儿童早发性肥胖的探讨研究

The Pilot Study on Early-onset Obesity of Children

目的探讨界定儿童早发性肥胖的年龄。方法采用北京市西城区体检的811名4～6岁学龄前儿童的队列资料,分析早期月龄的体质量对学龄前期体质量的影响,同时计算超重或肥胖的持续时间作为另一个指标。结果学龄前儿童肥胖检出率为7.6%、超重为17.9%;儿童在月龄为3、5、8、12、24、36和48时出现超重的儿童其在学龄前期更容易出现超重(P<0.05,OR值在2.5到55.8之间),同样在这些时期出现肥胖的儿童学龄前期也更容易出现肥胖(P<0.05,OR值在3.1到104.8之间)。3月龄和24月龄开始的肥胖持续两年的比例最高,均为26.1%。结论对24个月龄作为"早发性肥胖"的最早月龄进行进一步探讨。

Objective Try to define the age of the children with early-onset obesity.Methods Analysis the influence of the weight in the early month on the weight in preschool with the cohort data of 811 children aged 4～6 years,who had accepted physical check regularly after birth,and calculated another indicator the duration of overweight and obesity at the same time.Results The prevalence of obesity and overweight in 4～6 years children in Xicheng District of Beijing were 7.6% and 17.9% respectively;The children with overweight at the age of 3,5,8,12,24,36 and 48 months were more possible to overweight at the age of preschool（P0.05,OR value from 2.5 to 55.8）,and the obesity was the same,too（P0.05,OR value from 3.1 to 104.8）.The highest proportion of continuous obesity which last 2 years were onset at 3 months and 24 months,both were 26.1%.Conclusion The twenty-fourth month as the earliest age for ＂early-onset obesity＂could be further investigation.