中学生体质指数与膳食营养关联分析  

Correlation analysis of middle school students′body mass index and dietary nutrition

作　　者：刘燕[1] 冯志[2] LIU Yan;FENG Zhi(Department of Clinical Nutrition,General Hospital of North China Petroleum Administration Bureau,Cangzhou,Hebei 062552,China;Department of Clinical Laboratory,General Hospital of North China Petroleum Administration Bureau,Cangzhou,Hebei 062552,China)

机构地区：[1]华北石油管理局总医院临床营养科,河北沧州062552 [2]华北石油管理局总医院临床检验科,河北沧州062552

出　　处：《公共卫生与预防医学》2023年第1期156-159,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的探讨中学生体质指数与膳食营养素摄入之间的关系。方法采用分层整群抽样选取1000例河北任丘市中学生作为研究对象,肥胖组学生479例,正常学生132例,通过问卷调查收集学生的基本信息、膳食数据及生活方式信息,分析对比两组学生能量与营养素摄入情况;采用多元logistic回归模型分析儿童能量摄入以及膳食模式与肥胖之间的关系。结果在1000例中学生中,男性肥胖者占24.4%,女性肥胖者占23.5%,性别差异无统计学意义(P>0.05);11~13岁肥胖者占18.9%,14~16岁肥胖者占29.0%,年龄越大肥胖率越高(P<0.05);初一肥胖者占9.0%,初二肥胖者占13.9%,初三肥胖者占47.9%,年级越高肥胖率越高(P<0.05);两组学生年龄、身高差异无统计学意义(P>0.05),肥胖组体重、BMI、腰围、臀围、腰臀比、舒张压以及体脂率(64.68±12.4)kg,(27.54±2.46)kg/m 2,98.43±9.14cm,102.45±9.23cm,0.98±0.08,120.43±8.45mm Hg,86.76±6.43mm Hg,(36.54±3.42%)均较正常组(42.56±8.45)kg,(17.43±1.98)kg/m 2,69.43±7.54cm,80.45±7.32cm,0.86±0.08,95.43±4.54 mm Hg,67.43±4.32mm Hg,(18.43±2.13)%数值大(P<0.05);正常组学生能量、蛋白质、脂肪/能量、碳水化合物、钠、铁营养摄入量(1765.59±345.79 Kcal,57.43±15.38 g,(50.32±15.47)%,128.43±29.43g,1419.34±153.98mg,14.54±4.21mg)均较肥胖组(2361.56±354.78 Kcal,81.57±22.76g,(90.43±15.23)%,163.89±24.62g,1587.43±123.32mg,1.73±0.51mg)低(P<0.05);能量、碳水化合物、蛋白质、钠以及铁元素的摄入与肥胖发生呈正相关关系,是肥胖发生的危险因素;而维生素C、维生素E、钾、钙、镁元素的摄入与肥胖发生呈负相关关系,是肥胖发病的保护因素。结论任丘市中学生体重整体控制情况不乐观,肥胖学生存在三大营养素及矿物质摄入比例失衡的现象,长此以往易引发肥胖,学校和家长应合力对学生膳食和运动做出管理,确保学生健康。Objective To explore the relationship between body mass index and dietary nutrition intake of middle school students.Methods Using stratified cluster sampling to select 1000 middle school students in our city as the research object,of which 132 cases were over-recombination and 479 cases were the control group.Collect students′basic information,dietary data and lifestyle information through questionnaire surveys,analyze and compare the energy and nutrient intake of the two groups of students;use a multivariate logistic regression model to analyze the relationship between children′s energy intake and dietary patterns and obesity.Results Among 1000 middle school students,obese men accounted for 24.4%,women obese 23.5%,the gender difference was not significant(P>0.05);11-13 years old obese accounted for 18.9%,14-16 years old obese accounted for 29.0%,the older the age,the higher the obesity rate(P<0.05);the first grade obesity accounted for 9.0%,the second grade obesity accounted for 13.9%,and the third grade obesity accounted for 47.9%.The higher the grade,the higher the obesity rate(P<0.05);the difference in age and height between the two groups of students was not significant(P>0.05).The weight,BMI,waist circumference,hip circumference,waist-to-hip ratio,diastolic blood pressure and body fat rate of the obese group(64.68±12.4kg,(27.54±2.46)kg/m 2,98.43±9.14cm,102.45±9.23cm,0.98±0.08,120.43±8.45mm Hg,86.76±6.43mm Hg,(36.54±3.42)%are all compared with the normal group 42.56±8.45kg,(17.43±1.98)kg/m 2,69.43±7.5cm,80.45±7.32cm,0.86±0.08,95.43±4.54 mm Hg,67.43±4.32 mm Hg,(18.43±2.13)%the value is large(P<0.05);the normal group students have energy,protein,fat/energy,carbohydrate,sodium,Iron intake 1765.59±345.79Kcal,57.43±15.38g,(50.32±15.47)%,128.43±29.43g,1419.34±153.98mg,14.54±4.21mg were all compared with the obese group(2361.56±354.78Kcal,81.57±22.76g),(90.43±15.23)%,163.89±24.62g,1587.43±123.32mg,1.73±0.51mg)low(P<0.05);the intake of energy,carbohydrates,protein,sodium and iron is

关 键 词：中学生 超重与肥胖 体质指数 膳食营养 

分 类 号：R181[医药卫生—流行病学]