兰州市城区学龄期儿童超重肥胖流行现状及影响因素分析  

Prevalence and influencing factors of overweight and obesity among school-aged children in urban district of Lanzhou City

作　　者：王伟 余繁荣 闫玉琴 张薇 苏少晨[1,3] WANG Wei;YU Fan-rong;YAN Yu-qin;ZHANG Wei;SU Shao-chen(Teaching and Research Section,Department of Oral Medicine,School of Stomatology,Lanzhou University,Lanzhou Gansu,730000,China;Health Management Center,Second Hospital of Lanzhou University,Lanzhou Gansu,730030,China;Physical Examination Center,First Hospital of Lanzhou University,Lanzhou Gansu,730000,China)

机构地区：[1]兰州大学口腔医学院口腔内科教研室,甘肃兰州730000 [2]兰州大学第二医院健康管理中心,甘肃兰州730030 [3]兰州大学第一医院健康体检中心,甘肃兰州730000

出　　处：《职业与健康》2023年第8期1102-1106,共5页Occupation and Health

基　　金：甘肃省自然科学基金(20JR5RA327);兰州大学服务甘肃省经济社会发展专项研究项目(2019-FWZX-03);兰州市城关区科技计划项目(2019RCCX0033);兰州大学第二医院“萃英创新科技计划”(CY2017-QN07)。

摘　　要：目的了解兰州市城区学龄期儿童超重肥胖流行现状及影响因素,为预防和控制学龄期儿童超重肥胖提供理论依据。方法采用多阶段整群随机抽样的方法,于2022年2—3月对兰州市城关区6所小学36个班级1507名学龄期儿童进行超重、肥胖及影响因素调查并对数据进行分析。结果兰州市城区学龄期儿童超重肥胖总检出率为28.53%,超重、肥胖检出率分别为13.93%和14.60%。多因素logistic回归分析显示,男性(OR=2.205,95%CI:1.716~2.834)、父亲超重肥胖(OR=1.787,95%CI:1.384~2.307)、母亲超重肥胖(OR=1.872,95%CI:1.385~2.530)、饭量中等1~<2碗饭/餐(OR=1.911,95%CI:1.316~2.774)或较大≥2碗饭/餐(OR=3.979,95%CI:1.984~7.981)、在外就餐≥2次/周(OR=1.529,95%CI:1.149~2.035)与学龄期儿童超重肥胖高风险有关,五六年级(OR=0.718,95%CI:0.531~0.972)、新鲜水果摄入≥1次/d(OR=0.676,95%CI:0.488~0.935)、进食速度中等8~<15 min/餐(OR=0.509,95%CI:0.303~0.855)或较慢≥15 min/餐(OR=0.253,95%CI:0.146~0.440)、患龋(OR=0.760,95%CI:0.594~0.973)与儿童超重肥胖低风险有关。结论兰州市城区学龄期儿童超重肥胖检出率较高,个人特征、父母因素、饮食行为及口腔健康状况是重要影响因素,需要根据流行特征,针对高危人群采取综合性的防控措施。Objective To investigate the prevalence and influencing factors of overweight and obesity among school-age children in urban district of Lanzhou City,provide theoretical basis for the prevention and control of overweight and obesity among schoolaged children.Methods Using multistage cluster random sampling method,a total of 1507 school-age children from 36 classes in six primary schools in Chengguan District of Lanzhou City were investigated for overweight,obesity and influencing factors from February to March 2022,and the data were analyzed.Results The overall detection rate of overweight and obesity among schoolaged children in urban district of Lanzhou City was 28.53%,and the detection rates of overweight and obesity were 13.93%and 14.60%respectively.The multivariate logistic regression analysis showed that male(OR=2.205,95%CI:1.716-2.834),father is overweight and obese(OR=1.787,95%CI:1.384-2.307),mother is overweight and obese(OR=1.872,95%CI:1.385-2.530),moderate meal intake(1-<2 bowls/meal,OR=1.911,95%CI:1.316-2.774)or large meal intake(≥2 bowls/meal,OR=3.979,95%CI:1.984-7.981),and eating out≥2 times/week(OR=1.529,95%CI:1.149-2.035)were associated with high risk of overweight and obesity in school-age children.The grade 5 and 6(OR=0.718,95%CI:0.531-0.972),fresh fruit intake≥1 time/day(OR=0.676,95%CI:0.488-0.935),moderate eating speed(8-<15 min/meal,OR=0.509,95%CI:0.303-0.855),or slow(≥15 min/meal,OR=0.253,95%CI:0.146-0.440),and caries(OR=0.760,95%CI:0.594-0.973)were associated with low risk of overweight and obesity in children.Conclusion The detection rate of overweight and obesity among school-aged children in urban district of Lanzhou City is relatively high,and personal characteristics,parental factors,dietary behaviors,and oral health status are important influencing factors,so comprehensive prevention and control measures should be taken for high-risk groups according to the epidemiological characteristics.

关 键 词：学龄期 肥胖 影响因素 口腔健康 

分 类 号：R181.37[医药卫生—流行病学]