中小学生家长肥胖知信行与子女腹型肥胖发生风险的关联  

Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice

作　　者：黄闪 桂曌环 章舒心 姜楠 黄绍逸 普雪娅 陈亚军[1] HUANG Shan;GUI Zhaohuan;ZHANG Shuxin;JIANG Nan;HUANG Shaoyi;PU Xueya;CHEN Yajun(Department of Maternal and Child Health,School of Public Health,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学公共卫生学院妇幼卫生学系,广东广州510080

出　　处：《中国学校卫生》2022年第11期1613-1617,共5页Chinese Journal of School Health

基　　金：2012年卫生公益性行业科研专项项目(201202010)。

摘　　要：目的 了解中国7省市中小学生腹型肥胖与家长肥胖相关知识、信念、行为的关联性,为制定儿童青少年腹型肥胖相关干预措施提供参考。方法 采用多阶段整群随机抽样的方法,于2013年9月从中国7省市抽取17 307名正常腰围学生,进行9个月的随访,最终14 118名6~18岁儿童青少年纳入分析。通过自制问卷调查收集家长肥胖相关知信行情况,测量学生基线和随访腰围指标。采用多重线性回归和多因素Logistic回归分别分析家长知信行与子女腰围变化值以及腹型肥胖发生风险的关联性。结果 6~18岁儿童青少年腹型肥胖前期和腹型肥胖的9个月累积发病率分别为6.67%,0.85%,不同性别、年龄间差异均有统计学意义。家长的知识、信念、行为得分率分别为80.17%,78.17%,50.50%。校正混杂因素后,家长信念得分与学生腰围变化值(β=-0.18,95%CI=-0.26~-0.10)及腹型肥胖前期/腹型肥胖发生风险均呈负相关(OR=0.90,95%CI=0.82~0.98)(P值均<0.05)。结论 家长对子女肥胖持积极正确的信念与子女腹型肥胖发生风险呈负相关。家长建立正确的健康信念有利于预防儿童青少年腹型肥胖的发生。Objective To investigate the association of parental weight-related knowledge, attitude and practice(KAP) with abdominal obesity among primary and middle school students and to provide evidence for related intervention measures. Methods In September 2013, the multistage random sampling method was used to select 17 307 primary and secondary school students with normal waist circumference in seven provinces/municipalities in China. After nine-month follow-up, 14 118 students aged 6-18 years were included in the final analysis. Questionnaires were used to assess parental weight-related KAP, and students’ waist circumference was measured objectively at baseline and follow-up. Multiple linear regression and multivariate Logistic regression were conducted to analyze the relationship between parents’ KAP with the change of students’ waist circumference and abdominal obesity, respectively. Results The nine-month cumulative incidence of pre-and abdominal obesity among students was 6.67% and 0.85%, respectively. The scoring rates of parents’ knowledge, attitude and practice were 80.17%, 78.17%, 50.50%, respectively. The score of parents’ weight-related attitude was inversely associated with the changes of waist circumference(β=-0.18, 95%CI=-0.26--0.10) and cumulative incidence of pre-and abdominal obesity(OR=0.90, 95%CI=0.82-0.98)(P<0.05). Conclusion Parental positive and correct weight-related attitude is inversely associated with the incidence of abdominal obesity among children and adolescents. Interventions targeting establishing parents’ correct beliefs may be an effective way to prevent abdominal obesity in children and adolescents.

关 键 词：肥胖症 健康知识 态度 实践 法定监护人 回归分析 学生 

分 类 号：G478[文化科学—教育学] R723.14[文化科学—教育技术学] R179[医药卫生—儿科]