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目的了解郑州地区儿童肥胖发生情况和探索干预措施。方法于2001年抽样调查5688例中小学生,男2848名,女2840名,年龄7～18岁。肥胖标准以Cole等的诊断儿童肥胖的参考BMI值判断,并对筛选出的单纯性肥胖儿童22例(7～15岁,男18例,女4例)以中医循经推拿和行为矫正及饮食、运动调整综合治疗1个月,且于治疗结束6个月后随访。结果所调查的5688名中小学生超重发生率15.4%,肥胖发生率3.2%,男生超重、肥胖发生率(19.2%,4.6%)明显高于女生(11.5%,1.7%P<0.001);各年龄阶段超重发生率有明显差异(χ2=42.88P<0.001),高发年龄为8～15岁;各年龄阶段肥胖发生率亦有差异(χ2=21.28P<0.05),高发年龄为7～10岁和14～15岁;治疗1个月后22例肥胖儿童体质量均有下降,由入院时(76.45±19.87)kg下降至(69.06±17.98)kg,下降幅度(7.43±2.58)kg,BMI值由治疗前(31.05±3.96)下降至(27.72±3.54),治疗前后体质量和BMI值比较均有显著差异(t=13.6,12.88P<0.01),且体质量、BMI值下降幅度与入院时体质量、BMI值均呈明显相关性(r=0.77P<0.01;r=0.49P<0.05)。结论近年来儿童肥胖发生率增高,以中医循经推拿和行为矫正及饮食、运动调整综合治疗的方法疗效好且舒适,儿童易于接受。
Objective To understand the incidence of obesity in children in Zhengzhou and to explore intervention measures. Methods In 2001, 5688 primary and secondary school students were sampled and surveyed, including 2848 males and 2840 females aged 7-18 years. The obesity standard was based on the reference BMI value of Cole et al in the diagnosis of childhood obesity. Twenty-two simple obese children (7-15 years old, 18 males and 4 females) were screened out for TCM follow-up massage and behavior modification and diet , Exercise adjusted comprehensive treatment of 1 month, and 6 months after the end of treatment follow-up. Results The prevalence of overweight and obesity in 5688 primary and secondary school students was 15.4% and 3.2% respectively. The prevalence of overweight and obesity in boys was significantly higher than that of girls (11.5%, 1.7%, P <0.001) (Χ2 = 42.88P <0.001), with a high incidence of 8 to 15 years old. The incidence of obesity was also different in all age groups (χ2 = 21.28P <0.05), and the incidence of overweight was 7 to 10 years 14 to 15 years old. The body mass of 22 obese children after 1 month of treatment decreased from 76.45 ± 19.87 kg to 69.06 ± 17.98 kg, with a decrease of 7.43 ± 2.58 kg, Before treatment (31.05 ± 3.96) decreased to (27.72 ± 3.54), body mass and BMI before and after treatment were significantly different (t = 13.6,12.88 P <0.01), and body weight, BMI decreased with the body Quality and BMI were significantly correlated (r = 0.77P <0.01; r = 0.49P <0.05). Conclusions The incidence of obesity in children has been increasing in recent years. The treatment of TCM followed by massage and behavior modification and diet and exercise adjustment is effective and comfortable, and children are easy to accept.