母亲剖宫产与儿童肥胖的相关性研究  

Study on the correlation between cesarean section and childhood obesity

作　　者：吴洁[1] 阿达力别克[1] 葛娟 窦亚兰 姜袁[1] 张昭[1] 张慧[1] 戴江红[1] 

机构地区：[1]新疆医科大学公共卫生学院流行病与卫生统计学教研室,新疆乌鲁木齐830011 [2]新疆伊宁卫生学校

出　　处：《中国妇幼保健》2014年第31期5125-5128,共4页Maternal and Child Health Care of China

基　　金：国家自然科学基金〔81260440〕

摘　　要：目的：探讨剖宫产对儿童肥胖的影响,为进一步制定早期儿童肥胖预防策略提供科学依据。方法：采用随机整群抽样法选取新疆4个地区幼儿园和学校（一、二年级）的5 004名儿童为研究对象,测量儿童的身高和体重,计算体重指数（BMI）,并发放自行设计的调查问卷对其进行调查。结果：超重和肥胖检出率分别为11.59%和4.47%,男童肥胖率（5.73%）高于女童肥胖率（3.08%）,差异有统计学意义（P〈0.05）;在调整性别、民族、家庭月收入、母亲BMI及儿童出生体重等因素后,剖宫产出生儿童发生超重的几率是自然分娩出生儿童的1.275倍（95%CI：1.008～1.613）,剖宫产出生儿童发生肥胖的几率是自然分娩出生儿童的1.732倍（95%CI：1.212～2.475）。结论：调查地区儿童肥胖检出率较高,剖宫产为儿童肥胖的危险因素,应受到社会的高度重视,并严格掌握剖宫产指征,进行产前教育,以控制儿童肥胖的发生。Objective： To explore the effect of cesarean section on childhood obesity, provide a scientific basis for further making early prevention strategies for childhood obesity. Methods： Random cluster sampling method was used to select 5 004 children from kinder- gartens and schools （Grade one and Grade two） in Xinjiang as study group, body height and body weight were measured, body mass index （BMI） was calculated, a self- designed questionnaire was used to survey these children. Results： The detection rates of overweight and o- besity were 11.59% and 4. 47% , respectively, the detection rate of obesity in boys （5.73%） was statistically significantly higher than that in girls （3.08%） （P 〈 0. 05 ） ; after adjusting gender, nationality, family monthly income, maternal BMI and children birth weight, the in- cidence rates of overweight obesity in children born by cesarean section were 1. 275 times and 1. 732 times more than those in children born by spontaneous birth （ 95 % CI： 1. 008 - 1.613 ） （ 95 % CI： 1.212 - 2. 475 ） . Conclusion： The detection rate of childhood obesity is high, cesarean section is a risk factor of childhood obesity, more attention should be paid to the factor, and the indications of cesarean section should be grasped strictly, prenatal education should be performed to control the incidence rate of childhood obesity.

关 键 词：儿童 肥胖 剖宫产 相关性 

分 类 号：R723.14[医药卫生—儿科]