北京市石景山区托幼园所学龄前超重儿童早期干预效果观察  

Study on early intervention of preschool overweight children in Shijingshan District kindergartens in Beijing

作　　者：任霞 张庆丽 薛晓辉 庞俊香 REN Xia;ZHANG Qing-Li;XUE Xiao-Hui(Shijingshan District Maternal and Child Health Hospital,Beijing 100040,China)

机构地区：[1]北京市石景山区妇幼保健院,北京100040

出　　处：《中国妇幼保健》2022年第2期246-249,共4页Maternal and Child Health Care of China

基　　金：中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目(2016FYH011)。

摘　　要：目的探讨超重儿童干预的有效方法,提高托幼园所保健医生的健康管理水平和对儿童超重管理技巧,从而减低学龄前儿童肥胖的发生。方法在2016—2018年北京市石景山区,采用整群抽样方法,随机抽取办园条件类似的6所幼儿园,对幼儿园的所有儿童家长进行基线问卷调查,对儿童进行身高、体质量监测,计算超重、肥胖率。通过对目标人群数据分析,找到超重肥胖的相关影响因素,以此为干预重点进行1年的干预,第2次问卷调查及身高、体质量的监测数据收集,将两次数据进行对比,进行统计学分析。结果据本研究前期调查,确定以儿童生长发育指标的个性化评价、儿童营养及饮食习惯为重点进行干预,超重肥胖发生率(由干预前的超重率12.6%,肥胖率6.4%下降至干预后的9.9%、5.8%)、进餐行为习惯及家长认知有显著性变化。结论该研究以儿童生长发育指标的个性化评价、儿童营养及进餐饮食习惯为主的健康教育干预方式,可以有效降低超重发生率,对肥胖儿童管理具有重要意义。Objective To explore the effective methods of intervention for overweight children,to improve the level of health management and management skills of overweight children,so as to reduce the incidence of obesity in preschool children.Methods In the period of 2016-2018,parents of all children in six kindergartens with similar kindergarten conditions were randomly selected by cluster sampling method in Shijingshan District,Beijing,the height and weight of children were monitored and the rate of overweight and obesity were calculated.Through the analysis of the target population data,we found the related factors of overweight and obesity,and focused on the intervention for one year.The second questionnaire survey and the monitoring data of height and body mass were collected,and the two data were compared,for Statistical Analysis.Results According to the previous investigation of this study,the prevalence of overweight and obesity was 12.6% before the intervention,which focused on the individualized evaluation of Children’s growth and development,children’s nutrition and dietary habits,the obesity rate decreased from 6.4% to 9.9% and 5.8%,and the eating behavior and parents’ cognition changed significantly.Conclusion This study focused on the individual evaluation of Children’s growth and development indexes,nutrition and eating habits of children,which can effectively reduce the incidence of overweight and has important significance for the management of obese children.

关 键 词：托幼园所 学龄前儿童 超重肥胖 干预研究 

分 类 号：R179[医药卫生—妇幼卫生保健]