85例肥胖儿童及青少年心理健康因素分析

Psychological health factors of 85 obese children and adolescents

目的以肥胖儿童及青少年为研究对象,调查肥胖对儿童及青少年心理健康的影响,为肥胖儿童的健康成长提供一定的指导。方法选取2011年5月至2013年1月在榆林市星元医院小儿内科门诊诊治的肥胖患儿85例为肥胖组,同时在榆林市区中小学随机抽取健康儿童85例为正常对照组;测量两组身高、体重、腰围、臀围及体脂,并对所有儿童进行自尊水平及社会焦虑水平评价。结果肥胖组的不自信、社交焦虑及不自信合并焦虑的发生率均高于对照组,差异均有统计学意义(χ2值分别为9.73、6.05和9.31,均P<0.05);女性患儿中不自信、社交焦虑及不自信合并焦虑的发生率均显著高于男性患儿,差异均有统计学意义(χ2值分别为5.42、4.35和3.54,均P<0.05)。结论肥胖儿童心理问题的发病率较高,应引起足够的重视,早期进行干预,以保证儿童及青少年的健康成长。

Objective To investigate the influence of obesity on mental health of children and adolescents by taking obese children and adolescents as research objects,so as to provide some guidance for the healthy growth of obese children. Methods Totally 85 obese children diagnosed and treated in Xingyuan Hospital of Yulin from May 2011 to January 2013 were enrolled in obese group. Another 85 healthy children were selected in control group. Height,weight,waist circumference,hip circumference and body fat were measured for cases in both groups. All of children were given self-esteem and social anxiety level evaluation. Results The incidences of no selfconfidence,social anxiety,no self-confidence combining anxiety in obese children were significantly higher than those in normal weight children,and the differences were significant（ χ2value was 9. 73,6. 05 and 9. 31,respectively,all P〈0. 05）. They were higher in female cases than in male cases（ χ2value was 5. 42,4. 35 and 3. 54,respectively,all P〈0. 05）. Conclusion The incidence of psychological problems is higher in obese children,which should attract enough emphais and early intervention in order to ensure the healthy development of children and adolescents.