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托幼机构儿童身体活动和屏幕时间及膳食安排现状分析

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目的 了解我国托幼机构儿童在园期间的身体活动、屏幕时间及膳食安排现状,为掌握托幼机构卫生保健重点问题、完善管理措施提供科学依据。方法 采用多阶段分层随机抽样方法,于2019年7月至2020年12月在我国7类地区的14个省级行政区随机抽取70所托幼机构进行问卷调查。调查内容包括:托幼机构的基本情况、儿童每日身体活动时间和屏幕时间及膳食安排等情况。使用非参数检验和x2检验对城乡、机构性质和地域之间托幼机构的儿童一日生活安排差异进行比较分析。结果 有68家托幼机构纳入研究。在儿童每日户外身体活动时间方面,公立与私立托幼机构中班、大班、班级合计的儿童每日户外身体活动时间比较差异均有统计学意义(Z值分别为-2。320、-2。454、-3。844,P<0。05),南方与北方托幼机构各班级儿童的每日户外身体活动时间比较差异均有统计学意义(Z值分别为-2。745、-2。401、-2。507、-4。418,P<0。05)。公立与私立托幼机构的各班级儿童每日总身体活动时间比较差异均有统计学意义(Z值分别为-2。740、-2。289、-2。409、-4。297,P<0。05),南方与北方托幼机构小班、班级合计的儿童每日总身体活动时间比较差异均有统计学意义(Z值分别为-1。972、-3。196,P<0。05)。在儿童每日屏幕时间方面,不同类型托幼机构各班级的屏幕时间均<60min。在儿童每日膳食方面,城市与农村托幼机构各班级的儿童每日饮水量比较差异均有统计学意义(Z值分别为-2。811、-2。684、-2。571、-4。597,P<0。05),公立与私立托幼机构大班、班级合计的儿童每日饮水量比较差异均有统计学意义(Z值分别为-2。240、-2。765,P<0。05),南方与北方托幼机构班级合计的儿童每日饮水量比较差异有统计学意义(Z=-2。054,P<0。05);儿童每日摄入蔬菜、水果的托幼机构占比分别为94。1%和88。2%,存在部分托幼机构儿童每日摄入含糖饮料的情况;城市与农村托幼机构的儿童每日摄入乳类及乳制品的占比比较差异有统计学意义(x2=5。029,P<0。05)。结论 学龄前儿童在园期间普遍存在每日总身体活动时间不足的情况,公立、北方托幼机构的儿童还存在每日户外活动时间不足的问题。部分托幼机构的儿童饮水量未达到《中国学龄前儿童膳食指南(2016)》的推荐要求,农村托幼机构乳制品供应情况较差。托幼机构应关注现有园内对儿童生活一日安排的不足之处,与家长一起培养儿童良好的生活习惯。
Analysis of the status of physical activity,screen time and dietary arrangement for children in nursery schools
Objective To understand the current status of physical activity,screen time and dietary arrangement for children in nursery schools,and to provide scientific basis for grasping the key issues of health care and improving management measures in nursery schools.Methods From July 2019 to December 2020,a multi-stage stratified random sampling method was used to conduct a questionnaire survey in 70 nursery schools randomly selected from 14 provinces across 7 types of regions in China.The contents of the survey include:basic information of nursery schools,daily physical activities,screen time of children and dietary arrangement.The nonparametric tests and Chi-square tests were used to compare and analyze the differences in daily life arrangements of children in nursery schools across urban and rural areas,institutional types,and regions.Results Eventually 68 nursery schools were included in the study.In terms of children's daily outdoor physical activity,there were statistically significant differences in children's daily outdoor physical activity time in the middle class,top class,and combined classes between public and private nursery schools(Z=-2.320,-2.454 and-3.844,respectively,P<0.05).There were statistically significant differences in children's daily outdoor physical activity time in each class between nursery schools in the southern and northern regions(Z=-2.745,-2.401,-2.507 and-4.418,respectively,P<0.05).There were statistically significant differences in children's total daily physical activity time in each class between public and private nursery schools(Z=-2.740,-2.289,-2.409 and-4.297,respectively,P<0.05).There were statistically significant differences in children's total daily physical activity time in bottom class and combined classes between nursery schools in the southern and northern regions(Z=-1.972 and-3.196,respectively,P<0.05).In terms of children's daily screen time,the average screen time in each class of different types of nursery schools was all<60 minutes.In terms of children's daily dietary intake,there were statistically significant differences in the daily water intake of children in each classes between urban and rural nursery schools(Z=-2.811,-2.684,-2.571 and-4.597,respectively,P<0.05).There were statistically significant differences in the children's daily water intake in top class and combined classes between public and private nursery schools(Z=-2.240 and-2.765,respectively,P<0.05),and there were statistically significant differences in the children's daily water intake in the combined classes between nursery schools in the southern and northern regions(Z=-2.054,P<0.05).The proportion of children's daily intake of vegetables and fruits in nursery schools was 94.1%and 88.2%.Children in some nursery schools consumed sugary beverages daily.There was statistically significant difference in the proportion of children's daily intake of dairy products between urban and rural nursery schools(X2=5.029,P<0.05).Conclusion The total physical activity time of preschool children is generally insufficient during nursery schools,and the daily outdoor activity time of children in public and northern nursery schools is also insufficient.The water intake of children in some nursery schools does not meet the recommendations of the Dietary Guidelines for Preschool Children in China(2016),and the supply of dairy products in rural nursery schools relatively inadequate.Nursery schools should pay attention to their shortcomings of the current daily routines for children and work with parents to help children cultivate healthy living habits.

nursery schoolspreschool childphysical activityscreen timediet

崔淼、王硕、杨振宇、张倩、李瑞莉、王玉英、赵文华、徐韬

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中国疾病预防控制中心妇幼保健中心,北京 100081

中国疾病预防控制中心营养与健康所,北京 100050

首都儿科研究所,北京 100020

托幼机构 学龄前儿童 身体活动 屏幕时间 膳食

科技部基础资源调查专项

2017FY101104

2024

中国妇幼健康研究
西安交通大学,中国疾病控制中心妇幼保健中心

中国妇幼健康研究

CSTPCD
影响因子:0.942
ISSN:1673-5293
年,卷(期):2024.35(2)
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