中国五城市3~5岁儿童饮食喂养行为与营养不足的关系  

Relationship between dietary behavior and malnutrition of children aged 3-5 years in five cities of China

作　　者：梅岳 王硕[1] 庞学红 许娟 李瑞莉[3] 王玉英 赵文华 徐韬[1] Mei Yue;Wang Shuo;Pang Xuehong;Xu Juan;Li Ruili;Wang Yuying;Zhao Wenhua;Xu Tao(National Center for Women and Children’s Health,Chinese Center for Disease Control and Prevention,Beijing 100081,China;National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100081 [2]中国疾病预防控制中心营养与健康所,北京100050 [3]首都儿科研究所,北京100020

出　　处：《卫生研究》2021年第6期909-913,共5页Journal of Hygiene Research

基　　金：科技部基础资源调查专项(No.2017FY101100,2017FY101104)。

摘　　要：目的了解中国通化市、南昌市、长沙市、昆明市和渭南市3~5岁儿童营养不足现状和饮食行为特征,分析两者间的关系。方法数据来源于科技基础资源调查专项"中国0~18岁儿童营养与健康系统调查与应用"项目。于2019年对五城市1741名儿童进行体格测量和问卷调查;采用χ^(2)检验、多因素二项分类Logistic回归分析等方法分析营养不足与饮食和喂养行为的关系。结果在被调查儿童中,低体重率、生长迟缓率、消瘦率分别为0.52%、1.09%和1.03%。饮食行为限制是儿童生长迟缓的危险因素(OR=4.72,95%CI 1.41~15.84),不良进食习惯是儿童消瘦的危险因素(OR=3.64,95%CI 1.01~13.34),未发现低体重与饮食和喂养行为之间的统计学关联。结论2019年中国五城市城区3~5岁儿童营养不足发生率较低,营养不足与不良饮食及喂养行为存在相关性。OBJECTIVE To explore the status of malnutrition and dietary behavior characteristics of children aged 3-5 in Tonghua,Nanchang,Changsha,Kunming and Weinan,and to analyze the relationship between them.METHODS Data was from National Nutrition and Health Systematic Survey for 0-18 Years Old Children in China.A total of 1741 children were randomly selected from five cities by multi-stage stratified cluster sampling,and their physical fitness was measured and investigated by questionnaire.Chi-square test and multivariate binomial Logistic regression analysis were used to assess the relationship between nutritional deficiency and diet and feeding behavior.RESULTS Among the investigated children,the underweight rate,stunting rate and wasting rate were 0.52%,1.09%and 1.03%,respectively.Dietary behavior restriction was the risk factor for stunting(OR=4.72,95%CI 1.41-15.84),poor eating habits were the risk factor for wasting(OR=3.64,95%CI 1.01-13.34).No statistical association was found between underweight and diet and feeding behavior.CONCLUSION The incidence of malnutrition among children aged 3-5 years in five urban areas of China is low.There is a correlation between malnutrition and poor diet and feeding behavior.Measures should be taken to correct the poor eating habits of children and the feeding behavior of caregivers,so as to improve the nutritional status of children.

关 键 词：3~5岁儿童 营养不足 饮食行为 

分 类 号：R153.2[医药卫生—营养与食品卫生学]