太仓市学龄前儿童肥胖症患病率及其影响因素研究  

Study on the Prevalence of Obesity and Its Influencing Factors Among Preschool Children in Taicang City

作　　者：王丽芳[1] 陈旺军[2] 顾利琴 沈佳云 吕燕 陈薇薇 方敏 顾静 蔡玲 王蕊 WANG Lifang;CHEN Wangjun;GU Liqin;SHEN Jiayun;LYU Yan;CHEN Weiwei;FANG Min;GU Jing;CAI Ling;WANG Rui(Department of Pediatrics,Taicang Hospital Affiliated to Suzhou University,Taicang First People's Hospital,Taicang 215400,Jiangsu,China;Department of Pediatrics,Shaxi People's Hospital,Taicang 215421,Jiangsu,China;Department of Pediatrics,Huangjing People's Hospital,Taicang 215427,Jiangsu,China)

机构地区：[1]苏州大学附属太仓医院太仓市第一人民医院儿科,江苏太仓215400 [2]太仓市沙溪人民医院儿科,江苏太仓215421 [3]太仓市璜泾人民医院儿科,江苏太仓215427

出　　处：《中国美容医学》2023年第9期39-43,共5页Chinese Journal of Aesthetic Medicine

基　　金：2021年苏州市卫健委医学重点扶持学科建设项目(编号:SZFCXK202133)。

摘　　要：目的:探讨太仓市学龄前儿童肥胖症的流行病学特征及主要影响因素,为早期干预提供指导建议。方法:采取整群抽样的方法,计算2021年江苏省太仓市1878名学龄前儿童肥胖症患病率。采用病例对照研究设计,由儿童家长填写“问卷星”,将调查结果进行统计分析,采用χ^(2)检验及条件Logistic模型,对儿童肥胖症的危险因素进行单因素和多元逐步回归Logistic回归分析。结果:2021年江苏省太仓市学龄前儿童肥胖症患病率18.15%(341/1878),其中男、女占比分别为11.07%(208/1878)和7.08%(133/1878);多因素条件Logistic模型分析结果提示以下因素为儿童肥胖症的危险因素,且差异具有统计学意义,具体包括:父亲超重[OR=1.300(1.051,1.606),P=0.015]或肥胖[OR=1.537(1.102,2.146),P=0.011];母亲超重[OR=1.426(1.097,1.852),P=0.008]或肥胖[OR=1.635(1.026,2.603),P=0.038];孩子食欲非常好[OR=4.013(2.061,7.812),P<0.01];进食时间10~30 min[OR=0.566(0.421,0.761),P<0.01];家长偶尔会限制孩子吃东西[OR=1.208(0.883,1.653),P=0.237];睡前1 h经常进食[OR=1.567(1.097,2.238),P=0.014]。结论:2021年江苏省太仓市学龄前儿童肥胖症患病率高,需制定个体化饮食、运动指导的综合干预措施。Objective To explore the epidemiological characteristics and main influencing factors of obesity in preschool children in Taicang City and to provide reference for early intervention.Methods The prevalence of obesity among 1878 preschool children in Taicang City,Jiangsu Province in 2021 was calculated by cluster sampling method.A casecontrol study design was used,parents of children filled in the"questionnaire star",the survey results were statistically analyzed,and the 2 test and conditional Logistic model were used to conduct univariate and multivariate stepwise Logistic regression analysis of the risk factors of childhood obesity.Results The 2021 of preschool Children in Taicang,Jiangsu Province.The prevalence rate of obesity was 18.15%(341/1878),in which the male and female were 11.07%(208/1878)and 7.08%(133/1878)respectively.The results of multivariate conditional Logistic model analysis suggested that the following factors were the risk factors of childhood obesity,and the difference was statistically significant,specifically included:Fathers were overweight[OR=1.300(1.051,1.606),P=0.015]or obese[OR=1.537(1.102,2.146),P=0.011],mothers were overweight[OR=1.426(1.097,1.852),P=0.008]or obese[OR=1.635(1.026,2.603),P=0.038].Children had very good appetite[OR=4.013(2.061,7.812),P<0.01],and time to eating 10-30 min[OR=0.566(0.421,0.761),P<0.01].Parents occasionally restricted their children from eating[OR=1.208(0.883,1.653),P=0.237],Frequent eating 1 hour before bedtime[OR=1.567(1.097,2.238),P=0.014].Conclusion The prevalence of obesity among preschool children in Taicang City,Jiangsu Province in 2021 was high.Comprehensive intervention measures of individualized diet and exercise guidance should be developed.

关 键 词：学龄前儿童 超重 肥胖症 患病率 影响因素 

分 类 号：R723.14[医药卫生—儿科]