2021年河南省中小学生超重肥胖现况分析  

Overweight and obesity status among primary and middle school students in Henan,2021

作　　者：王丽茹 李凤娟[1] 许凤鸣 王旭[1] 王延鑫 刘晶晶 张书芳[1] WANG Li-ru;LI Feng-juan;XUFeng-ming;WANG Xu;WANG Yan-xin;LIU Jing-jing;ZHANG Shu-fang(Institute for Public Health,Henan Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China)

机构地区：[1]河南省疾病预防控制中心公共卫生研究所,河南郑州450016

出　　处：《现代预防医学》2022年第21期3927-3931,共5页Modern Preventive Medicine

基　　金：河南省科技攻关项目(222102310472);河南省医学科技攻关计划(联合共建)项目(LHGJ20200138)。

摘　　要：目的了解河南省中小学生超重肥胖现况及相关影响因素,为采取针对性的干预措施和效果评价提供科学参考。方法采取分层随机整群抽样的方法,选取河南省17个地市125818名中小学生进行身高体重测量和问卷调查。结果河南省中小学生超重检出率17.00%,肥胖检出率17.45%,超重肥胖检出率男生(39.52%)高于女生(28.29%),城区(35.37%)高于郊县(33.73%)(x^(2)值分别为1560.765,36.600,P值均<0.001),随着学段的升高,超重肥胖检出率呈下降趋势(x趋势~2=736.945,P<0.001)。多因素logistic回归分析结果显示,女生(OR=0.588,95%CI:0.571~0.604)、郊县(OR=0.891,95%CI:0.866~0.916)和中学(初中OR=0.705,95%CI:0.681~0.729;高中OR=0.656,95%CI:0.633~0.681)是中小学生超重肥胖的保护因素,喝含糖饮料次数(OR=1.070,95%CI:1.008~1.137)、吃新鲜水果次数(OR=1.169,95%CI:1.107~1.235)、吃新鲜蔬菜次数(OR=1.145,95%CI:1.062~1.234)和不良的早餐习惯(有时吃OR=1.112,95%CI:1.074~1.151;从来不吃OR=1.184,95%CI:1.090~1.286)是超重肥胖的危险因素。结论河南省中小学生超重肥胖检出率较高,应由学校、家庭和学生共同采取综合性防控措施进行干预。Objective To investigate the current situation and influencing factors of overweight and obesity among primary and middle school students in Henan,and to provide scientific references for taking targeted intervention measures and ffet evaluation.Methods By sraied cluster random sampling,a total of 125818 primary and middle school students from 17 eities in Henan were selected for height and weight measurements and the questionnaire survey.Results The detection rate of overweight and obesity in primary and middle school students of Henan Province was 17.00%and 17.45%,respectively.The detection rate of overweight and obesity in male students(39.52%)was higher han that in female students(28.92%),and that in urban areas(35.37%)was higher than that in suburban counties(33.73%)(2=1560.765,36.600)(P<0.001)With the increase of learning period,the detection rate of overweight and obesity showed a decreasing trend(x^(2)趋势=736.945,P<0.001).Multivariate Logistie regression analysis showed that female students(OR=0.588,95%CI:0.571-0.604),suburban county(OR=0.891,95%CI:0.866-0.916)and learning period(middle school OR=0.705,95%CI:0.681-0.729,high school OR=0.656,95%CI:0.633-0.681)were protective factors of ovenweight and obesity in primary and secondary school students.The frequeney of drinking sugary drinks(OR=1.070,95%CI:1.008-1.137),the frequency of eating fresh fruis(OR=1.169,95%CI:1.107-1.235),the frequency of eating fresh vegetable(OR=1.145,95%CI:.1.062-1.234)and the breakfast habit(sometimes eat 0R=1.112,95%Cl:1.074-1.151,never eat OR=1.184,95%CI:1.090-1.286)were risk factors of ovenweight and obesity.Conclusion The detection rate of overveight and obesity in primary and middle school students in Henan is high,so comprehensive prevention and control measures should be taken by schools,families and students to intervene.

关 键 词：中小学生 超重肥胖 影响因素 

分 类 号：R723.14[医药卫生—儿科] R181.3[医药卫生—临床医学]