上海市闵行区对肥胖学生开展校园健康管理的效果分析.pdfVIP

申国初级卫生保健20161:李 10月第30卷第10期(总第370期) 上海市闵行区对肥胖学生开展校园健康管理的效果分析* 张鑫毅①，何丹丹①，方红①，郭琪①，温晓现①，汤红梅①，王晶② 摘 要 目的 分析上海市闵行区依托校园责任医师对肥胖学生开展校园健康管理的效果，为制定和调整闵行区中小学肥胖 学生的健康管理工作提供科学依据。方法 分析2012←2014年纳入闵行区校国健康管理的中小学肥胖学生随访管理数据，对 不同年龄、性别和随访次数等情况进行分析。结果 随着肥胖管理随访次数的增加，肥胖学生的比例整体处于下降趋势(趋势 X=693.81 , PO.OOI) ，男女学生之间肥胖随着访管理的效果存在差异(矿=5.994 ， P0.05) 。多因素分析发现，年龄、随访次 数均为肥胖的保护性因素。结论 校园健康管理促进了肥胖学生的体重改善，对肥胖学生的校国健康管理工作要持之以恒， 不同性别的肥胖学生干预策略有所不同，男生的肥胖管理妥与超重管理结合开展。 关键词 学生;肥胖;校园;健康管理;效果;上海 doi:10.3969/j.issn.l佣1-5ω:X.2016.10.0026 [申图分类号] R589.2 [文献标识码] B [文章编号] 1 ∞1-568X(2016110-0065-03 EtTect Analysis on ScbωIH臼Ith Management on Obese Students in Minhang District in Shanghai/ZHANG Xin-抖， HE Dan-d姐， FANG Hong , et a1JIChinese Primary Health Care , 2016 , 30 (10): 65-67 Abstract OBJECTIVE To analyze the effect of three years of school health management of obese student on improving the nutritional status and provide scientific basis for corresponding policies in school health management in Minhang District. METHODS Three years of school health management on obese student was applied by the school general practices and the effect was evaluated with all 12 times of follow up data. The effect was compared by sex , age and times of follow up as well. RESULTS ηle rate of obesity demon- strated a descending trend as the times of follow up increased (Trend chi-square value=693.81 , PO.OOI) , the effect of school health management varies between gender(X=5.994 , P0.05). Gender and the times of school health management seemed to be pro- tected factor百 of obesity in multifactor analysis. CONCLUSION School health management in Minhang District improved the weight status of obese students. This health management should be persevered and the intervention strategy should be adjusted according the gende