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1，周超文1，曾凡夫1，李阅历1，何苗1，李梦芬1，张莉1，唐晓君2 【摘要】 目的：探讨重庆市南岸区学龄前儿童单纯性超重肥胖的影响因素。方法：在随机抽取的重庆市南岸区五所幼儿园中，选取所有3~6岁的超重肥胖儿童93名，按照1:2的比例选取同幼儿园、同性别、同年龄（相差不超过三个月）的186名正常儿童进行配比。采用病例对照的方法，对筛选出的279名儿童进行问卷调查。结果：单因素与多因素条件logistic回归分析结果显示，儿童父亲超重肥胖（OR=2.14）、儿童食欲好（OR=3.50）、儿童暴饮暴食频率高（OR=1.84）、儿童吃油炸快餐食品频率高（OR=1.87）是儿童超重肥胖的危险因素；父母鼓励孩子多吃（OR=0.52）是儿童超重肥胖的保护因素；有63.33%超重肥胖组儿童的家长对自己孩子体型存在错误认知。结论：重庆市南岸区学龄前儿童超重肥胖的发生与遗传、儿童饮食习惯与生活方式以及家长的育儿观念与干预行为等多种因素有关。对儿童超重肥胖的干预应主要从培养儿童正确的生活方式、饮食习惯及改善家长错误的认知与育儿观念等方面做起。 【关键词】 学龄前儿童；超重；肥胖；影响因素；病例对照研究 A case-control study on influence factors of overweight or obesity for preschool children 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 correct