学龄前儿童超重肥胖危险因素研究.doc

学龄前儿童单纯性超重肥胖危险因素的分析( 万政策周超文曾凡夫唐晓君WAN Zheng-ce ,ZHOU Chao-wen ,ZENG Fan-fu,et al.Prevention Medicine Class,Grade 2009 ,Chongqing Medical University，Chongqing 401331,China 【Abstract】 Objective: To explore the influencing factors of preschool childrens with simple childhood overweight or obesity in Nan’an district of Chongqilng region. Methods: Five kindergartens were selsected randomly in nan’an district of Chongqing region. A 1:2 case-control study was used in this study. 93 overweight or obese children and 186 matched (sex and age) normal children were surveyed with a questionnaire. Results: Mono-factorial and multi-factorial conditional logistic regression analyses showed that fathers’ overweight or obesity (OR=2.14) , good appetite (OR=3.50) , eating and drinking to much often (OR=1.84) , eating fried food often(OR=1.87) were risk factors for overweight or obesity, while parents’ encouraging children to eat often (OR=0.52) was a protective factor. In casa group, 63.33% of parents didn’t think their children overweight or obese. Conclusions: The overweight or obesity of preschool childrens in Nan’an district of Chongqilng region was related to genetic factor , eating behavours, life style and parental attitudes and interventions. To decrease the rate of overweight or obesity ,it may be better if the next step is helping children form a good eating habit and lifestyle and correcting parental wrong cognition. 【Key words】 Preschool children;Overweight; Obesity; Influencing factors; Case-control study 随着社会经济的发展，学龄前儿童单纯性肥胖症已成为严重的社会问题。其不仅对儿童的身体健康和生长发育构成威胁，也是成年后肥胖和其他很多慢性疾病的危险因素【1】。学龄前期是儿童饮食习惯形成和行为发育的高峰期， 此阶段形成的饮食习惯和行为将会延续到成年期且很难改变【2】。近年来有学者就学龄前儿童单纯性肥胖的影响因素做了许多相关的研究，但是结论不一致【3,4】。本研究采用1：2配比病例对照研究方法，于2012年7-8月对重庆市南岸区学龄前儿童肥胖的相关因素进行调查分析，旨在探讨影响学龄前儿童肥胖发生的主要危险因素，为进一步干预措施提供依据。 1．对象和方法 1.1 调查对象 采用整群抽样方法在重庆市南岸区抽取5所幼儿园3—6岁儿童共638名，按身高标准体重法判定的3—6岁超重肥胖儿童共93名作为超重肥胖组，按照同幼儿园、同性别、同年龄（±3个月 ）1:2配比原则选取正常儿童186名为对照组。 1.2 调查方法 采用自行设计调查问卷，内容包括家庭一般情况、儿童出生情况、饮食习惯、生活习惯、家长养育观念和干预行为等。调