李存娇,袁凤,曹慧芳,廉云,单延春.山东省部分城区6~8岁儿童肥胖现状及其影响因素[J].济宁医学院学报,2025,48(3):258-263 |
山东省部分城区6~8岁儿童肥胖现状及其影响因素 |
Analysis of obesity status and influencing factors in children aged 6~8 in some urban areas of Shandong province |
投稿时间:2024-05-05 |
DOI:10.3969/j.issn.1000-9760.2025.03.015 |
中文关键词: 儿童肥胖;体重指数;影响因素 |
英文关键词: Childhood obesity;Body mass index;Influence factor |
基金项目:青岛大学医疗集团科研项目(YLJT20222009) |
作者 | 单位 | E-mail | 李存娇 | 泗水县人民医院儿科, 济宁 273200 | | 袁凤 | 青岛淮阳路小学, 青岛 266031 | | 曹慧芳 | 桓台县人民医院健康服务中心, 淄博 256400 | | 廉云 | 平邑县中医院儿科, 临沂 273300 | | 单延春 | 青岛大学附属医院儿童保健科, 青岛 266003 | shanych@qdu.edu.cn |
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中文摘要: |
目的 调查山东省部分城区6~8岁儿童肥胖现状,探讨相关影响因素,为控制儿童肥胖流行提供参考依据。方法 2022年选取山东省不同经济水平的3个地区(青岛市、济宁市、临沂市),每个地区随机选择1所城区小学的一二年级儿童,对3个地区1149名儿童进行体格测量和一般情况问卷、儿童睡眠习惯问卷(CSHQ)和饮食行为量表(CEBQ)的调查。资料完整的1104名儿童纳入研究中。采用χ2检验、非参数秩和检验进行组间比较,二元logistic回归模型进行影响因素分析。结果 2022年山东省部分城区6~8岁儿童肥胖为21.38%(236/1104),男童高于女童(χ2=15.48,P<0.001),向心性肥胖率男童亦高于女童(χ2=22.94,P<0.001);男童(OR=1.805,P<0.001)、视屏暴露>2h/d (OR=4.122,P<0.001)、身体活动时间<2h/d (OR=2.056,P=0.002)、饮食行为(CEBQ总分≥41.5分)(OR=0.662,P=0.012)、母亲肥胖(OR=2.356,P<0.001)、父亲肥胖(OR=2.546,P<0.001)、过期产(OR=5.967,P=0.002)是影响儿童肥胖的危险因素。结论 2022年山东省部分城区6~8岁儿童肥胖率达21.38%,男童肥胖率显著高于女童。视屏暴露>2h/d、身体活动时间<2h/d、饮食行为(CEBQ总分≥41.5分)、父母亲肥胖、过期产是学龄儿童肥胖发生的危险因素,应采取相应措施以有效防控儿童肥胖。 |
英文摘要: |
Objective Conduct a survey on the obesity status of children aged 6~8 in some urban areas of Shandong province,explore relevant influencing factors,and provide reference for controlling the prevalence of childhood obesity.Method In 2022,three regions with different economic levels in Shandong province (Qingdao city,Jining city,Linyi city) were selected,and one urban primary school's first and second grade children were randomly selected from each region.A total of 1149 children from the three regions were surveyed using physical measurements,general situation questionnaires,children's sleep habits questionnaire (CSHQ),and children's eating behavior questionnaire (CEBQ).1104 children with complete data were included in the study.Using chi square test and non parametric rank sum test for inter group comparison,and binary logistic regression model for influencing factor analysis.Result In 2022,the obesity rate among children aged 6~8 in some urban areas of Shandong province was 21.38% (236/1104),with boys having a higher obesity rate than girls (χ2=15.48,P<0.001).The central obesity rate was also higher in boys than in girls (χ2=22.94,P<0.001).Boys (OR=1.805,P<0.001),video exposure>2 hours/day (OR=4.122,P<0.001),physical activity time<2 hours/day (OR=2.056,P=0.002), dietary behavior (CEBQ total score≥41.5 points) (OR=0.662,P=0.012),maternal obesity (OR=2.356,P=0.001),paternal obesity (OR=2.546,P<0.001),and post-term pregnancy (OR=5.967,P=0.002) are the influencing factors of childhood obesity.Conclusion In 2022,the obesity rate among children aged 6~8 in some urban areas of Shandong Province reached 21.38%,with a significantly higher obesity rate among boys than girls.Video exposure>2 hours/day,physical activity time<2 hours/day,dietary behavior (CEBQ total score≥41.5 points),parental obesity,and post-term pregnancy are influencing factors for obesity in school-age children.Corresponding measures should be taken to effectively prevent and control childhood obesity. |
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