上海交通大学学报（医学版）

›› 2013, Vol. 33 ›› Issue (5): 672-.doi: 10.3969/j.issn.1674-8115.2013.05.033

• 论著（预防医学） • 上一篇    下一篇

上海市7~9岁儿童肥胖现况及危险因素分析

张 隽1, 陶晔璇2, 汤庆娅3, 蔡 威2   

  1. 1.上海交通大学 公共卫生学院, 上海 200025； 2.上海市儿科研究所, 上海 200092； 3.上海交通大学 医学院附属新华医院临床营养科, 上海 200092
  • 出版日期:2013-05-28 发布日期:2013-05-28
  • 作者简介:张 隽（1986—）, 女, 硕士生； 电子信箱: evelyn27fhb@yahoo.com.cn。
  • 基金资助:

    上海市学生健康促进工程重大委托课题（JTY-2010-A09）；雅培/世界健康基金会临床营养发展中心第二轮科研项目（AFINS-HOPE-2012-02）

Prevalence and risk factors for obesity of children aged 7 to 9 in Shanghai

ZHANG Jun1, TAO Ye-xuan2, TANG Qing-ya3, CAI Wei2   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China； 2.Shanghai Institute of Pediatric Research, Shanghai 200092, China； 3.Department of Clinical Nutrition, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
  • Online:2013-05-28 Published:2013-05-28
  • Supported by:

    Shanghai Student Health Promotion Project, JTY-2010-A09； Abbot Fund Institute of Nutritional Sciences Study: Round 2, AFINS-HOPE-2012-02

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摘要：

目的 探索上海市7～9岁儿童生活行为因素及父母超重情况与肥胖的关系，为制订儿童肥胖干预策略提供依据。方法 采用分层整群抽样的方法，随机抽取上海市中心城区和郊区各1个行政区共9所小学，对入选学校所有二、三年级在校共2 533名学生进行体格检查及生活方式、运动情况和饮食习惯问卷调查。计算肥胖率及不同年龄、性别、地区儿童肥胖率。分析生活方式、运动情况和饮食习惯及父母超重情况,初步筛选儿童肥胖的危险因素，将可能的危险因素进行Logistic回归，进一步分析儿童肥胖的危险因素。结果 该儿童群体超重率为34.14%，肥胖率为18.00%；其中男孩的肥胖率(22.89%)高于女孩的肥胖率（13.21%）(P<0.01)；中心城区儿童肥胖率（21.62%）高于郊区儿童肥胖率（15.18%）(P<0.01)。各年龄儿童肥胖率差异无统计学意义(P>0.05)。经多因素Logistic回归分析结果显示，食欲好、进食速度快、不喜欢体育课、看电视时间长、睡眠时间短、较鱼虾类常吃禽畜肉类及父母超重肥胖可能是儿童肥胖的危险因素。结论 上海市7~9岁儿童肥胖率较高，且儿童生活方式、饮食习惯和运动情况及父母超重肥胖情况与儿童肥胖密切相关，可能为儿童肥胖的危险因素。应积极开展健康教育和肥胖干预工作，控制儿童肥胖。

关键词: 儿童, 肥胖, 现况, 危险因素

Abstract:

Objective To investigate the correlation of children´s behaviors and parental overweight with obesity of children aged 7 to 9 so as to provide information for the control of childhood obesity. Methods A total of 2 533 students of grade two and three were randomly selected from 9 primary schools in one urban district and one rural district in Shanghai by stratified clustering sampling methods. Physical examinations were carried out, and students were asked to fulfill the questionnaire on behaviors, exercises and diet. The prevalence of obesity and prevalence rates of obesity stratified by age, gender and district were calculated. The risk factors for childhood obesity were preliminarily screened after analysis of behaviors, exercises and diet, and Logistic regression analysis was conducted for further determination of risk factors for childhood obesity. Results The prevalence of overweight in children of this study was 34.14%, and the prevalence of obesity was 18.00%. The prevalence of obesity in boys (22.89%) was higher than that in girls (13.21%)(P<0.01), and the prevalence of obesity in children living in urban area (21.62%) was higher than that of children living in rural area (15.18%)(P<0.01). There was no significant difference in the prevalence of obesity stratified by age. Logistic regression analysis revealed that good appetite, having meals fast, short sleeping duration, watching television for long duration, preferring meat and poultry to fish and prawns, and parental overweight were the risk factors for childhood obesity. Conclusion The prevalence of obesity in children aged 7 to 9 in Shanghai is high. Children´s behaviors, diet, exercises and parental overweight are associated with childhood obesity, which may be the risk factors for childhood obesity. Childhood obesity should be controlled by health education and obesity intervention.

Key words: children, obesity, prevalence, risk factor