顺德区学龄前儿童肥胖的现况调查及干预研究

Present situation investigation and intervention research of obesity in preschool children in Shunde district

目的分析儿童单纯性肥胖的危险因素,探讨综合干预防治肥胖的效果。方法选取2012年6月顺德区乐从镇两所公办日托幼儿园的学龄前儿童815名为研究对象,通过问卷调查和体检方式收集资料,采用群体干预结合个体干预的方法对"经华幼儿园"儿童(干预组)进行干预,对照组未实施任何干预措施,其中干预组405人,对照组410人。结果两幼儿园肥胖的检出率为8.71%,综合干预后,干预组的肥胖发生率为5.2%,低于对照组的9.0%(P<0.05);经Logistic回归分析发现父母双方至少有一方肥胖、睡前进食、活动少、睡眠时间>10 h、经常吃西式快餐、喜欢饮用甜饮料、经常吃零食等为单纯性肥胖的独立危险因素,知识程度高和肥胖危害及防治的认知程度高为有利因素。结论综合干预能有效防治儿童单纯性肥胖。

Objective To analyze risk t actors of simple obesity in children,to explore the effect of comprehensive intervention to prevent and control obesity. Methods 815 preschool children of the two public day nursery in Lecong town of Shunde district were selected as subjects in June 2012.The data were collected by questionnaire and physical examination.The method of group intervention combined with individual intervention was adopted for children of Jinghuai＇s kindergarten （the intervention group） while the control group didn＇t conduct any intervention measures. There was 405 children in the intervention group and there was 410 children in the control group. Results Obesity detection rate of the two kindergarten was 8.71%.After comprehensive intervention,obesity incidence rate in the intervention group （5.2%） was lower than that （9.0%） （P〈0.05）;both parents having at least one of obesity,eating before sleep, less activity,sleep time 〉10 hours, eat often western fast food,like to drink sweet drinks, eat often snacks was found to be independent risk factor for simple obesity after Logistic regression analysis,but high knowledge degree and high cognitive degree of obesity＇s harm,prevention and treatment was found to be favorable factors. Conclusion Comprehensive intervention can effectively prevent and treat simple obesity in children.