针对饮食行为的肥胖早期干预效果分析  

Effects of early intervention for overweight directed at dietary habits of infants

作　　者：王燕[1] 王念蓉[2] 王文媛[3] 文红[4] 陈桂霞 赵桂兰[3] 傅平[3] 杨柳[4] 蒋竞雄[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100013 [2]重庆市妇幼保健院,重庆400013 [3]青岛市妇女儿童医疗保健中心,山东青岛266011 [4]沈阳市妇幼保健所,辽宁沈阳110032 [5]厦门市妇幼保健院,福建厦门361003

出　　处：《中国儿童保健杂志》2010年第12期942-944,共3页Chinese Journal of Child Health Care

基　　金：中国疾病预防控制中心(2008FY001)

摘　　要：【目的】对0-3岁婴幼儿针对饮食行为的肥胖早期干预的效果进行初步分析,为探索儿童肥胖症的有效早期干预方法提供依据。【方法】在沈阳、青岛、重庆、厦门每个城市随机选择干预社区和对照社区各4个,收集0-1岁儿童及其家长作为研究对象。采用WHO体质指数标准作为儿童超重的判定标准。干预组通过群体宣教与个体咨询相结合的方法对婴幼儿家长进行喂养和营养方面的健康教育,培养婴幼儿健康的饮食行为和生活方式,并针对超重儿进行饮食和生活习惯的调整。通过干预前后儿童的饮食行为、超重率等指标的变化判断干预效果。【结果】干预结束时干预组不健康食物的进食明显少于对照组。多元Logistic回归显示对超重影响最大的是干预前的状况（OR为2.445,95%CI为1.950~3.066）,干预时间、4个月内纯母乳喂养、月龄均为保护因素[OR及其95%CI分别为0.835（0.776~0.900）,0.744（0.590~0.938）和0.925（0.895~0.957）],而父母体质指数（body mass index,BMI）均增加儿童超重的风险（OR分别为1.045,95%CI为1.005~1.087和1.052,95%CI为1.011~1.094）。【结论】干预措施虽然尚未显示出对肥胖的作用,但可有效改善婴幼儿的饮食行为。【Objective】 To evaluate the effects of early intervention for overweight directed at dietary habits of in-fants preliminarily,and to provide basis for exploring effective intervention methods for obesity in infants.【Methods】 Every four intervention communities and four control communities were selected randomly from Shenyang,Qingdao,Chongqing and Xiamen city.Infants aged up to 1 year old and their parents were recruited.Overweight were defined accord-ing to international body mass index（BMI） standard of WHO.In the intervention group,parents of the infants were edu-cated with feeding and nutrition knowledge,and the dietary habits and lifestyle habits of overweight infants were modified.While those infants and their parents in the control communities received usual health care without any extra intervention.The effects of intervention were analyzed by the changes of dietary habits and overweight prevalence.【Results】 The in-takes of unhealthy foods in intervention group were significantly less than that in the control group.The multiple logistic re-gression model showed those the status before intervention influenced the overweight prevalence most（OR= 2.445,95% CI： 1.950~3.066）.The duration of intervention,breast feeding within 4 months,and the month age were protective fac-tors [withORand 95%CI0.835（0.776~0.900）,0.744（0.590~0.938） and 0.925（0.895~0.957）,respectively],while BMI of parents increased the risk [withORand 95%CIbeing 1.045（1.005~1.087） and 1.052（1.011~1.094）,respec-tively].【Conclusions】 The intervention hadn＇t reduced overweight prevalence;however,it could significantly improve dietary habits of infants.

关 键 词：饮食行为 肥胖症 干预 婴幼儿 

分 类 号：R179[医药卫生—妇幼卫生保健]