天津市中小学生家长对子女体重认知分析

Parental awareness on weight of children in primary and middle school in Tianjin

目的了解天津市中小学生家长对其子女体重认知的现状,为干预儿童超重肥胖提供理论依据。方法采用分层整群随机抽样的方法,抽取天津市市区和乡村的中小学生共10 265名。采用统一方法进行体格检查,同时对学生家长进行问卷调查。结果天津市城区四~六年级男生超重合并肥胖检出率最高,达42.0%。在子女体重正常的家长中,有24.1%认为孩子的体重偏瘦;在子女超重的家长中,有49.3%认为孩子的体重属于正常。天津市城区和乡村的家长对子女体重的估计差异有统计学意义（Z=-46.827,P〈0.01）。子女已经属于超重或肥胖的家长,对男生体重的满意程度高于女生（Z=-4.153,P〈0.05）。结论天津市中小学生家长对子女体重的认知与子女实际的体重情况之间存在一定偏差。对儿童肥胖的干预,需同时关注儿童个体和家庭环境因素。

Objective To explore parental awareness on weight in children of primary and middle school in Tianjin. Methods A total of 10 265 primary and middle school students were selected in urban and rural areas of Tianjin by stratified cluster random sampling method. Physical examination and parental questionnaire was conducted. Results The prevalence of overweight and obesity among boys in urban 4- 6 grade was the highest in Tianjin, reaching 42. 0%. Among children with normal weight, 24. 1%（ 1 580 /6 560） of parents perceived them as low body weight. Among overweight students, 49. 3%（ 675 /1 368） of parents perceived them as normal body weight. There was significant differences in awareness of children＇s weight among parents from urban and rural areas（ Z =- 46. 827, P〈 0. 01）. Parents of overweight boys reported higher satisfaction than that of parents of overweight girl（ Z =- 4. 153, P〈 0. 05）. Conclusion There is a bias between parents＇ awareness on their children＇s weight in Tianjin.Childhood obesity should be paid more attention among parents, which might help prevent and control the occurrence of childhood overweight / obesity.