深圳市罗湖区儿童家长对学龄前儿童体重感知现状及影响因素分析

Analysis of the current status and its influencing factors of parents’perception of preschool children’s weight in Luohu District

目的调查广东省深圳市罗湖区儿童家长对学龄前儿童体重感知现状,并分析其影响因素,以期为后续的儿童肥胖干预提供理论依据。方法分层整群抽取深圳市罗湖区7所幼儿园3 106名在园儿童的家长进行问卷调查,调查内容包括儿童基本信息、家庭环境特征信息、子女体重感知情况等。采用χ^(2)检验进行不同人口学特征儿童的家长对子女体重感知的差异比较;采用二元多因素logistic回归分析家长对儿童体重感知偏差的影响因素。结果深圳市罗湖区3~6岁儿童超重检出率为9.5%,肥胖检出率为10.5%。36.8%的家长低估了子女体重;1.6%的家长高估了子女体重。二元多因素logistic回归分析发现,男童(OR=1.24,95%CI:1.04~1.48)、超重(OR=56.46,95%CI:31.38~101.56)、肥胖(OR=4.75,95%CI:3.67~6.14)均是家长低估子女体重的影响因素(均P<0.05)。结论家长对子女体重状态认识不足的现象较为普遍,其中男童、超重肥胖儿童家长更容易低估子女的体重状态。应进一步加强家长对儿童体重感知识别的健康宣教。

Objective To investigate the status of parents’weight perception of preschool children in Luohu District,analyze the influencing factors,and to provide theoretical basis for subsequent interventions in childhood obesity.Methods A questionnaire survey was conducted on 3106 parents of children in 7 kindergartens in Luohu District using stratified cluster sampling.The survey contents included basic information of the children,family environmental characteristics,and parents’perception of their children’s weight.Chi-square tests were used to compare the differences in weight perception among parents of children with different demographic characteristics.Binary multivariate logistic regression was used to analyze the influencing factors of parents’perceived bias in children’s weight.Results The detection rates of overweight and obesity in children aged 3-6 in Luohu District were 9.5%and 10.5%,respectively.Among the 3106 parents,36.8% underestimate their children’s weight,while 1.6%overestimate it.Binary multivariate logistic regression analysis found that being boys(OR=1.24,95%CI:1.04-1.48),overweight(OR=56.46,95%CI:31.38-101.56),and obesity(OR=4.75,95%CI:3.67-6.14)were all influence factors for parents underestimating their children’s weight(all P<0.05).Conclusion It is common for parents to lack awareness of their children’s weight status.Parents of boys,and overweight or obese children are more likely to underestimate their children’s weight status.Health education on parents’recognition of children’s weight should be further strengthened.