摘要
目的探讨学龄前儿童单纯性肥胖发生的家庭教育因素,为儿童肥胖的家庭干预提供依据。方法采用分层整群随机抽样法,抽取丽水市城区10所幼儿园儿童进行体格检查,将体重超过标准(身高别体重)体重20%的儿童纳入肥胖组,随机选择与肥胖儿童年龄、身高、性别匹配的体重正常儿童为对照组,进行1∶1配对,对两组儿童家长进行问卷调查,采用单因素和多因素回归分析影响儿童肥胖的因素。结果单因素分析显示儿童肥胖与母亲是否肥胖、家长对儿童目前体重的满意度、如何处理儿童"吃得太多"的饮食习惯、认为儿童是否肥胖、儿童是否喜欢吃动物性食品、儿童每餐吃饭所用时间、儿童是否喜欢运动以及每次运动锻炼时间8个因素相关(P均<0.05);多因素Logistic回归分析显示,家长对儿童目前体重的满意度(OR=0.190)和儿童每餐吃饭所用的时间(OR=0.352)为保护因素;儿童喜欢吃动物性食品(OR=2.230)为危险因素。结论家长对儿童肥胖的认知和儿童不良饮食习惯是儿童肥胖发生的重要因素,应加强宣传教育,提倡合理膳食结构。
Objective To explore the family education factors of preschool children with simple obesity in urban areas, in order to provide a scientific basis for family intervention. Methods Using stratified cluster random sampling method, 10 kindergartens in Lishui city was selected, physical examination on children has been taken to select child whose weight was 20% or more above the standard weight （ weight for height） and defined them as obese group. Normal weight children with 1 to 1 matching as the same age, height and gender were randomly chosen as control group. A questionnaire survey was then conducted on the two groups; data were analyzed using the single factor and multi - factor regression analysis. Results The single factor analysis showed that obesity in children related to eight factors ： whether mother is fat, whether children like to eat animal foods, whether the child likes sports and exercise and the time, how to deal with children~ eating habits of eating too much, regard the child as obese or not, time for each meal, and parents＇sati^faction with children~ present weight （ all P 〈 0. 05 ）. After the multiple Logistic regression analysis, the parents＇satisfaetion with children present weight（ OR = 0. 190） and time for each meal（ OR =0. 352） were protective factors, while the children like to eat animal foods was a risk factor （ OR ---2. 230）. Conclusion Parents＂ cognitive level of obesity and the poor eating habits of children are two important factors of the childhood obesity. It is may necessary to take more related education and help children establish comprehensive dietary structure.
出处
《浙江预防医学》
2013年第12期1-4,共4页
Zhejiang Journal of Preventive Medicine
基金
丽水市科技计划资助项目(2011JYZB25)
关键词
学龄前儿童
单纯性肥胖
影响因素
病例对照研究
Preschool children
Simple obesity
Influencing factor
Case -control study
