超重及肥胖儿童健康生活方式干预效果评价.docVIP

超重及肥胖儿童健康生活方式干预效果评价【摘要】 目的 探讨健康生活方式的干预对超重及 肥胖儿童生长发育的影响，为儿童超重和肥胖的干预研究提供依据。方法 采取整群抽样方法，对太原市小学三～五年级学生744名进行体检，以检出的超重及肥 胖者81人作为研究对象，进行生理发育指标的测量。按班级分层，将每班的超重及肥胖儿童 随机分为2组，再将每个班的2组学生随机分配为干预组和对照组。对干预组进行健康生活方 式干预，对照组儿童不进行任何干预。结果 干预后肥胖程度 加重的趋势得到控制，BMI指数的增加得到减缓。干预组干预后的肺活量显著高于干预前( P＜0.05)，干预组干预前、后舒张压测量值差异无统计学意义(P＞0.05)；对照组干 预后舒张压测量值显著高于干预前(P＜0.05)。结论 健康生活 方式有效地控制了肥胖程度的增加，达到了缓解肥胖的效果。 【关键词】 肥胖症；生活方式；干预性研究；评价研究；儿童 【中图分类号】 R 179 G 479 R 589.2 【文献标识码】 A 【文章编号】 1 000-9817(2007)09-0796-02 The Effects of Healthy Living Styles on Growth and Development Among Ove rweight and Obesit y Children/WANG Li, WANG Zhu-xin, WANG Fang-fang. Public Health Schoolof Sahnxi Medical University, Taiyuan(030001), China 【Abstract】 Objective To explore the impact of healthy livingstyles on growth and development among the overweight and obesity children, andto provide evidence for the intervention against children’s overweight and obes ity. Methods A cross-sectional study was conducted among 744 s tudents from grade 3-5 in Taiyuan.Eighty-one overweight and obesity children we re takenas the subjects and were randomly divided into intervention group(n=41) andcontrol group(n=40). The healthy life style intervention and food structureintervention were given to the intervention group and no intervention was givento the control group. Results After the intervention, the incre ase trend of the obesity degree and BMI were controlled; lung function of interv ention group was better than before(P＜0.05); the diastole blood p ressure was significantly higher than before in the intervention group(P＜0. 05) but no statistical significance was found in the control(P＞0.05). Conclusion Health life style can control the increase trend of the o besity degree. 【Key words】 Obesity;Life style;Intervention study;Evaluationstudies;Child 目前，国内外有关儿童肥胖的研究已达到基因水平。20世纪60年代随着肥胖基因的发现 ，有关肥胖机制的研究取得了突破性的进展。研究发现，小学生在有关健康生活方式的基本 知识和行为上存在着许多问题［1-2］。为探讨健康生活方式对超重及肥胖儿童生长 发育的影响，笔者于2004年对超重及肥胖儿童进行了为期0.5 a的群体干预实验。 1 对象与方法 1.