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目的了解河北省邢台地区学龄前幼儿单纯性肥胖患病率与相关影响因素,为预防与控制提供依据。方法设计统一的流行病学调查表,在邢台地区整群抽取28所幼儿园,由幼儿园老师对幼儿的父母进行问卷调查以及进行幼儿身高和体重的测定。对相关的影响因素进行logistic回归分析,率的比较应用χ2检验。结果邢台地区学龄前幼儿单纯性肥胖患病率7.89%(416/5 273)。男性幼儿单纯性肥胖患病率8.13%(221/2 720),女性幼儿单纯性肥胖患病率7.64%(195/2 553),男性幼儿单纯性肥胖患病率与女性幼儿单纯性肥胖患病率的差异无统计学意义(χ2=0.43,P>0.05)。学龄前幼儿单纯性肥胖的影响因素进行Logistic回归分析表明,高出生体重(OR=1.09)、爱吃饱食(OR=2.03)、爱吃甜食(OR=2.29),爱吃肉食(OR=1.06),爱吃油炸食(OR=1.47)、爱看电视(OR=1.45)、运动量小(OR=1.99)以及遗传(OR=2.18)均是幼儿单纯性肥胖患病的危险因素。结论邢台地区学龄前幼儿单纯性肥胖的患病率较高,其患病的原因与先天因素(出生体重)和后天因素(行为习惯)以及遗传因素密切相关。
Objective To understand the prevalence and related factors of simple obesity in preschool children in Xingtai area of Hebei province and provide the basis for prevention and control. Methods A uniform epidemiological questionnaire was designed. 28 kindergartens were collected from Xingtai area. Kindergarten teachers conducted questionnaire surveys on children’s parents and determined the height and weight of infants. Logistic regression analysis of the relevant factors, the rate of comparison using χ2 test. Results The prevalence of simple obesity in preschool children in Xingtai was 7.89% (416/5 273). The prevalence of simple obesity in young children was 8.13% (221/2 720), while the prevalence of simple obesity in young children was 7.64% (195/2 553). The prevalence of simple obesity in young infants was significantly higher than that of simple obesity The difference was not statistically significant (χ2 = 0.43, P> 0.05). Logistic regression analysis showed that the prevalence of high birth weight (OR = 1.09), eating fullness (OR = 2.03), eating sweet food (OR = 2.29) ), Eating fried food (OR = 1.47), watching TV (OR = 1.45), exercising less (OR = 1.99) and genetics (OR = 2.18) were all the risk factors of childhood obesity. Conclusions The prevalence of simple obesity in pre-school children in Xingtai region is high, and its causes are closely related to congenital factors (birth weight) and acquired factors (behavioral habits) and genetic factors.