我国9地区3～12岁儿童外出就餐和食用快餐相关因素与超重肥胖的调查  

Investigation on relevant factors of eating out and fast food and overweight / obesity among 3-12-year- old children in 9 areas of China

作　　者：张雅蓉[1] 王金子[1] 薛勇[1] 郑迎东[1] 王培玉[1] 张玉梅[1] 

机构地区：[1]北京大学公共卫生学院,北京100191

出　　处：《中国妇幼保健》2014年第31期5132-5135,共4页Maternal and Child Health Care of China

摘　　要：目的：探讨我国9地区3～12岁儿童外出就餐和食用西式快餐的相关因素及食用频次与儿童BMI的关系,为制定儿童体重控制措施提供依据。方法：采用分层整群随机抽样的方法从北京、苏州、广州、郑州、成都、兰州、沈阳7个城市和邢台平原、邢台山区两个农村共9个调查点抽取3～12岁的儿童1 792名进行膳食与健康问卷调查,并用Logistic回归分析儿童外出就餐和食用快餐的相关因素,使用多元线性回归分析儿童外出就餐和BMI之间的关系。结果：3～12岁儿童每周外出就餐0、1次和〉1次的比例分别为33.1%、38.6%和28.3%,每周食用快餐0、1次和〉1次的比例分别为62.4%、31.0%和6.5%;农村地区低于二线城市和一线城市,学龄前儿童和学龄儿童之间和性别之间差异均无统计学意义（P〉0.05）。多因素Logistic回归显示,3～12岁儿童每周外出就餐频率与母亲教育程度、家庭人均月收入、挑食和每周碳酸饮料摄入频率正相关;每周食用快餐频率仅与挑食和每周碳酸饮料摄入频率正相关。在控制了地区、母亲教育程度、家庭人均月收入、挑食和每周碳酸饮料摄入频率后,每周外出就餐频率仍然与儿童BMI正相关。结论：儿童外出就餐和食用快餐与经济水平、母亲文化程度、饮食习惯和儿童BMI等密切相关。Objective ： To explore the relationship between relevant factors and frequency of eating out and fast tbod and childreng body mass index （BMI） among 3 - 12 - year - old children in 9 areas of China, and provide a basis for making children＇s weight control measures. Methods： According to stratified and cluster random sampling method, 1 792 children aged 3 - 12 years old were selected from 9 snlwe points, including 7 cities （ Beijing, Suzhou, Guangzhou, Zhengzhou, Chengdu, Lanzhou, Shenyang） and 2 rural areas （ plant area and mountainous area of Xingtai） , and then they were asked to finish a dietary and health questionnaire. Logistic regression analysis was applied to analyze the relevant factors of eating out and fast food of these children, and multivariate linear regression attalysis was applied to analyze the relationship between eating out and childreng BMI. Results ： Among these children, 33.1% of them never ate out, the proportions of them eating out for once or more than once per week were 38.6% and 28.3%, respectively; 62. 4% of them never ate fast filod, the pro- portions of them eating tast food for once or more than once per week were 31.0% and 6. 5% , respectively. The frequently in children from rural area was lower than that in children from the first and the second tier cities, but there was no statistically significant difference between preschool children and school children, as well as between boys and girls （ P 〉 0. 05 ） . Multivariate logistic regression analysis showed that the trequency of eating out among 3 - 12 - year - old children was positively correlated with nmternal educatioual level, per capita household monthly income, dietary elloosiness and intake frequency of carbonated beverage per week. The frequency of eating fast lbod was positively correlated with dietary choosiness and intake frequency of carbonated beverage per week. After controlling area, maternal educational level, per capita household monthly income, dietary choosiness and intake frequency of

关 键 词：外出就餐 快餐 儿童 体重指数 

分 类 号：R174[医药卫生—妇幼卫生保健]