上海市学龄前儿童超重肥胖现况及影响因素分析

Investigation and Study on Influencing Factors of Overweight and Obesity in Preschool Children in Shanghai

目的:了解上海市3~6岁学龄前儿童超重肥胖的流行现况,并探讨其影响因素。方法:采用分层整群随机抽样方法,随机抽取上海市3个区的3~6岁儿童共932名,进行问卷调查和体格检查。结果:儿童超重肥胖检出率为23.28%(超重率为12.34%,肥胖率为10.94%),经多因素Logistic回归分析表明,父母超重肥胖、高出生体重、常饮甜饮料、每顿吃得很饱、校外活动时间较少为学龄前儿童超重肥胖的危险因素。结论:上海市学龄前儿童超重肥胖率较高,父母BMI、出生体重、甜饮料、进食量及校外活动时间是儿童超重肥胖的主要影响因素,应积极采取综合干预措施,预防儿童肥胖的发生及发展。

Objective：To learn the prevalence of overweight and obesity of children aged 3 to 6 in Shanghai and to analyze its potential influencing factors.Methods：By stratified cluster random sampling, a total of 932 children aged 3-6 years in 3 districts of Shanghai were randomly selected for questionnaire survey and physical examination.Results： The prevalence rate of overweight and obesity in children was 23.28 % （12.34% for overweight and 10.94 % for obesity）.The result of logistic regression analysis indicated the risk factors associated with parents overweight and obesity, high birth weight, frequent consumption of sweetened beverage,excess food intake and less time in outdoor activities.Conclusion： The prevalence rate of overweight and obesity in preschool children in Shanghai is relatively high. Parents BMI, birth weight, sweet drinks, food intake and off campus activity time are the main influencing factors of overweight and obesity in children. Comprehensive intervention measures should be taken to prevent the occurrence and development of children ＇s obesity.