看护人的养育态度及行为对儿童肥胖症的影响研究

Study on caregivers' attitude and behavior of obesity child

【目的】探讨父母及祖辈的养育态度及行为对儿童肥胖症发生的影响。【方法】采用病例对照研究,对880例城区1～7岁儿童家长进行问卷调查分析,内容包括儿童看护人及其对儿童体型、活动、饮食及睡眠等的态度及行为。【结果】病例组儿童由祖辈为主看护比例显著高于对照组（P〈0.01）。病例组儿童父母养育态度较为一致,而祖辈与父母存在显著分歧（P〈0.01）,表现在对儿童肥胖的态度、儿童进食量评价,以及是否存在鼓励儿童多吃及限制其吃零食等方面。【结论】看护人的健康理念及养育行为是影响儿童肥胖症发生的重要因素之一。应重点加强针对祖辈看护人,现代育儿理念及科学饮食教育。

【Objective】To explore the influence of caregivers＇ attitude and behavior on childhood obesity. 【Method】Conducted a questionnaire survey and analyzed data about children caregivers and their related attitude and behavior on childhood obesity of 880 cases aged 1～7 years old,case-control 1∶1 matched by age and sex. 【Results】The proportion of grandparents caregivers in case group was significantly higher than that in control group（P〈0.01）.In case group,care attitudes in parents were consistent,while there were significant difference between grandparents and parents on attitude to childhood obesity,evaluation about children＇s food intake,whether encouraging obese child eating more and restricting obese child ＇s snacks（P〈0.01）. 【Conclusions】Caregivers＇ health philosophy and behaviors are important influening factors on childhood obesity.Prevention and treatment on childhood obesity should be focused on grandparents caregivers to strengthen modern child-rearing philosophy and dietary behavior education.