基于商业健康保险调查数据分析7~12岁早产儿童超重肥胖的发生  

Prevalences of overweight and obesity in preterm school children aged 7~12 years based on the data from commercial health insurance survey

作　　者：张巧利[1] 林君天 毕海 刘黎明[3] ZHANG Qiaoli;LIN Juntian;BI Hai;LIU Liming(Department of Human Reproductive Medicine,The Affiliated Beijing Obstetrical and Gynecological Hospital,Capital Medical University,Beijing 100026;Beijing Haola Technology Co.,Ltd,Beijing 100026;The First Affiliated Hospital of Medical College,Xi'an Jiaotong University,Shaanxi Xi'an 710061,China)

机构地区：[1]首都医科大学附属北京妇产医院生殖医学中心,北京100026 [2]北京好啦科技有限公司,北京100085 [3]西安交通大学附属第一医院,陕西西安710061

出　　处：《中国妇幼健康研究》2021年第6期798-803,共6页Chinese Journal of Woman and Child Health Research

摘　　要：目的调查我国7~12岁早产学龄儿童的超重与肥胖情况。方法采用2016年至2021年7~12岁学龄儿童的商业健康保险调查数据,根据《学龄儿童青少年超重与肥胖筛查》(WS/T 586-2018)标准评价超重和肥胖,计算超重与肥胖率。结果该次调查7~12岁学龄儿童共计201 711名,其中足月分娩儿童共计187 676名(93.04%),早产儿童共计14 035名(6.96%)。7岁组和8岁组早产儿童的肥胖率显著高于同年龄组足月儿童(χ^(2)值分别为13.824、13.363,均P<0.05)。早产男生和女生肥胖率均随年龄增加而递减。7~12岁各年龄组的早产男生的超重率均显著高于女生(χ^(2)值分别为15.983、13.190、35.338、50.558、63.860、26.913,P<0.05)。7~9岁年龄组的早产男生的肥胖率显著高于女生(χ^(2)值分别为16.260、13.297、12.856,P<0.05)。华东地区儿童超重率显著高于华南地区(χ^(2)=11.005,P<0.05)。结论 7~8岁早产儿童肥胖率高于同年龄组的足月产儿童,早产儿童的超重和肥胖率有性别和地域差异。Objective To investigate prevalences of overweight and obesity in preterm school children aged 7~12 years.Methods Data from a commercial health insurance survey for school-age children aged 7~12 years from 2016 to 2021 were adopted.The overweight and obesity were defined according to the creteria of The Screening Thresholds for Overweight and Obesity in School-age Children and Adolescents(WS/T 586-2018).The prevalences of overweight and obesity were calculated.Results A total of 201,711 school-age children aged 7~12 years were investigated, including 187,676 full-term children(93.04%) and 14,035 preterm children(6.96%).The prevalences of obesity in preterm children in 7 year-old group and 8 year-old group were significantly higher than those in full-term children in the same age groups(χ^(2)=13.824 and 13.363 respectively, both P<0.05).And the prevalences of obesity in both preterm boys and girls were gradually decreased with age increase.Among preterm children, the prevalences of overweight in boys in all 7~12 year-old age groups were significantly higher than those in girls of same ages(χ^(2)=15.983,13.190,35.338,50.558,63.860 and 26.913 respectively, all P<0.05). And the prevalences of obesity in preterm boys in 7~9 year-old groups were significantly higher than those in preterm girls of same ages(χ^(2)=16.260,13.297 and 12.856 respectively, all P<0.05).The prevalence of overweight in preterm children in east China was significantly higher than that in preterm children in south China(χ^(2)=11.005,P<0.05).Conclusion The prevalences of obesity in preterm children aged 7~8 years are higher than those in full-term children of same ages.The prevalences of overweight and obesity in preterm children varied by gender and region.

关 键 词：早产儿 超重 肥胖 儿童 体质量指数 

分 类 号：R723.14[医药卫生—儿科]