2019—2023年天津市某地区中小学生超重肥胖现状及影响因素分析  

Overweight and obesity status and influencing factors among primary and secondary school students in an area of Tianjin from 2019 to 2023

作　　者：田薇 刘明法 TIAN Wei;LIU Mingfa(School Health Department of Tianjin Binhai New Area Disease Prevention and Control Center,Tianjin 300450,China)

机构地区：[1]天津市滨海新区疾病预防控制中心学校卫生科,天津300450

出　　处：《中国校医》2025年第1期53-55,73,共4页Chinese Journal of School Doctor

摘　　要：目的了解天津市某地区中小学生超重肥胖的现状及其饮食、生活习惯等相关因素,为该地区制订学生超重肥胖的干预措施提供依据。方法收集2019—2023年全国学生常见病和健康影响因素监测项目的天津市某地区超重肥胖相关监测资料,分析中小学生超重肥胖的分布特征及其影响因素。结果最终有7789人纳入分析。超重肥胖率为41.0%,其中男生为49.9%,女生为31.3%,差异有统计学意义(χ^(2)=280.38,P<0.001)。采用多因素非条件logistics回归分析结果显示,每日喝含糖饮料次数≥1次(OR=1.121,95%CI:1.063~1.194)、每日吃油炸食品次数≥1次(OR=1.085,95%CI:1.013~1.183)、每日睡眠时间<8 h(OR=1.770,95%CI:1.201~2.590)的学生超重肥胖发生风险较高,每周运动时间>60 min/d的天数>2 d(OR=0.857,95%CI:0.822~0.915)、每周上体育课(节)≥2节(OR=0.823,95%CI:0.771~0.873)的学生超重肥胖发生风险较低。结论天津市某地区学生总体超重肥胖率较高,与饮食、体育运动和生活习惯等因素有关。应采用针对性的干预措施控制学生超重肥胖的发生发展。Objective This study was aimed at understanding the current status of overweight and obesity,as well as the associated factors such as dietary and lifestyle habits,among primary and secondary school students in an area of Tianjin,to provide a basis for the development of intervention measures for overweight and obesity among students in this area.Methods We collected overweight and obesity⁃related monitoring data from the National Student Common Diseases and Health Influencing Factors Surveillance Program in an area of Tianjin,from 2019 to 2023,and analyzed the distribution characteristics and factors influencing overweight and obesity among primary and secondary school students.Results A total of 7789 students were included in the analysis.The overweight and obesity rate was 41.0%:49.9%of boys and 31.3%of girls were affected,and the difference was statistically significant(χ^(2)=280.38,P<0.001).Multivariate logistic regression analysis indicated higher risk of overweight and obesity among students drinking sugar⁃sweetened beverages one or more times per day(OR=1.121,95%CI:1.063-1.194),eating fried food one or more times per day(OR=1.085,95%CI:1.013-1.183),or having a daily sleep time<8 hours(OR=1.770,95%CI:1.201-2.590),and lower risk of overweight and obesity among students exercising>60 min/d more than 2 days per week(OR=0.857,95%CI:0.822-0.915)or having two or more weekly physical education classes(OR=0.823,95%CI:0.771-0.873).Conclusions The overall overweight and obesity rate among students in the studied area of Tianjin was relatively high,and was associated with factors such as diet,sports,and lifestyle habits.Targeted intervention measures should be adopted to control the occurrence and development of overweight and obesity in students.

关 键 词：超重 肥胖 影响因素 中小学生 

分 类 号：G478[文化科学—教育学]