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目的:分析宁波市婴幼儿超重、肥胖的危险因素,为预防婴幼儿超重、肥胖制定相应有效解决方案。方法:按照分层整群的抽样原则在宁波市抽取月龄为一个月的婴儿1070例,并进行随访,分别在儿童3月龄、6月龄、8月龄和18月龄时进行生长评估并对家长进行问卷调查。以儿童在18月龄时生长评估结果作为应变量,进行多元回归分析。结果:经单因素和多因素非条件Logistic回归分析,结果显示儿童出生体重(OR=1.00)、固体辅食添加时间(OR=1.23)、父母至少一方肥胖(OR=31.43)、母亲患有妊娠期疾病(OR=36.20)是婴幼儿超重、肥胖的危险因素。结论:预防婴幼儿超重、肥胖应该从妊娠期开始,同时做好产妇和儿童的保健工作,降低婴幼儿超重、肥胖的发生率。
Objective: To analyze the risk factors of overweight and obesity in infants and toddlers in Ningbo, and to develop corresponding effective solutions to prevent overweight and obesity in infants and toddlers. Methods: According to the sampling principle of stratified cluster, 1070 infants of one month old in Ningbo were collected and followed up for growth evaluation at 3 months, 6 months, 8 months and 18 months of age respectively And parents survey. Multivariate regression analysis was performed with children’s assessment of growth at 18 months of age as a dependent variable. Results: The results of univariate and multivariate non-conditional logistic regression showed that birth weight (OR = 1.00), solid food supplement time (OR = 1.23), obesity of at least one parent (OR = 31.43) Disease (OR = 36.20) was a risk factor for overweight and obesity in infants and toddlers. Conclusion: Prevention of overweight and obesity in infants and young children should start from gestation and do maternal and child health care at the same time, reducing the incidence of overweight and obesity in infants and children.