小学生中心性肥胖与哮喘关系的探讨  

Discussion on the relationship between central obesity and asthma of pupils

作　　者：罗春燕[1] 杨东玲[1] 孙力菁 周月芳[1] 陆茜[1] 蒋惠芬[2] 王向东[3] 

机构地区：[1]上海市疾病预防控制中心,上海200336 [2]上海市宝山区疾病预防控制中心,上海201901 [3]上海市静安区疾病预防控制中心,上海200072

出　　处：《上海预防医学》2017年第3期170-173,共4页Shanghai Journal of Preventive Medicine

基　　金：上海市卫生和计划生育委员会面上项目(201640161);上海市第四轮公共卫生三年行动计划慢病重点学科项目(15GWZK0801)

摘　　要：目的探讨7~9岁小学生肥胖与哮喘的关系,明确下一步研究的方向。方法采用整群抽样方法,随机抽取上海市6所学校的小学部,调查被抽中学校的所有1年级和2年级学生的家长,并对学生进行体格检查。率的比较采用卡方检验,学龄儿童中心性肥胖与哮喘的多因素分析采用logistic回归分析方法。结果学生肥胖率为9.40%,中心性肥胖率为16.41%,曾经患过哮喘的比例为4.37%。单因素分析中用体质指数(BMI)评价学生的营养状况,肥胖与非肥胖组比较患哮喘的比例差异无统计学意义,但是用腰围进行评价则显示腰围超标与哮喘有关。多因素分析的结果显示男生、年龄增长、周末睡眠时间少、食欲好、不挑食、饭量大、吃饭速度快是中心性肥胖的危险因素,在模型中有哮喘史是中心性肥胖的影响因素。结论 7~9岁小学生的中心性肥胖与哮喘有关,需要继续跟踪研究肥胖的影响因素,深入探讨肥胖与哮喘的相互关系,为公共卫生实践提供更多的证据。Objective To explore the relationship between central obesity and asthma of 7- to 9- year-old pupils, and to make clear the direction of research for the next stage. Methods By cluster sampling, 6 primary schools in Shanghai were randomly selected; the parents of all the Grade One and Grade Two pupils thereof were surveyed, and physical examinations were made for these pupils. Rates were compared using the chi-square test, and the numerous factors for the central obesity and asthma of school-age children were analyzed by using the logistic regression analysis model. Results The obesity rate of these pupils was 9.40%, the rate of central obesity thereof was 16.41% , and the rate of pupils who had suffered asthma was 4.37%. The body mass index （BMI） was used in the univariate analysis to assess the nutritional status of pupils. The difference in terms of the rate of asthma between the obesity group and the non-obesity group had no statistic significance. However, the assessment based on waist circumferences showed that excess waist circumferences were related to asthma. However, multivariate re- gression analyses showed that masculinity, aging, little weekend sleep, good appetite, having no prefer- ence for foods, big appetite and fast eating were the risk factors for central obesity. In the model, a history of asthma was an risk factor for central obesity Conclusion Central obesity is related to asthma for 7- to 9- year-old pupils. It is necessary to continue the follow-up study for factors influencing obesity, and to probe into the relationship between obesity and asthma, thereby providing more evidences for public health practices.

关 键 词：中心性肥胖 哮喘 小学生 

分 类 号：R723.14[医药卫生—儿科] R725.6[医药卫生—临床医学]