社区综合干预模式对学龄前肥胖幼儿干预的有效性.docVIP

社区综合干预模式对学龄前肥胖幼儿干预的有效性 罗娟娟 徐佳 施建华 上海市徐汇区田林街道社区卫生服务中心 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探索托幼机构中儿童肥胖干预的有效措施, 研究建立肥胖儿体重控制的新模式, 为托幼机构中儿童肥胖的干预提供科学的依据。方法 从上海市田林地区13所托幼机构2 516名幼儿中选出2所基础设施条件、教师人员配备和幼儿家庭经济文化水平基本相同的34岁的超重肥胖儿童92人为调查对象, 分为干预组42人和对照组50人。对干预组的家长和幼儿采取健康教育、体育锻炼、营养膳食等综合干预措施。对照组仅仅在园所内进行必要的体育锻炼。按照上海市06岁儿童体格发育五项指标评价参考值 (2005年) 、世界卫生组织儿童肥胖诊断标准 (2006年) 评价干预效果。结果 经过一年半的干预, 干预组体质指数明显降低, 50.0%的超重肥胖儿童恢复正常体重, 家长对儿童肥胖相关知识认知有显著提高, 差异有统计学意义 (P0.05) , 肥胖超重比 (OOR) 比值达到理想水平 (0.75) 。而对照组则未见明显改善。结论 社区综合干预模式, 在促进儿童生长发育的同时, 可有效降低幼儿肥胖发病率, 是一种切实可行的控制幼儿肥胖的方法。 关键词： 社区; 综合干预模式; 学龄前肥胖幼儿; 有效性; 作者简介：罗娟娟 (1967—) , 女, 大专, 主管医生 收稿日期：2017-06-28 基金：上海市徐汇区科研项目 (SHXH201316) Effect studies on community comprehensive intervention model for preschool obesity children LUO Juan-juan XU Jia SHI Jian-hua Shanghai Xuhui District Tianlin Street Community Health Service Center; Abstract： Objective To explore effective measures for intervention of childhood obesity in childcare facilities, and to establish the new mode of obesity children weight control, then providing scientific basis for childhood obesity intervention in childcare facilities. Methods From a total of 2 516 children and their attended 13 childcare facilities of Tianlin area were selected 2 facilities with basically similar infrastructure conditions, teachers staff; and with similar family economic and cultural level, 42 overweight obese children aged 3-4 were included in intervention group and 50 in control group. Comprehensive intervention measures ( health education, physical exercise and healthy diet) were taken for the parents and their children in intervention group. And for control group, only necessory physical exercise was taken in the kindergarten. According to Shanghai five indicators evaluation reference ( 2005) for 0-6 years old children and the WHO diagnostic criteria ( 2006) for childhood obesity was evaluated the efficacy of the intervention. Results After one and half