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目的:了解西宁市儿童单纯性肥胖的发生情况及影响因素,提出相应的干预措施。方法:采用随机整群抽样法对西宁市城区3~6岁托幼机构儿童进行体格测量、生长发育评价,同时对儿童家长进行问卷调查。结果:儿童单纯性肥胖发生率为5.65%,男、女童肥胖发生率分别为5.62%、5.67%,两者比较差异无统计学意义(P>0.05);各年龄组儿童肥胖发生率比较差异有统计学意义(P<0.05),6岁组儿童肥胖发生率最高;儿童单纯性肥胖单因素分析显示,其中11项为影响因素,11项影响因素经Logistic多因素回归分析,结果显示较大的影响因素分别是年龄、父体重指数、母体重指数、是否喜食蔬菜水果、食欲情况、进食速度、看电视时间。结论:儿童单纯性肥胖发生率较高,家庭、托幼机构及社会应加强健康教育,养成儿童良好的生活习惯和饮食行为,采取适当的综合干预措施降低儿童肥胖的发生率。
Objective: To understand the incidence and influencing factors of simple obesity in children in Xining City and to put forward corresponding interventions. Methods: A random cluster sampling method was used to evaluate physical growth and development in children aged 3 ~ 6 years in kindergartens in Xining City. At the same time, questionnaire survey was conducted on children’s parents. Results: The prevalence of simple obesity in children was 5.65%, while the incidence of obesity in boys and girls was 5.62% and 5.67% respectively. There was no significant difference between the two groups (P> 0.05) (P <0.05). The incidence of obesity in children aged 6 years was the highest. Univariate analysis of children’s simple obesity showed that 11 of them were the influencing factors and 11 of the influencing factors were analyzed by Logistic regression analysis. The results showed that the larger Influencing factors were age, paternal body mass index, maternal index, whether eating fruits and vegetables, appetite, eating speed, watching TV time. Conclusion: The incidence of simple obesity in children is high. Health education should be strengthened in families, nurseries, and the society so as to develop good habits and behaviors of children and take appropriate and comprehensive intervention measures to reduce the incidence of childhood obesity.