7~14岁学生肥胖与青春期性发育的相关研究  

Study on the Correlation Between Obesity and Adolescent Development in Students Aged 7-14 Years.

作　　者：师丛 惠琼琼 陈虹[2] 叶新华[2] SHI Cong;HUI Qiongqiong;CHEN Hong(The First Clinical Medical College of Lanzhou University,Gansu 730000,China)

机构地区：[1]兰州大学第一临床医学院,730000 [2]兰州大学第一医院儿童保健中心,730030

出　　处：《医学研究杂志》2023年第3期48-52,共5页Journal of Medical Research

基　　金：甘肃省自然科学基金资助项目(20JR10RA695);兰州大学第一医院院内基金资助项目(ldyyyn2018-77)。

摘　　要：目的了解兰州市7~14岁学生肥胖与青春期性发育现状及影响因素。方法2020年10月~2021年12月,采用分层整群抽样的方法,从兰州市4个区随机选取3731例小学生,进行调查问卷及体格检查,内容包括一般情况、生活习惯、身高、体重、第二性征等,采用二元Logistic回归分析评价肥胖与青春期性发育的影响因素。结果有效调查3612例,有效率为96.81%,兰州市7~14岁学生肥胖发生率为27.30%,男生为32.47%,女生为21.36%;青春期性发育率为21.00%,男生为10.31%,女生为33.25%,肥胖男生较非肥胖男生更易青春期性发育(P<0.05)。二元Logistic回归分析结果显示,母亲体重重、母亲初潮年龄小、父亲陪伴时间少、非独生子、运动量少、短期体重控制良好等是兰州市学生青春期性发育的独立影响因素(P<0.05)。结论兰州市区学生青春期性发育状况与肥胖、生活习惯、家庭关系、饮食习惯等因素密切相关,学校、社区及医院应做好学生肥胖及性发育的健康宣传教育工作。Objective To investigate the status and influencing factors of obesity and adolescent development among students aged 7-14 years in Lanzhou.Methods From October 2020 to December 2021,a stratified cluster sampling method was used to randomly select 3731 primary school students from 4districts of Lanzhou city.The questionnaire and physical examination were conducted,including general situation,living habits,height,weight,secondary sexual characteristics,binary Logistic regression model was used to analyze the influencing factors of obesity and adolescent development.Results Three thousand six hundred and twelve students were investigated effectively,with an effective rate of 96.81%.The incidence of obesity among students aged 7-14 years in Lanzhou was 27.30%,32.47%for boys and 21.36%for girls.The adolescent sexual development rate was 21.00%,10.31%for boys and 33.25%for girls.Obese boys were more l more prone to adolescent development than non-obese boys(P<0.05).The results of binary Logistic regression analysis showed that higher maternal weight,younger maternal age of menarche,less paternal time,non-only child,less physical activity and good short-term weight control were the independent influencing factors of adolescent development of Lanzhou students(P<0.05).Conclusion The adolescent development of students in Lanzhou city is closely related to obesity,living habits,family relations,eating habits and other factors.Schools,communities and hospitals should do a good job in health education of obesity and sexual development of students.

关 键 词：兰州市 小学生 肥胖 青春期性发育 危险因素 

分 类 号：R72[医药卫生—儿科]