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【目的】了解山东省城市学龄儿童超重、肥胖的流行现状,探讨其影响因素,为预防干预学龄儿童超重、肥胖提供理论依据。【方法】采用多阶段随机整群抽样法,抽取山东省济南市、淄博市、临沂市3所小学共1 584名学龄儿童进行问卷调查和体格测量。【结果】山东省城市学龄儿童超重检出率13.76%,肥胖检出率13.26%,超重、肥胖合并检出率27.02%;多因素分析结果显示,细嚼慢咽、挑食/偏食与否、是否每天吃水果、喝甜饮、吃早餐等饮食习惯因素,以及性别、周岁体重、父母体质指数等因素是学龄儿童超重、肥胖的可能影响因素。【结论】山东省有超过1/4的城市学龄儿童超重、肥胖。建议教育并引导儿童培养合理的饮食习惯,采取综合措施对学龄儿童超重、肥胖进行干预。
【Objective】 To understand the epidemic situation of overweight and obesity among school-age children in urban areas of Shandong Province and to explore the influencing factors, so as to provide a theoretical basis for prevention of overweight and obesity in school-age children. 【Method】 A total of 1 584 school-age children from 3 primary schools in Jinan, Zibo and Linyi of Shandong Province were investigated by questionnaires and physical measurements using a multistage randomized cluster sampling method. 【Results】 The detection rate of overweight in urban school-age children in Shandong Province was 13.76%, the detection rate of obesity was 13.26%, and the detection rate of overweight and obesity was 27.02%. The results of multivariate analysis showed that: Daily eating fruits, drinking sweet drinks, eating breakfast and other dietary factors, as well as gender, age weight, parental body mass index and other factors are school-age children overweight, obesity may affect factors. 【Conclusion】 More than one quarter of urban school-age children in Shandong are overweight and obese. It is recommended to educate and guide children to develop proper dietary habits and take comprehensive measures to intervene overweight and obesity in school-age children.