上海市3城区1～6岁饮食行为问题儿童交互式干预体格生长评价  

Physical growth evaluation on interactive intervention among 1-6 years age children with dietary behavior problems in 3 urban districts of Shanghai

作　　者：沈恬[1] 金星明[2] 施榕[1] 

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]上海交通大学医学院附属上海儿童医学中心发育行为儿科,上海200127

出　　处：《中国循证儿科杂志》2011年第5期354-357,共4页Chinese Journal of Evidence Based Pediatrics

摘　　要：目的对存在不良饮食行为问题的1～6岁儿童进行交互式干预,评价干预后体格生长指标改善情况。方法选择上海市长宁区、卢湾区和虹口区1～6岁存在饮食行为问题的常住户籍儿童为研究对象,随机分为干预组和对照组。干预组在基线(T0)调查后给予交互式干预,并于入组后的1、3、6和9个月(T1～T4)分别进行随访评估,测量身高和体重;对照组T0调查后不予交互式干预,于T4时点随访。比较干预组和对照组体重和身高的增长量[△(T4-T0)],评价干预组体重/身高的改变趋势。结果共纳入存在不良饮食行为问题的儿童490例,失访25例(5.1%)。465例完成随访,其中干预组248例,对照组217例。两组基线水平具可比性。①至T4时点干预组1～4岁亚组体重增长量均显著高于对照组;干预组2～3岁亚组男、女性体重增长量均显著高于对照组。②至T4时点干预组和对照组身高增长量均呈现随年龄增长而降低的趋势,干预组2～3岁亚组身高增长量均显著高于对照组;干预组2岁亚组男性及2～3岁亚组女性身高增长量均显著高于对照组。③T0～T4时点干预组男、女性的体重/身高增长均呈现赶超P50曲线的趋势,对照组T0及T4时点均在P50曲线以下,干预组男性体重/身高增长幅度低于女性。结论交互式干预对饮食行为问题儿童的体格生长具有正向促进作用。Objective To evaluate the growth improvements of 1-6 years age children with dietary behavior problems in Shanghai through interactive interventions.Methods Children aged 1-6 years with dietary behavior problems were selected from three urban districts of Shanghai（Changning,Luwan and Hongkou）.After baseline assessments,they were randomized into intervention group and control group.The intervention group received interactive interventions,and the following assessments and interventions were given at the end of the 1st month,the 3rd month,the 6th month,and the 9th month.The control group were evaluated at the baseline and followed up at the end of the 9th month without interactive intervention.Comparisons and stratified analysis of the growth improvements were made between intervention and control groups.Results The study consisted of 490 children aged 1-6 years with dietary behavior problems in Shanghai,248 in intervention group and 217 in control group completed the intervention and endpoint assessments,and the rate of loss to follow-up was 5.1%.The baseline of the intervention group and the control group was equal.The mean weight increment of the intervention group was（2.0±0.9） kg,which was significantly higher than that of the control group[（1.5±1.1） kg]（P〈0.001）.And the mean height increment of the intervention group was（5.7±2.2） cm,which was significantly higher than that of the control group[（4.7±2.1） cm]（P〈0.001）.Children aged 1-4 years in the intervention group had a higher increment of weight than the control group（P〈0.05）,while children aged 2-3 years in the intervention group had a higher increment of height than the control group（P〈0.01）.The growth advantages of the intervention group was declined with age.Intervention group had a better growth trend in their weight-for-height compared with the P50 of the reference curve.Conclusions Interactive intervention is effective in promoting the growth of children with dietary behavior problems in Shanghai.

关 键 词：饮食行为问题 交互式干预 身高 体重 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]