent Overweight and Obesity Screening Body Mass Index Value Classification Standard ”of 106 simple obese children, physical measurements and questionnaires. Results The BMI values in obese children with simple obesity after 1, 2, 3, and 4 months of intervention were significantly different (P <0.01). The dietary changes of obese children with different intervention time were statistically different (χ2 = 40.536, P = 0.000). There was significant difference in exercise types among obese children with different intervention time (χ2 = 11.909, P = 0.008). There was no significant difference in BMI between obese children with different intervention time (χ2 = 3.942, P = 0.685). There was no significant difference in BMI between obese children and different diets (P> 0.05). Conclusions The implementation of a comprehensive intervention with health education, diet and exercise intervention has a significant effect on the weight control of obese children.