茂名市3～6岁儿童单纯性肥胖状况调查及影响因素分析  

Investigation on simple obesity in the children with an age of 3-6 years in Maoming and analysis on influencing factors

作　　者：古灼和[1] 彭炜亮 梁莹巧 GU Zhuo-he;PENG Wei-liang;LIANG Ying-qiao(Maternal and Child Health Care Hospital of Maoming;Health Care Center of Primary and Middle Schools of Maoming,Maoming 525000,China)

机构地区：[1]广东省茂名市妇幼保健院 [2]广东省茂名市中小学卫生保健所,广东茂名525000

出　　处：《广东医科大学学报》2018年第2期222-224,共3页Journal of Guangdong Medical University

摘　　要：目的了解茂名市3~6岁儿童单纯性肥胖的发生情况及其影响因素。方法选择2016年1月至2017年1月幼儿园在读的2 936名儿童(3~6岁)为调查对象,将确诊为单纯性肥胖症的儿童设为肥胖组,并按1:1选取同期正常儿童作为对照组。对比两组儿童的基本资料,分析单纯性肥胖的影响因素。结果 2 936名调查儿童中有128例为单纯性肥胖,检出率为4.36%,其中男68例(4.78%),女60例(3.96%),男女检出率比较差异无统计学意义(P>0.05)。不同年龄组肥胖症检出率差异有统计学意义(P<0.05),其中以5~6岁组检出率最高。肥胖组儿童出生体质量≥4 000 g、有肥胖家族史、进食速度过快、主食摄入量过大、过多零食甜食且运动量少的人数与对照组比较,差异有统计学意义(P<0.05)。结论遗传因素、出生体质量、饮食结构及生活习惯是影响儿童单纯性肥胖的主要因素,应及早进行干预,以有效降低儿童单纯性肥胖的发生。Objective To understand the incidence of simple obesity in the children with an age of 3-6 years in Maoming and the influencing factors. Methods A total of 2936 children with an age of 3-6 years in kindergarten from January 2015 to January 2016 were investigated. The children diagnosed with simple obesity were set as Obesity Group, and the same number of normal children during the same period were selected as Control Group. The basic information of the two groups was compared and analyzed to explore the influencing factors of simple obesity. Results 128 of 2936 children were diagnosed with simple obesity with a detection rate of 4.36%, of which there were 68 males（4.78%） and 60 females（3.96%）, and there was no statistical difference in the detection rate between the genders（P〈0.05）. There was statistical difference in the detection rate between different age groups（P〈0.05）, and the group with an age of 5-6 years had the highest detection rate. For the comparison between Obesity Group and Control Group, there was statistical difference in the birth weight of more than4000 g, family history of obesity, fast eating, too much intake of staple food and too many snacks and sweets but less exercise（P〉0.05）. There was no statistical difference in the educational level of the parents between the two groups（P〈0.05）.Conclusion Genetic factor, birth weight, dietary structure and living habit are the main factors affecting the simple obesity of children. These risk factors shall be intervened as early as possible to effectively reduce the incidence of simple obesity in Children.

关 键 词：儿童 单纯性肥胖 影响因素 

分 类 号：R723[医药卫生—儿科]