上海市随迁儿童生活方式与肥胖的相关性  

Lifestyle and obesity of migrant children in Shanghai

作　　者：杨茂林[1] 娄瑜 龚玲 卢金逵 陶舒曼 伍晓艳[4] 陶芳标[4] YANG Maolin;LOU Yu;GONG Ling;LU Jinkui;TAO Shuman;WU Xiaoyan;TAO Fangbiao(Department of Physical Education,Shangrao Normal University,Research Centre of Preschool Sports and Left-Behind Children,s Health,Shangraof 334001,Jiangxi Province,China)

机构地区：[1]上饶师范学院体育学院幼儿体育与留守儿童健康研究中心,江西334001 [2]上饶市第四中学 [3]上海交通大学公共卫生学院 [4]安徽医科大学儿少卫生与妇幼保健学系/人口健康与优生安徽省重点实验室

出　　处：《中国学校卫生》2019年第9期1363-1365,共3页Chinese Journal of School Health

基　　金：上海交通大学“新进青年教师启动计划”

摘　　要：目的了解上海市随迁儿童生活方式与肥胖的相关性,为预防和控制随迁儿童肥胖提供依据。方法采用随机整群分层抽样法,于2018年6月对上海市3 894名7~13岁随迁儿童进行问卷调查和体格检查,分析肥胖发生率及其与生活方式的关系。结果男生肥胖检出率(18.6%)高于女生(10.7%),不同年龄男生肥胖检出率差异有统计学意义(χ~2=24.79,P<0.01);不同睡眠时间、视屏时间、运动频率儿童肥胖检出率差异均有统计学意义(χ~2值分别为35.13,9.29,7.98,P值均<0.05)。Logistic回归分析结果显示,控制相关混杂因素后,睡眠时间与儿童肥胖呈正相关,每天睡眠时间<6 h与6~<8 h组儿童肥胖的发生风险分别是≥8 h组儿童的2.61(95%CI=1.64~4.11)和1.54(95%CI=1.27~1.86)倍。结论随迁儿童睡眠不足与肥胖呈正相关,预防和控制随迁儿童肥胖时,应保证充足的睡眠时间。Objective To investigate the correlation of lifestyle with obesity among migrant children in Shanghai and to provide reference for preventing and controlling obesity of the migrant children. Methods Stratified cluster sampling was adopted to conduct a routine physical examination and investigate lifestyle among 3 894 students(7-13 years old) in June 2018. Association of lifestyle with obesity was analyzed. Chi-square test was used to compare differences in obesity prevalence among migrant children with different lifestyles. Logistic regression was used to explore association with lifestyle and obesity. Results Chi-square test showed that obesity rate in males(18.6%) was significantly higher than that of females(10.7%)(χ~2=24.79, P<0.01). Sleep duration, screen time, exercise frequency correlated with obesity(χ~2=35.13, 9.29, 7.98, P<0.05). Regression results illustrated that insufficient sleep duration associated higher risk of obesity, the odds ratio for obesity was(OR=2.61, 95%CI=1.64-4.11) and(OR=1.54, 95%CI=1.27-1.86) among children with sleep duration less than 6 h/d and 6-8 h/d, compared with children with more than 8 h/d sleep time, after multiple covariates controlled. Conclusion Sleep deprivation positively associated with obesity, ensuring adequate sleep time might help prevent obesity among migrant children.

关 键 词：生活方式 肥胖症 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健] R723.14[医药卫生—公共卫生与预防医学]