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目的了解珠海市学龄前儿童单纯性肥胖的流行现况,初步探讨学龄前儿童单纯性肥胖的相关因素,为干预学龄前儿童单纯性肥胖提供依据。方法调查资料来源于2011-2016年的托幼机构体检数据,使用1∶1病例对照方法筛查学龄前儿童单纯性肥胖危险因素,143名病例来自于3个区的10所托幼机构,对照为同性别、年龄、身高相近健康儿童。采用问卷调查收集病例和对照儿童的家庭、社会学因素以及可能与肥胖相关的因素。结果珠海市2011-2016年学龄前儿童单纯性肥胖发生率为6.12%,并呈现上升趋势(P<0.01),男童组发生率高于女童组,且随着年龄增长肥胖发生率越高,均具有统计学意义(P<0.01)。学龄前儿童出生体重≥4 000g,吃饭速度快,父母亲超重或/和肥胖是学龄前儿童肥胖的危险因素,放学后户外活动超过2h、家长正确填报儿童体重是其保护因素。结论珠海市学龄前儿童单纯性肥胖发生率呈现上升趋势,其相关因素复杂多样,家长应注意自身体重管理,培养儿童良好生活习惯,降低儿童单纯肥胖发生率。
Objective To understand the prevalence of simple obesity in preschool children in Zhuhai and to explore the related factors of simple obesity in preschool children and provide the basis for intervention of simple obesity in preschool children. Methods The data of the survey were obtained from the medical examination data of nurseries in 2011-2016. The 1: 1 case-control method was used to screen the risk factors of simple obesity in preschool children. 143 cases were from 10 nurseries in 3 districts. For the same sex, age, height and healthy children. Households that used questionnaires to collect cases and control children, sociological factors, and factors that may be associated with obesity. Results The prevalence of simple obesity in preschool children in Zhuhai from 2011 to 2016 was 6.12%, showing an upward trend (P <0.01). The incidence of obesity in boys was higher than that in girls, and the higher the incidence of obesity was with age, All were statistically significant (P <0.01). Preschool children ’s birth weight ≥ 4000g, eating fast, parents overweight or / and obesity is a risk factor for preschool children obesity, outdoor activities after school more than 2h, parents correctly reported the weight of children is its protective factor. Conclusion The prevalence of simple obesity in preschool children in Zhuhai shows an upward trend. The related factors are complex and diverse. Parents should pay attention to their own weight management, develop good habits of children and reduce the incidence of simple obesity in children.