摘要
目的：了解河南地区7岁以下儿童生长发育和贫血状况,为制定相关政策提供依据。方法：采用分层整群随机抽样法抽取河南省3个城市、2个县和1个县级市的7岁以下儿童2 165人,采用Z评分法评价儿童的生长发育状况,并调查贫血患病率,比较不同年龄、性别和地区儿童之间的差异。结果：河南地区7岁以下儿童低体重率、生长迟缓率、消瘦率、超重率和肥胖率分别为0.60%、1.34%、0.88%、8.68%和2.82%,头围偏小率和偏大率为2.10%和1.47%,贫血患病率为3.60%。不同年龄组儿童之间生长迟缓率（P=0.005）、超重率（P〈0.001）和肥胖率（P〈0.001）比较,差异有统计学意义。男童超重率（P=0.010）和肥胖率（P=0.028）高于女童,而女童低体重率（P=0.038）和头围偏小率（P=0.043）高于男童。乡镇儿童消瘦率高于城区（P=0.045）。不同年龄组儿童贫血患病率比较,差异有统计学意义（P〈0.001）,2岁以下儿童的贫血患病率最高。结论：河南地区7岁以下儿童生长发育优于WHO标准,但5~7岁儿童超重和肥胖趋势明显,2岁以下儿童贫血率高的问题不容忽视。
Aim： To investigate the status of growth and development and the prevalence of anemia among children under 7 years old in Henan Province,so as to provide references for making relevant policies. Methods： Stratified random sampling method was used to recruit 2 165 children under 7 years old from three urban districts,one county-level city and two counties in Henan Province. Z scores were used to assess the status of growth and development of the children,and the prevalence of anemia was also investigated. Comparisons of the differences were based on age,gender and areas. Results：Among children under 7 years old in Henan Province,the prevalence of underweight,stunting,wasting,overweight and obesity was 0. 60%,1. 34%,0. 88%,8. 68% and 2. 82%,respectively. The prevalence of small head circumference and large head circumference was 2. 10% and 1. 47%,and the prevalence of anemia was 3. 60%. There were significant differences in stunting（ P = 0. 005）,overweight（ P〈0. 001） and obesity（ P〈0. 001） among different age groups. The prevalence of overweight（ P = 0. 010） and obesity（ P = 0. 028） of boys were higher than the girls,while the prevalence of underweight（ P = 0. 038） and small head circumference（ P = 0. 043） of girls were higher than the boys,furthermore the prevalence of wasting in rural areas was higher than the urban areas（ P = 0. 045）. There was significant difference in prevalence of anemia among different age groups（ P〈0. 001）,and the prevalence of anemia in children under 2 years old were the highest. Conclusion： The growth and development of children under 7 years old in Henan Province are better than WHO standards,but the trends of overweight and obesity between 5 to 7 years old children are obvious,and more attention should be paid to the high prevalence of anemia in children under 2 years old.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2016年第1期68-72,共5页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省医学科技攻关计划项目201403103
关键词
生长发育
儿童
Z评分
贫血
growth and development
children
Z scores
anemia
