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目的了解昆山市公办托幼机构3~7岁儿童肥胖状况,为制定儿童保健的工作目标及完善工作措施提供依据。方法对2012年昆山市公办幼托机构体检资料,采用Excel建立数据库,使用统计软件SAS 9.1进行分析。结果儿童总超重检出率为16.00%,男童以6~7岁组检出率最高,达17.41%;女童以3~4岁组最高,达16.86%,女童总超重检出率(16.48%)略高于男童(15.58%)(χ2=3.57,P>0.05)。儿童总肥胖率为6.40%,男童为7.20%,女童为5.49%,差异有统计学意义(χ2=28.53,P<0.01)。男、女童均以轻度肥胖为主,占57.55%,检出率分别为3.84%,3.51%,差异无统计学意义(χ2=1.86,P>0.05);男童中、重度肥胖检出率分别为2.79%,0.56%,均高于女童(χ2值分别为31.83,9.99,P值均<0.01),男、女童各肥胖度检出率均有随年龄增加而升高的趋势。结论昆山市公办托幼机构3~7岁儿童超重、肥胖营养问题突出,呈现出男童高于女童、高年龄组高于低年龄组、重度肥胖构成比随年龄逐渐增高等特点。
Objective To understand the obesity status of children aged 3 to 7 years in public nurseries in Kunshan City, and to provide the basis for establishing the work objectives and perfecting measures of child health care. Methods The physical examination data of public kindergartens in Kunshan City in 2012 were analyzed by Excel using the statistical software SAS 9.1. Results The detection rate of total overweight in children was 16.00%. The highest detection rate was 17.41% in boys aged 6-7 years. The highest rate was 16.86% in girls aged 3-4 years. The rate of total overweight in girls was 16.48% ) Was slightly higher than that of boys (15.58%) (χ2 = 3.57, P> 0.05). The overall obesity rate was 6.40% in children, 7.20% in boys and 5.49% in girls, the difference was statistically significant (χ2 = 28.53, P <0.01). Male and female were mainly mild obesity, accounting for 57.55%, the detection rates were 3.84% and 3.51% respectively, with no significant difference (χ2 = 1.86, P> 0.05). The detection rate of moderate and severe obesity among boys (2.79%, 0.56% respectively) were higher than those of girls (χ2 = 31.83,9.99, P <0.01). The prevalence of obesity in both boys and girls tended to increase with age. Conclusion The children of 3 ~ 7 years old with overweight and obesity in public nurseries in Kunshan City are overweight and obese. The symptoms of overweight and obesity are prominent in boys and girls in Kunshan City. There are more boys than girls in the age group and higher age groups than in the younger age groups.