昆明市0～7岁儿童单纯性肥胖流行病学调查  

Epidemiological survey on simple obesity in 0～7 years old children in Kunming city

作　　者：朱克[1] 蒲斌[1] 徐秀莲[1] 

机构地区：[1]昆明市妇幼保健院儿童保健科,云南昆明650031

出　　处：《中国儿童保健杂志》2008年第6期696-698,共3页Chinese Journal of Child Health Care

摘　　要：【目的】了解昆明市0-7岁儿童单纯性肥胖流行情况、变化趋势及影响因素。【方法】采用分层整群抽样方法,调查昆明市0-7岁儿童11 172人,按全国肥胖儿童调查标准进行肥胖儿的诊断、分度及对照组的设立。并对数据进行统计分析。【结果】昆明市0-7岁儿童单纯性肥胖检出率为1.56%,低于全国平均水平和主要城市检出率。肥胖检出率比1996年上升35.65%,是1986年的3.63倍。年龄、性别差异明显,男童高于女童。肥胖症相关影响因素有：食欲、进食速度、父母对子女肥胖态度、父母亲体质指数（body mass inaex,BMI）。【结论】昆明市0-7岁儿童单纯性肥胖检出率在全国处于较低水平,但近20年仍有明显增加。食欲好、进食快、父母BMI偏大、父母对子女肥胖不关注是肥胖发生的危险因素。防治肥胖症的主要方法是家庭干预和群体干预。[Objective] To show the epidemiological status and influencing factors of the simple obesity children in Kunming city. [Methods] 11 172 children were selected by stratified-clustered-random sampling. National survey on children obesity of China was used to define obesity and establish control group. These data were analyzed by Chi-square test,simple and multiple factor Logistic regression. [Results] The rate of simple obesity occurrences was 1.56% ,which was were lower than that of other large cities, as well as national averages. On the other hand, the simple obesity increased for 35.65% in past 10 years, and 363% in past 20 years. Significant differences were in different age and gender,the simple obesity rate was higher in boys than in girls. The simple obesity occurrence may be related to child＇s appetite, eating speed, and parents＇BMI and attitude to the obesity. [Conclusions] The prevalence of obese children aged 0-7 years in Kunming was in lower level in China. The simple obesity occurrence may be related to child＇s good appetite, quick eating, and parents＇ high BMI and carelessness of the obesity. Family intervention and kindergarten-based intervention should be as the major method in preventing and treating obesity of children.

关 键 词：0-7岁儿童 单纯性肥胖症 影响因素 

分 类 号：R723.14[医药卫生—儿科]