健康教育在社区肥胖儿管理中的作用

Effect of health education on the management of child obesity in community

目的 通过对2004-2005年社区肥胖儿健康教育取得的效果进行分析，评价健康教育在社区肥胖儿童管理中的作用。方法 将检出的肥胖儿按WHO的身高标准体重值按性别进行分度，并分组进行干预。一年后复查，对干预效果作出评价，用SPSS10．0统计学软件进行分析。结果 519例儿童中共检出超重儿62例（10．40％），轻度肥胖儿11例（1．85％），中度肥胖儿3例（0．50％），分成1岁以内及1岁以上两组，计算超重率分别为18．32％（24／131）和8．19％（38／464），（P〈0．01）；轻度肥胖率分别为5．34％（7／131）和0．86％（4／464），（尸〈0．01）；中度肥胖率分别为1．53％（2／131）和0．22％（1／464），（P〉0，05）。未发现重度肥胖儿。干预措施主要有监测身高体重，膳食调查和营养分析，对家长的健康教育，1年后分1岁以内及1岁以上组进行评价，超重组好转率分别为100％（24／24）和15．80％（6／38）（P〈0．01）。结论 1岁以内儿童肥胖的发病率比1岁以上的高，并且干预效果好，肥胖病的筛查和干预应从婴儿期开始。

Objective To analyze the effect of health education on fat children, evaluate the role of health education on management of fat children in community. Methods The detected fat children were grouped according to WHO Index of Height ＆ Weight, and their gender. Intervened by groups, and after 1 year, the children were recalled to evaluate the effect. SPSS 10.0 software was used to analyze the result. Results There were 62 overweight children （10.4%） an：ong 519 children. There were 11 mild fat children （1.85%）, and 3 moderate fat children （0.5%）. The participants were further grouped into under 1 year group and over 1 year group. Overweight rates were 18.32% （24/131） and 8.19% （38/464） （P〈0.01）. Mild fat rates were 5.34% （7/131） and 0.86% （4/464） （P〈0.01）. Moderate fat rates were 0.53% （2/131） and 0.22% （1/464） （P〉0.05）. There were no overweight children. The intervention included height and weight monitoring, diet investigation, nutrition analysis, and health education for parents. After 1 year, the children grouped by under 1 year and over 1 year group to be evaluated. In the overweight children group, the children showed better result were 100% （24/24） and 15.8% （6/38） respectively （P〈0.01）. Conclusion The morbidity of fat of children under 1 year was higher than over 1 year, but showed better effect on intervention. The screening and intervention of fat should start from infancy period.