北京市儿童肥胖的生活行为因素和家庭聚集性  

Familial clustering of obesity and the role of lifestyle factors among children in Beijing

作　　者：席波[1] 米杰[1] 段佳丽[2] 闫淑娟[3] 程红[1] 侯冬青[1] 赵小元[1] 

机构地区：[1]首都儿科研究所流行病学研究室,北京100020 [2]北京市疾病预防控制中心学校卫生所 [3]北京市妇幼保健院儿童保健部

出　　处：《中华预防医学杂志》2009年第2期122-127,共6页Chinese Journal of Preventive Medicine

基　　金：北京市科技计划重点项目（H030930030130）

摘　　要：目的探讨儿童肥胖与其生活行为因素、父母肥胖的关系，为制定儿童肥胖的防治政策提供依据。方法整群随机选取北京市城郊21198名2～18岁儿童进行横断面研究。问卷调查包括儿童肥胖的家庭环境因素及其父母的肥胖情况；体格测量主要为儿童的身高、体重。采用SPSS13．0软件进行统计学分析，包括一般性描述、趋势卡方检验和非条件logistic回归分析。结果采用国际肥胖工作组推荐的儿童肥胖参考值（IOTF参考值），21198名2～18岁儿童肥胖率为5．6％。儿童吸烟、饮酒等行为因素及其肥胖状况存在家庭聚集性。父母均不吸烟、一方吸烟、双亲均吸烟的子女吸烟率分别为1．50％、2．93％和6．01％（χ^2趋势=45．422，P〈0．01）；父母均不饮酒、一方饮酒、双亲均饮酒的子女饮酒率分别为5．85％、9．12％和13．96％（χ^2趋势=107．009，P〈0．01）。根据双亲BMI状态分组，“父母正常”、“父亲肥胖”、“母亲肥胖”、“双亲肥胖”各组中儿童肥胖率分别为3．29％、11．48％、9．12％和27．01％（χ^2趋势=293．404，P〈0．01）。控制性别、年龄后，体育锻炼、睡眠、吃禽类食物、看电视、饮酒可能是儿童肥胖的影响因素。控制年龄、性别、青春期等协变量，与父母体重正常相比，母亲肥胖对女儿肥胖的影响较大（OR=5．93，95％CI：3．57～9．84），而父亲肥胖对儿子肥胖的影响较大（OR=4．29，95％CI：3．21～5．72）。父母同时肥胖对女儿肥胖产生的影响（OR=28．51，95％CI：15．13～53．72），远远大于其对儿子肥胖的影响（OR=7．21，95％CI：4．07～12．75）；其对2～5岁、10—12岁儿童的影响（OR=18．67，95％CI：1．49～234．46；OR=22．25，95％CI：10．62～46．59），大于其对其他年龄组肥胖的影响。结论父母肥胖可能是儿童肥胖的独立危险因素，且关联存在性别、年�Objective To investigate the correlation between lifestyle factors,parental obesity and adiposity in children, in order to provide theoretical evidence for public health policy establishment. Methods A cross-sectional observation study was conducted among approximately 20 thousand children aged 2 - 18 years old in urban and rural regions of Beijing, by using stratified randomization clustering sampling methods. Familial environmental risk factors of children adiposity and parental obesity were assessed with standardized questionnaire. Anthropometric measurements, including height and weight, were conducted. SPSS 13.0 software was applied to analyze the data,including general description, χ^2 trend test and non-condition logistic analyse. Results With IOTF obesity references, the prevalence of obesity in 21 198 children aged 2 -18 years old was 5. 6%. The behavioral characters （for example, smoking and drinking ） and children obesity showed significant familial aggregation. In groups including ＂both parents not smoke＂ ,＂ only one parent smoke＂ and ＂both parents smoke＂ , the smoking rates of offsprings were 1.50%, 2.93% and 6.01%, respectively（ χ^2trend = 107. 009, P 〈 0. 01 ）. A similiar pattern was found for offsprings＇ alcohol consumption rates（5.85% , 9. 12% and 13.96% ; χ^2trend = 107. 009, P 〈 0.01 ）. Based on parents＇ BMI status, in groups including ＂ both parents had normal weight＂ , ＂father was obese＂ , ＂mother was obese＂ and ＂both parents were obese＂, the prevalence of obesity in children were 3.29% , 11.48% , 9.12% and 27.01%, respectively（ χ^2trend =293. 404,P〈 0. 01）. After controlling for sex and ages,factors such as physical exercises, sleeping times per day, fat intakes, watching TV, drinking alcohol were impact factors of children obesity. After controlling of confounding factors, such as children gender, age, birth weight, puberty, smoking history, drinking history, fat intakes, soft drink, physical exercises, education experiences of pa

关 键 词：健康调查 肥胖症 生活方式 儿童 

分 类 号：R686[医药卫生—骨科学]