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目的:了解儿童婴儿期超重肥胖流行现状及影响因素,为制定预防、干预措施提供依据。方法:采用回顾性调查在社区卫生服务中心进行生长发育监测的489名婴儿,每例纵向随访至12月,在其1、3、6、8、12月龄进行体格测量、评估及问卷调查。结果:儿童婴儿期超重及肥胖检出率分别为24.9%和10.2%;男女童肥胖率分别为11.9%和8.5%,差异无统计学意义(χ2=1.46,P=0.22),超重率为25.8%和24.3%,差异无统计学意义(χ2=0.14,P=0.71)。多因素非条件Logistic回归分析显示,出生体重、妊娠期糖尿病、添加固体食物时间、家庭人口数等为儿童婴儿期超重肥胖危险因素。结论:做好孕产妇和儿童系统保健,避免婴儿超重肥胖的危险因素,降低超重肥胖发生率。
OBJECTIVE: To understand the prevalence and influencing factors of childhood overweight and obesity in infancy and to provide evidence for the development of prevention and intervention measures. Methods: A retrospective survey of 489 infants who were monitored for growth and development at community health centers was conducted. Each case was followed up to December for a period of 1, 3, 6, 8, and 12 months of age for physical measurement, assessment and questionnaire survey. Results: The detection rates of overweight and obesity were 24.9% and 10.2% respectively in infancy and 11.9% and 8.5% respectively in boys and girls (χ2 = 1.46, P = 0.22). The overweight rate was 25.8 % And 24.3%, respectively, with no significant difference (χ2 = 0.14, P = 0.71). Multivariate non-conditional logistic regression analysis showed that birth weight, gestational diabetes, the time of adding solid food, family population and other risk factors for childhood overweight and obesity. Conclusion: To improve the system health of pregnant women and children, avoid the risk factors of overweight and obesity, and reduce the incidence of overweight and obesity.