兰州市0～3岁儿童饮食行为问题流行病学分析

A National Survey of Dietary Behavior Problems among 0～3 Years Children in Lanzhou

目的 了解兰州市0～3岁儿童饮食行为问题的现状及抚养者的应对状态,为进一步开展此类问题的干预提供科学依据.方法 分层随机整群抽取兰州市4 389例0～3岁儿童,完成《儿童饮食行为调查问卷》,调查儿童的社会人口学资料、儿童饮食行为问题以及儿童抚养人的应对状态.结果 兰州市0～3岁儿童饮食行为问题的检出率为67.62％,2～3岁检出率达最高水平,各年龄组儿童饮食行为问题最显著的均为“不良进食习惯”,表现为“吃饭时伴随其他行为”、“吃饭地点不固定”,仅有45.7％的抚养者认为儿保医生对饮食行为问题的处理有帮助.结论 兰州市0～3岁儿童饮食行为问题的流行水平较高,临床医生应切实做好儿童饮食行为的早期干预.

OBJECTIVE To investigate prevalence of eating problems among children of 0 ~ 3 years in Lanzhou and provide scientific evidence for early intervention. METHODS Using cluster random method, 4 389 children aged 0 - 3 years were selected to fill the questionnaires in Lanzhou. The contents of questionnaire included general information, characteristics of eating behavior and report for eating dietary problems in parents. RESULTS The prevalence rate of eating behavior problems was 67.62% among 0 - 3 years old children in Lanzhou. The highest prevalence rate was among 2 - 3 years old children. The most eating behavior problems was＂wrong eating habits＂ , the problems included ＂doing other things while eating＂ and ＂unstable eating places＂. Only 45.7% parents thought the health care doctor was helped for children eating problems. CONCLUSION High percentage of eating problem exists among children of 0 ~ 3 years children in Lanzhou, doctor should play an important role in early eating behavior intervention.