长宁区1-6岁儿童饮食行为现状分析及探讨  

Analysis of dietary behavior of children aged 1-6 years in Changning district

作　　者：王芳 蔡文秀 鲁巧珍 黄璧琨 金星明[2] 

机构地区：[1]长宁区妇幼保健院,上海200051 [2]上海交通大学附属儿童医学中心,上海200127

出　　处：《中国妇幼健康研究》2011年第3期282-284,共3页Chinese Journal of Woman and Child Health Research

基　　金：上海市儿童发展研究中心项目（2009SHET01）

摘　　要：目的 了解长宁区儿童饮食行为问题发生的现况及其影响因素,为儿童饮食行为问题的干预提供参考依据.方法 对长宁区1-6岁儿童采用整群系统抽样,对儿童照养人进行问卷调查,内容包括儿童的饮食行为现状和影响因素.结果 儿童饮食行为问题发生率为45.20%.而家长报告的儿童饮食行为问题为59.57%.与儿童饮食行为问题有关的因素为：儿童年龄（χ2=27.572,P〈0.001）、呼吸道感染频率（χ2=8.418,P〈0.05）、便秘（χ2=33.217,P〈0.001）、胃食管返流（χ2=9.152,P〈0.01）、气质（χ2=58.184,P〈0.001）、照养人的饮食行为（χ2=10.035,P〈0.01）.结论 1-6岁儿童饮食行为问题发生率高.对高发人群要重点加强饮食行为的培养和干预;儿童饮食行为问题类化于照养人饮食行为问题,应开展饮食行为问题的家庭综合干预.Objective To investigate the status of dietary behavior and its influencing factors on 1- to 6-years old children in Changning district, and to provide reference for intervention measures on dietary behavior problems of children. Methods 1- to 6-years old children in Changning district were selected with cluster and system sampling and their caregivers were surveyed with questionnaire about dietary behavior and its influencing factors. Results The prevalence of dietary behavior problems was 45.2% and the rate reported by parents was 59.6%. The prevalence of dietary behavior problems was influenced by age（x2 = 27. 572, P 〈 0.001, frequency of upper respiratory tract infection（x2 = 8. 418, P 〈 0.05 ）, constipation （X2 = 33. 217, P 〈 0. 001 ）, gastroesophageal efflux （X2 = 9.152, P 〈 0.01 ）, temperament （X2 = 58. 184,P 〈 0.01 ） and dietary behavior of caregivers（X^2 = 10.035 ,P 〈0.001 ）. Gender,frequency of diarrhea,frequency of tonsillitis and saprodontia had nothing to do with the prevalence of dietary behavior problems （ P 〉 0.05 ）. Conclusion The prevalence of dietary behavior problems on 1- to 6-years old children is high. Children who suffer from repeated respiratory infections, constipation or gastroesophageal efflux and children of difficult temperament type are the high-risk group. They should be given more intervention measures about dietary behavior. The dietary behavior problems of children are associated with the caregivers＇ dietary behavior. So we should take intervention measures to the families by comprehensive way.

关 键 词：饮食行为问题 儿童 照养人 干预 

分 类 号：R174[医药卫生—妇幼卫生保健]