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目的了解不同性别、年龄和年级青少年体重控制心理行为状况及其与超重、肥胖的相关性。方法选取合肥市某中学的初一、初二年级学生为研究对象,进行问卷调查和人体测量。问卷调查内容包括学生及其父母的社会人口统计学特征、体重自我评价和体重控制心理行为。测量身高、体重,计算体重指数(BMI),分别依据BMI值和体重自我评价进行分组。结果青少年不良的体重控制心理、行为和总体不良的体重控制心理行为报告率分别为17.4%、3.8%、19.1%,女生的报告率(20.6%、4.3%、22.6%)均高于男生(14.5%、3.3%、15.8%)(P<0.05)。BMI评价和自我评价为肥胖学生不良的体重控制心理、行为和总体不良的体重控制心理行为的报告率均最高(P<0.05)。两种方法评价肥胖和超重与不良的体重控制心理行为的正相关均有统计学意义,且不受其他因素的影响。结论女生不良的体重控制心理行为较男生严重。排除社会因素的混杂作用,肥胖与青少年不良的体重控制心理行为相关联。
Objective To understand the psychological status of weight control and their relationship with overweight and obesity in different gender, age and grade adolescents. Methods The first and second year students in a middle school in Hefei were selected as the research subjects, and questionnaires and anthropometric measurements were conducted. The survey included the demographic characteristics of students and their parents, weight self-assessment and weight control psychology. Height, weight, body mass index (BMI) were calculated and grouped according to BMI and weight self-assessment respectively. Results Adolescents with poor weight control psychology, behavioral and overall poor weight control psychological behavior reporting rates were 17.4%, 3.8%, 19.1%, the reporting rate of girls (20.6%, 4.3%, 22.6%) were higher than boys %, 3.3%, 15.8%) (P <0.05). BMI assessment and self-assessment reported the highest prevalence (P <0.05) for obese students with poor weight control psychology, behavior and overall poor weight control psychosocial behaviors. The positive correlation between obesity and overweight and bad psychological behaviors of weight control by the two methods was statistically significant and not affected by other factors. Conclusion Female students with poor weight control psychological behavior than boys serious. The social effects of excluding confounding, obesity and adolescent bad weight-management psychology associated.