武汉市某区中小学生2019-2020年超重肥胖影响因素研究  

Study on the Influencing Factors of Overweight and Obesity Among Primary and Middle School Students in a District of Wuhan from 2019 to 2020

作　　者：肖小月 张敏哲 饶伟明 陈锐 何启强[1] Xiao Xiaoyue;Zhang Minzhe;Rao Weiming;Chen Rui;He Qiqiang(Department of Public Health of Wuhan University,Wuhan 430400,China)

机构地区：[1]武汉大学公共卫生学院,武汉430000

出　　处：《健康教育与健康促进》2022年第3期259-261,271,共4页Health Education and Health Promotion

摘　　要：目的调查武汉市新洲区中小学生的超重肥胖情况并分析其影响因素,为中小学生体重控制提供依据。方法以参加2019年和2020年武汉市新洲区中小学生健康状况调查的学生作为研究对象,分析新冠疫情前后中小学生超重肥胖、饮食及行为的情况,并采用广义估计模型(Generalized Estimating Equations,GEE)分析超重肥胖的影响因素。结果本研究纳入329名中小学生。疫情后,中小学生超重肥胖率为29.5%,显著高于疫情前(23.4%)(P=0.003)。GEE结果显示,含糖饮料≥1次/d(OR=1.820,95%CI:1.156~2.867)、进食新鲜水果<1次/d(OR=2.507,95%CI:1.351~4.652)、中高强度运动频率<2次/w(OR=1.366,95%CI:1.077~1.732)和看电子设备时间≥2h/d(OR=1.563,95%CI:1.195-2.044)是中小学生超重肥胖的危险因素。结论中小学生超重肥胖率有所增加,应有针对性地引导中小学生养成良好的饮食和运动行为习惯,以切实预防超重肥胖的发生。Objective To investigate the overweight and obesity status of primary and middle school students in Xinzhou District of Wuhan and analyze its influencing factors,so as to provide basis for weight control of primary and middle school students.Methods Taking the students who participated in the health survey of primary and middle school students in Xinzhou District of Wuhan in 2019 and 2020 as the research objects,the overweight,obesity,diet and behavior of primary and middle school students before and after the epidemic were analyzed,and the influencing factors of overweight and obesity were analyzed by generalized estimating equations(GEE).Results A total of 329 primary and middle school students were included in this study,and the overweight obesity rate of primary and middle school students after the epidemic was 29.5%,significantly higher than the pre-epidemic obesity rate of 23.4%(P=0.003).The results of GEE model showed that the intake of dietary sugar-sweetened beverage≥one time everyday (OR=1.820,95%CI:1.156-2.867),fresh fruits<1 times/d(OR=2.507,95%CI:1.351-4.652),medium and high intensity physical activity<2 times/w(OR=1.366,95%CI:1.077-1.732),and watching electronic devices al activity(OR=1.563,95%CI:1.195-2.044)were significant risk factors for overweight/obesity in primary and middle school students.Conclusion The overweight and obesity rate of primary and middle school students has increased.It is necessary to guide primary and middle school students to develop good eating and exercise habits in order to prevent the occurrence of overweight and obesity.

关 键 词：中小学生 超重肥胖 饮食 运动 

分 类 号：R723.14[医药卫生—儿科]