社区综合干预模式对学龄前肥胖幼儿干预的有效性  

Effect studies on community comprehensive intervention model for preschool obesity children

作　　者：罗娟娟[1] 徐佳 施建华[1] 

机构地区：[1]上海市徐汇区田林街道社区卫生服务中心,上海200233

出　　处：《上海预防医学》2017年第10期780-783,共4页Shanghai Journal of Preventive Medicine

基　　金：上海市徐汇区科研项目(SHXH201316)

摘　　要：目的探索托幼机构中儿童肥胖干预的有效措施,研究建立肥胖儿体重控制的新模式,为托幼机构中儿童肥胖的干预提供科学的依据。方法从上海市田林地区13所托幼机构2 516名幼儿中选出2所基础设施条件、教师人员配备和幼儿家庭经济文化水平基本相同的3~4岁的超重肥胖儿童92人为调查对象,分为干预组42人和对照组50人。对干预组的家长和幼儿采取健康教育、体育锻炼、营养膳食等综合干预措施。对照组仅仅在园所内进行必要的体育锻炼。按照上海市0~6岁儿童体格发育五项指标评价参考值(2005年)、世界卫生组织儿童肥胖诊断标准(2006年)评价干预效果。结果经过一年半的干预,干预组体质指数明显降低,50.0%的超重肥胖儿童恢复正常体重,家长对儿童肥胖相关知识认知有显著提高,差异有统计学意义(P<0.05),肥胖超重比(OOR)比值达到理想水平(0.75)。而对照组则未见明显改善。结论社区综合干预模式,在促进儿童生长发育的同时,可有效降低幼儿肥胖发病率,是一种切实可行的控制幼儿肥胖的方法。Objective To explore effective measures for intervention of childhood obesity in child-care facilities, and to establish the new mode of obesity children weight control, then providing scibasis for childhood obesity intervention in childcare facilities. Methods From a totand their attended 13 childcare facilities of Tianlin area were selected 2 facilities with basically similarinfrastructure conditions, teachers staff ＊ and with similar family economic and cultural level, 42 over-weight obese children aged 3-4 were included in intervention group and 50 in control group. Comprehen-sive intervention measures （ healtli education, physical exercise and healtliy diet） were taken for the parents and their children in intervention group. And for control group, only necessory physical exercise was taken in the kindergarten. According to Shanghai five indicators evaluation reference （2005） for 0-6 years oldchildren and the WHO diagnostic criteria （2006） for childhood obesity was evaluated the efficacy of theintervention. Results After one and half years of intervention , BMI levels were remarl^baly decreased in intervention group, and 50. 0 % of obese children recovered to normal weight. Their parents cognitive knowledge about childhood obesity increased significantly, whose difference had stati（＋ 〈 0. 05 ） . The ratio of obesity overweight ratio （ 00R ） reached an ideal level （ 0. 75 ） . However, the control group showed no significant improvement in this regard. Conclusion Community comprehensiveintervention model, promoting the growth and development of children, can effectively reduce theincidence of obesity in young children. It is a feasible way to control the morbidity of childhood obesity.

关 键 词：社区 综合干预模式 学龄前肥胖幼儿 有效性 

分 类 号：R723.14[医药卫生—儿科]