幼儿园肥胖儿童四年监测评价

A FOUR-YEAR-LONG EVALUATION ON SIMPLE OBESE CHILDREN AGED 3～6 YEARS IN A NURSERY SCHOOL.

目的 :了解上海城区肥胖儿童高发幼儿园近几年监测和管理情况。方法 :以上海城区一幼儿园连续四年 (1996～ 1999)的生长监测资料为基础 ,以 NCHS/ WHO身高的标准体重指标评价该幼儿园儿童的生长和肥胖发生趋势。结果 :96～ 99年儿童肥胖率分别为 7.6 %、 10 .5 %、 10 .1%和 9.7% (P>0 .0 5 )。 96年肥胖率有性别差异 :男童高于女童。 98～ 99年 ,3～ 4岁学龄儿童中 ,肥胖率上升为 5 .4%～ 5 .8% ,与日本同年龄组儿童 (5 .0 % )肥胖率相近。大班 6岁儿童中 ,中重度肥胖比例逐年降低。结论 :上海市城区学龄前儿童肥胖已成为一个主要的保健问题 ,需引起高度重视。幼儿园在防治儿童肥胖中起着至关重要的作用 。

Objective:To investigate the current situation of childrens obesity in a nursery school of Shanghai.Methods:Based on the cross sectional and longitudinal investigation data of children aged 3～6 years during 1996~1999 in a nursery school located in the urban of Shanghai.The growth and obesity prevalence of children were evaluated according to the NCHS/WHO standard of percentiles and parameters of weight for height.Results:From 1996 to 1999 the rate of obese children were 7 6%?10 5%?10 1% and 9 7% respectively.The rate in male was higher than that in female in 1996( P <0 05).In 1998~1999 obesity rate in 3 year old preschool children was 5 4%～5 8%.But rate of moderate obesity was gradually reduced in 6 year old children.Conclusions:The simple obese children have become a critical health problem in the urban of Shanghai.High effort should be put for it.Nursery school can play an important role in preventing and controlling the occurrence of obese children.Studies on obesity should be strengthened.