摘要
目的 了解浙江省宁海县高中生超重肥胖现状及影响因素,为制定高中生超重肥胖防治措施提供科学依据.方法 采用分层整群随机抽样方法,对宁海县高中生进行身高体重测量和问卷调查,使用x2检验和非条件logistic回归模型分析超重肥胖的影响因素.结果 共调查高中生2 419人,超重肥胖率为24.68％;男生超重肥胖率高于女生(x2=49.415,P＜0.001);多因素logistic回归分析表明,影响高中学生超重肥胖率的因素包括:男生(OR=1.712,95％CI:1.367～2.144)、出生体重＞4 000 g(OR=2.211,95％CI:1.225～3.990)、父母亲均肥胖(OR=4.513,95％CI:3.016～6.753)、挑食(OR=0.699,95％CI:0.565～0.865)、吃饭速度较快(OR=3.191,95％CI:1.677～6.073)、荤素搭配重荤(OR=2.833,95％CI:1.604～5.001)、1 周内偶尔或不吃早餐(OR=1.504,95％CI:1.055～2.142)、1 周内喝含糖饮料≥4 次(OR=1.325,95％CI:1.001～1.753)、每日户外活动时间＜2 h(OR=1.516,95％CI:1.178～1.950)和不睡午觉(OR=1.294,95％CI:1.050～1.595).结论 宁海县高中生超重肥胖率较高,相关部门应采取针对性干预措施预防高中生超重肥胖的发生.
Abstract
Objective To understand the current situation and influencing factors of overweight and obesity among high school students in Ninghai County,Zhejiang Province,and to provide scientific basis for the prevention measures of over-weight and obesity among high school students.Methods Using stratified cluster random sampling method,height and weight measurement and questionnaire survey were conducted among high school students in Ninghai County,Chi-square test and unconditional logistic regression model were used to analyze the influencing factors of overweight and obesity.Results A total of 2 419 high school students were surveyed,with an overweight and obesity rate of 24.68％.The overweight and o-besity rate was higher in boys than that in girls(x2=49.415,P＜0.001).Multivariate logistic regression analysis showed that the factors affecting the overweight and obesity rate of high school students included:male(OR=1.712,95％CI:1.367-2.144),birth weight＞4 000 g(OR=2.211,95％CI:1.225-3.990),parents were obese(OR=4.513,95％CI:3.016-6.753),picky eaters(OR=0.699,95％CI:0.565-0.865),fast eating speed(OR=3.191,95％CI:1.677-6.073),meat and vegetable with heavy meat(OR=2.833,95％CI:1.604-5.001),occasionally or no breakfast during the week(OR=1.504,95％CI:1.055-2.142),drinking sugar-sweetened beverages ≥4 times a week(OR=1.325,95％CI:1.001-1.753),daily outdoor activities＜2 hours(OR=1.516,95％CI:1.178-1.950)and no naps(OR=1.294,95％CI:1.050-1.595).Con-clusion The prevalence of overweight and obesity among high school students in Ninghai County is relatively high,and rel-evant departments should take targeted intervention measures to prevent the occurrence of overweight and obesity among high school students.
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