华南预防医学 ›› 2021, Vol. 47 ›› Issue (6): 714-717.doi: 10.12183/j.scjpm.2021.0714

• 论著 • 上一篇    下一篇

徐州市学龄前儿童单纯性肥胖现状及影响因素分析

赵彤1, 刘运翠1, 白华2   

  1. 1.徐州医科大学附属医院,江苏 徐州 221002;
    2.连云港市第一人民医院
  • 收稿日期:2021-01-09 出版日期:2021-06-20 发布日期:2021-07-16
  • 通讯作者: 白华,E-mail:lixin-1298@163.com
  • 作者简介:赵彤(1977—),女,硕士研究生,副主任医师,研究方向为小儿内分泌

Status and influencing factors of simple obesity in preschoolers in Xuzhou

ZHAO Tong1, LIU Yun-cui1, BAI Hua2   

  1. 1. The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221002, China;
    2. The First People's Hospital of Lianyungang
  • Received:2021-01-09 Online:2021-06-20 Published:2021-07-16

摘要: 目的 分析徐州市学龄前儿童单纯性肥胖发生率并探讨其影响因素。方法 采用方便抽样方法抽取徐州市托幼机构中幼儿数量前5位的幼儿园作为调查现场,对抽中幼儿园的所有3~5岁学龄前儿童进行体格检查并对其家长进行问卷调查。采用描述流行病学分析方法对学龄前儿童单纯性肥胖发生现状进行分析,并采用单、多因素分析方法对学龄前儿童单纯性肥胖影响因素进行分析。结果 本研究共对4 464名徐州市3~5岁学龄前托幼儿童开展调查,男童2 236人,女童2 228人。3、4、5岁儿童分别占35.1%、32.0%、32.9%,城区托幼机构儿童占78.4%。有291例单纯性肥胖儿童,发生率为6.5%。分析结果显示父母至少一方肥胖(OR=1.881)、出生体重≥4.0 kg(OR=2.349)、年龄越大(OR=1.523)、偏爱高热量食物(OR=2.968)、很少吃蔬菜水果(OR=2.430)、偏爱零食(OR=2.678)、不易接受新食物(OR=1.499)的徐州市3~5岁学龄前儿童发生单纯性肥胖的可能性较高。结论 徐州市3~5岁学龄前儿童单纯性肥胖发生率较高,儿童单纯性肥胖与饮食行为、年龄、出生体重、父母肥胖情况等因素相关,培养学龄前儿童良好的饮食习惯,改善饮食行为问题,可积极有效地预防儿童单纯性肥胖的发生。

关键词: 学龄前儿童, 单纯性肥胖, 饮食行为, 影响因素

Abstract: Objective To analyze the incidence of simple obesity among preschoolers in Xuzhou City and explore its influencing factors. Methods The convenience sampling method was used to select the top 5 kindergartens in the number of children in Xuzhou as the survey site. All preschoolers aged 3-5 years old in the selected kindergartens were subjected to physical examinations, and questionnaire surveys were conducted on their parents. Descriptive epidemiological analysis method was used to analyze the current status of simple obesity in preschoolers, and univariate and multivariate analysis Methods were used to analyze the influencing factors. Results In this study, a total of 4 464 preschoolers aged 3-5 years old in Xuzhou were surveyed, including 2 236 boys and 2 228 girls. Children aged 3, 4, and 5 accounted for 35.1%, 32.0%, and 32.9% respectively, and children in urban kindergartens accounted for 78.4%. There were 291 children with simple obesity, with an incidence rate of 6.5%. The results showed that preschoolers aged 3-5 years old in Xuzhou were more likely to develop simple obesity if their parents had at least one obesity (OR=1.881), birth weight ≥ 4.0 kg (OR=2.349), older age (OR=1.523), preference for high calorie food (OR=2.968), little eating fruits and vegetables (OR=2.430), preference for snacks (OR=2.678) and not easy to accept new food (OR=1.499). Conclusion The incidence of simple obesity among preschoolers aged 3-5 years old in Xuzhou is relatively high. Simple obesity of children is related to factors such as dietary behavior, age, birth weight, and parental obesity. To cultivate good dietary habits for preschoolers and improve dietary behavior problems, can actively and effectively prevent the occurrence of simple obesity in children.

Key words: Preschooler, Simple obesity, Dietary behavior, Influencing factor

中图分类号: 

  • R195