秦皇岛市城区3~6岁儿童超重肥胖的影响因素分析

Analysis on influencing factors of overweight and obesity of children aged 3-6 years old in urban area of Qinhuangdao City

目的了解秦皇岛市城区3~6岁儿童超重肥胖的影响因素,为采取干预措施提供参考依据。方法2019年5—6月按照整群抽样的方式抽取秦皇岛市城区3~6岁的2531名儿童进行问卷调查,采用logistic回归分析3~6岁儿童超重肥胖影响因素。结果秦皇岛市城区检出3~6岁儿童超重肥胖856人,检出率为33.8%,不同性别、年龄、出生体重、母亲是否超重肥胖、父亲是否超重肥胖、分娩方式、6个月内是否纯母乳喂养、每天喝甜饮料>100 mL、每天累计户外活动时间是否>2 h/d、每天看电视/玩手机的时间是否<1 h/天的儿童超重肥胖检出率比较差异均有统计学意义(均P<0.05)。多因素logistic回归分析结果显示,男童、出生体重≥4000 g、分娩方式为剖宫产、父亲超重肥胖、母亲超重肥胖、出生后6个月内人工喂养、每天累计户外活动时间<2 h/d均是儿童超重肥胖的危险因素(均P<0.05)。结论秦皇岛市3~6岁儿童超重肥胖率较高,应重点对出生体重≥4000 g、父母超重肥胖、剖宫产、6个月内人工喂养、每天累计户外活动时间<2 h/天的男童采取措施进行健康干预。

Objective To understand the influencing factors of overweight and obesity in children aged 3-6 years old in urban area of Qinhuangdao City,provide reference for taking intervention measures.Methods From May to June of 2019,2531 children aged3~6 years old were selected in urban area of Qinhuangdao City by cluster sampling method.The influencing factors of overweight and obesity in children aged 3-6 years old were analyzed by logistic regression.Results Totally 856 cases of overweight and obesity were found in children aged 3-6 years old in urban area of Qinhuangdao City,with the detection rate of 33.8%.There were statistically significant difference in the detection rates of overweight and obesity among different groups in gender,age,birth weight,is the mother overweight or obese,is the father overweight or obese,delivery mode,whether breast feeding or not within6 months,drinking sweet drinks more than 100 mL every day,daily cumulative outdoor activity time more than 2 hours,and watching TV/playing mobile phone less than 1 hour per day(all P<0.05).Multivariate logistic regression analysis showed that boys,birth weight≥4000 g,cesarean section,father is overweight or obese,mother is overweight or obese,artificial feeding within 6 months after birth,and daily cumulative outdoor activity time less than 2 hours were risk factors for overweight and obesity in children(all P<0.05).Conclusion The prevalence of overweight and obesity in children aged 3-6 years old of Qinhuangdao City is high.The intervention should be focused on boys who are with birth weight≥4000 g,parents are overweight or obese,cesarean section,artificial feeding within 6 months,daily cumulative outdoor activity time less than 2 hours.