石家庄市7～13岁儿童肥胖及家庭聚集性调查研究  

INVESTIGATION ON OBESITY AMONG CHILDREN AGED 7-13 YEARS AND FAMILIAL CLUSTERING OF OBESITY IN SHIJIAZHUANG

作　　者：杜丽梅[1,2] 张晓伟[1] 谢颖[1] 骆彬[1] 白泽岩 李增宁[1] 

机构地区：[1]河北医科大学第一医院营养科,河北石家庄050031 [2]河北省石家庄市长安区妇幼保健站妇保科,河北石家庄050011 [3]河北省石家庄市教委中小学健康所,河北石家庄050000

出　　处：《河北医科大学学报》2013年第11期1390-1393,共4页Journal of Hebei Medical University

基　　金：河北省自然科学基金资助项目(C2010000649);河北省科技支撑计划项目(10276105D-51)

摘　　要：目的 调查石家庄市7～13岁儿童超质量率和肥胖率以及肥胖儿童家庭肥胖集聚性比例.方法 采用营养流行病学研究方法,对石家庄市95 292例7～13岁儿童进行体检,调查石家庄市学龄儿童超质量肥胖率.按照整群抽样的方法选取450例超质量肥胖儿童进行膳食行为、生活方式、肥胖儿童家庭聚集性调查.结果 ①石家庄市7～13岁儿童超质量率27.4%,肥胖率13.2%.儿童超质量肥胖率在性别、年龄方面,差异有统计学意义（P〈0.05）.②肥胖家庭聚集性比例20.3%,超质量家庭聚集性比例75.3%.Ⅰ代亲属超质量率54.6%,肥胖率14.1%.Ⅱ代亲属超质量率53.1%,肥胖率13.7%.不同年龄儿童肥胖家庭聚集性比例不同,差异有统计学意义（P〈0.05）.肥胖家庭聚集性在性别、出生体质量、家庭收入方面,差异无统计学意义.结论 石家庄市7～13岁儿童超质量和肥胖率较高.超质量肥胖儿童家庭存在集聚性而且肥胖家庭聚集性比例较高.所以需要探索对家庭成员实施整体干预的肥胖干预新模式,从而达到有效控制和改善儿童肥胖的目的.Objective The aim was to study the prevalence of overweight and obesity among school children and familial clustering in Shijiazhuang. Methods In a cross-sectional study, medical examination was conducted on 95 292 school children （ age 7 - 13 years） from 150 elementary schools in Shijiazhuang. Approximately 450 overweight and obese children were selected using a cluster sampling method. Answers from a questionnaire on their dietary nutrition and behaviors were recorded on the children and their family members. Results （1）Prevalence of overweight and obesity in school children were 27.4% and 13.2%, respectively. There were significant difference in age and gender （P 〈 0. 05 ）. （2）The prevalence of familial clustering of overweight was 75. 3% in overweight children, and the prevalence of familial clustering of obesity was 20.3% in obese children. The rates of overweight and obesity in first-generation relatives were respectively 54.6% and 14. 1%. The rates of overweight and obesity in second-generation relatives were 53.1% and 13.7%, respectively. The prevalence of familial clustering of obesity was significantly different among different age groups in Shijiazhuang （ P 〈 0.05 ）. The results did not Show the correlation of familial clustering of obesity with gender, birth weight and income of family. Conclusion The incidence of overweight and obesity among children aged 7 - 13 years old in Shijiazhuang was higher. The result suggested that familial clustering is an essence in overweight and obese children. The incidence of familial clustering of obesity is familial clustering of obesity and total intervention is needed in order children.

关 键 词：肥胖症 家庭 流行病学研究 儿童 

分 类 号：R752.892.5[医药卫生—皮肤病学与性病学]