超重肥胖对儿童青少年生活质量的影响

Effect of Overweight and Obese on Quality of Life Among Children and Adolescents

目的了解超重肥胖对儿童青少年生活质量的影响,探讨改善超重肥胖儿童青少年生活质量的相关策略。方法分层整群抽取广州市区3所中小学1119名学生进行《儿童少年生活质量量表》的评定,同时按《全国学生体质健康监测检测细则》要求采集学生身体形态和体能素质数据;采用《中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准》评定超重和肥胖。结果超重肥胖与非超重肥胖学生在自我满意、运动能力、其他3个维度上的差异均有统计学意义(P值均<0.05);超重肥胖男、女生自我概念维度得分差异有统计学意义(P<0.05),其他各维度得分差异无统计学意义;超重肥胖中学生各维度得分均低于小学生,在亲子关系等8个维度得分差异均有统计学意义;生活质量得分低于常模的超重肥胖学生与生活质量正常的学生各维度得分的差异均有统计学意义(P值均<0.01)。结论超重肥胖对中小学生、男女生生活质量的某些维度有一定的影响。干预时应采取有针对性策略。

Objective To explore the effect of overweight and obese on quality of life（ QOL） among children and adolescents, and to explore the strategies for improving overweight and obese youth~ QOL. Methods A questionnaire survey on QOL, and the surveillance of physical fitness and health was conducted among 1 119 students from 3 elementary and middle schools in Guangzhou by means of stratified cluster sampling. Results There was significant difference between overweight ＆ obese and non-overweight ＆ obese students in self-satisfied, athletic ability and others domains （P 〈 0.05）. No statistical significance was found in all domains between overweight ＆ obese boys and girls except self-concept （P 〈 0.05 }. Middle school students scored lower than elementary students in all domains, the difference was significant in 8 domains. There was significant difference be- tween overweight ＆ obese students with low score of QOL, and normal ＆ superior ones in all domains （ P 〈 0.01 ）. Conclusion Overweight and obe- sity have influence to some domains of QOL between boys ＆ girls/middle school students ＆ elementary students, therefore different strategies should be considered when intervening childhood obesity.