超重及单纯性肥胖儿童81名生长发育及饮食现况分析  

Study on Growth-development and Dietary Among 81 Children with Simple Obesity or Overweight

作　　者：王荔[1] 王祝欣[1] 白淘[2] 王芳芳[1] 

机构地区：[1]山西医科大学公共卫生学院儿少卫生教研室,太原030001 [2]山西医科大学第一医院病理科

出　　处：《中国学校卫生》2006年第9期769-770,共2页Chinese Journal of School Health

摘　　要：目的了解超重及肥胖儿童生长发育现状及饮食结构中存在的问题,以便有针对性地进行干预。方法根据体检结果,以同时满足我国学生体质调研资料制订的身高标准体重和BMI指数≥24为超重、≥26为肥胖2项作为判定标准,共确定超重及肥胖儿童81名。采用全国中小学生体质调查所用的标准测量方法,对生长发育指标进行测量;在知情同意的情况下采血进行血脂系列测定;采用3d记账法记录儿童的食物摄入情况。结果肥胖儿童高血压发生率达25.9%;进入青春期生长发育高峰后,肥胖儿童身高的发育水平有低于正常儿童发育水平的趋势;除12岁女生外,其他各性别年龄组肥胖儿童的肺活量指数均低于同性别年龄组人群的平均值(P<0.01);9.7%的超重及肥胖儿童血脂水平异常;肥胖儿童蛋白质及多种微量元素摄入不足,脂肪摄入量高。结论肥胖对儿童血压、肺脏机能、血脂、青春期后身高的发育有明显的负性影响。Objective To probe into the problems in growth-development and dietary, structure among overweight and obesity children, and to provide evidence for the intervention measures. Methods 81 overweight and obese children were selected based the standard of weight-for -height and BMI（ BMI≥24, overweight; BMI≥26, obesity）. Their serum lipid and growth and development indices were tested. Their dietary intakes in the past 3 days were recorded. Results The prevalence of high blocd pressure was 25.9%. After peak height velocity of adolescence, growth of height for obesity children was lower than that for normal ones. Except 12-years-old girls, indices of pulmonary function for obesity children were lower than normal with the same age and gender （ P 〈 0.01 ）. The prevalence of dyslipidemia was 9.7% among overweight and obesity children. In obesity children, the intakes of protein and microelements were deficiency but the intake of fat was high. Conclusion Obesity have obvious negative impact on children＇s blood pressure, puhnonary function, serum lipid and development of height ＇after puberty.

关 键 词：肥胖症 生长和发育 饮食习惯 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健] R155.1[医药卫生—公共卫生与预防医学]