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目的了解西宁市六一幼儿园学龄前儿童单纯性肥胖症的发生情况及影响因素并探讨日常保健预防措施。方法选取2013年2月~2014年6月西宁市六一幼儿园在园的学龄前儿童620例进行健康体检,调查单纯性肥胖的发生情况,并采用单因素分析和多因素分析的方法分析影响单纯性肥胖发生的相关因素,针对上述相关因素采取一定预防保健措施。结果620例儿童中,单纯性肥胖儿童32例(5.2%),超重61例(9.8%);男童单纯性肥胖19例(5.8%),女童单纯性肥胖13例(4.4%),男童单纯性肥胖发生率显著高于女童(P<0.05)。不同年龄组中,3岁儿童单纯性肥胖4例(3.1%),4岁儿童单纯性肥胖5例(3.2%),5岁儿童单纯性肥胖9例(5.6%),6岁儿童单纯性肥胖14例(8.0%),不同年龄间儿童单纯性肥胖发生率比较,差异有统计学意义(P<0.05)。单因素分析结果表明,出生体重、胎龄、每天户外活动时间、每天看电视时间、纯母乳喂养时间、母亲BMI、父亲BMI、甜食进食量、洋快餐进食量是影响学龄前儿童单纯性肥胖发生的相关因素(P<0.05)。多因素分析结果表明,出生体重、每天户外活动时间、每天看电视时间、母亲BMI、甜食进食量、洋快餐进食量是影响学龄前儿童单纯性肥胖发生的独立危险因素(P<0.05)。结论该地区幼儿园单纯性肥胖和超重的发生率较高,应针对学龄前儿童采取预防保健措施,包括建立合作机制、增强体育锻炼、制定节食计划、完成短期目标等,以降低单纯性肥胖和超重的发生率。
Objective To understand the incidence and influencing factors of simple obesity among preschool children in Xiyi City Liuyi Kindergarten and to explore the preventive measures for daily health care. Methods A total of 620 preschoolers were enrolled in this study from February 2013 to June 2014. The incidence of simple obesity was investigated and analyzed by univariate and multivariate analysis Obesity related factors, take some preventive measures for the above-mentioned factors. Results Among the 620 children, 32 (5.2%) were obese, 61 (9.8%) were overweight, 19 were simple obesity (5.8%), 13 were females (4.4% The incidence of simple obesity was significantly higher than that of girls (P <0.05). In the different age groups, 3 cases of simple obesity in 4 children (3.1%), 4 cases of simple obesity in 5 cases (3.2%), 5 years of simple obesity in 9 cases (5.6%), 6 years old children simple obesity Among 14 cases (8.0%), the incidence of simple obesity among children of different ages was statistically significant (P <0.05). Univariate analysis showed that birth weight, gestational age, outdoor activities every day, TV time per day, exclusive breastfeeding time, mother’s BMI, fathers BMI, sweet food intake and foreign fast food intake all influenced the incidence of simple obesity in preschool children Related factors (P <0.05). Multivariate analysis showed that birth weight, daily outdoor activities time, daily TV time, mother’s BMI, sweet food intake and foreign fast food intake were independent risk factors affecting preschool children’s simple obesity (P <0.05). Conclusion The prevalence of simple obesity and overweight in kindergartens in this area is rather high. Preventive care measures should be taken for preschool children, including establishing cooperation mechanisms, enhancing physical activity, preparing diet plans, and completing short-term goals so as to reduce simple obesity and overweight The incidence of.