上海市某区小学生超重肥胖的干预效果  

Effects of Comprehensive Intervention on Overweight or Obese Students of Primary Schools in a District of Shanghai

作　　者：杨凡[1] 王文娴[1] 郭红卫[1] 朱检 骆旋 李彦荣[1] 

机构地区：[1]复旦大学公共卫生学院,教育部公共卫生安全重点实验室,上海200032 [2]松江区疾病预防控制中心,上海201620

出　　处：《环境与职业医学》2013年第5期333-337,共5页Journal of Environmental and Occupational Medicine

基　　金：中国营养学会"中国儿童营养教育项目"资助

摘　　要：[目的]评价儿童超重肥胖的干预效果，培养小学生健康的生活方式。[方法]采用整群随机抽样方法，在上海市松江区抽取4所小学，其中3所作为干预校实施干预措施，1所学校不进行干预作为对照。在每所学校2—4年级中，每年级随机抽取2个班的小学生做效果评价。对1067名学生（干预组833人，对照组234人）实施为期1年的干预。干预前、后对所有研究对象及其家长、教师进行肥胖相关知信行问卷调查，同时对小学生进行体格检查。[结果]干预组小学生的肥胖情况得到一定改善，干预前、后干预组的肥胖率分别是11．5％和9．4％。干预组小学生血红蛋白平均值上升了1．25以。干预组小学生、家长及教师的肥胖相关知识、态度、行为得分的增长率高于对照组，干预组的得分增长率分别为：小学生8．2％、9．7％、10．O％；家长4．6％、2．6％、5．7％；教师8．6％、6．9％、11．O％。[结论]营养健康教育及身体活动干预对控制小学生肥胖可起到一定作用，但需长期坚持并评价其效果。[ Objective ] To evaluate the comprehensive intervention effects on children＇s overweight and obesity, and develop a healthy lifestyle for children. [ Methods ] Four primary schools were chosen from Songjiang District of Shanghai with stratified cluster random sampling, in which three schools were assigned as the intervention groups, and the left one was the control group. A total of 1 067 children （833 in the intervention group, 234 in the control group） from 2 classes at grades 2 to 4 of each school took part in the intervention project which lasted for 1 year. All the subjects and their parents and teachers were invited to complete a questionnaire on obesity-related knowledge, attitudes, practice （KAP）, and physical examinations were conducted to the participated students before and after the intervention project. [ Results ] After the intervention, the obesity prevalence in the intervention group was lowered from 11.5% to 9.4%. The mean value of hemoglobin increased by 1.25 g/L in the intervention group. The score increment rates of obesity-related knowledge, attitudes, practice of primary school students （8.2%, 9.7%, 10.0%）, parents （4.6%, 2.6%, 5.7%）, and teachers （8.6%, 6.9%, 11.0%） in the intervention group were higher than those of the control group. [ Conclusion ] Nutrition and health education and physical intervention have worked effectively to improve obesity control in primary school students, and a longer term of intervention is required for further effect evaluation.

关 键 词：儿童肥胖 学校 营养健康教育 评价 

分 类 号：R179[医药卫生—妇幼卫生保健]