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濮阳市中小学生超重肥胖现况及影响因素分析

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目的 分析濮阳市中小学生超重肥胖现况和影响因素,为更精准地制定防控中小学生超重肥胖措施提供科学理论依据.方法 采用分层整群随机抽样方法,抽取濮阳市1个区和2个县的16所学校共4 776名中小学生进行身高体重测量和问卷调查,使用x2检验和logistic回归模型分析超重肥胖的影响因素.结果 2021年濮阳市中小学生超重肥胖检出率为37.08%,其中超重检出率为17.69%,肥胖检出率为19.39%.男生肥胖检出率(22.96%)和超重肥胖检出率(42.08%)均高于女生(15.65%,31.85%),差异有统计学意义(x2值分别为40.89,53.55,P值均<0.001);随着学段的升高,肥胖检出率和超重肥胖检出率都呈现下降趋势.logistic回归分析提示,女生(OR=0.638,95%CI:0.550~0.740)是中小学生肥胖的保护因素,低学段(小学OR=1.843,95%CI:1.424~2.386;初中OR=1.325,95%CI:1.038~1.691)、过去7 d吃新鲜水果次数每天1次及以上(OR=1.424,95%CI:1.204~1.684)是中小学生肥胖的危险因素.结论 濮阳市中小学生的超重肥胖问题较为严重,需要从超重肥胖的影响因素精准切入,才有可能控制中小学生的超重肥胖问题.
Prevalence and influencing factors of overweight and obesity among primary and secondary school students in Puyang City
Objective To analyze the prevalence and affecting factors of overweight and obesity amongst pupils and secondary school students in Puyang City,and to provide a scientific theoretical basis for more accurate formulation of measures to prevent and control overweight and obesity in primary and secondary school students.Methods A total of 4,776 primary and secondary school students from 16 schools in 1 district and 2 counties of Puyang City were selected by stratified cluster random sampling method for height and weight measurement as well as a questionnaire survey.x2 test and multiple logistic regression model were used to analyze the factors affecting overweight and obesity.Results In 2021,the detection rate of overweight and obesity among the primary and secondary school students in Puyang City was 37.08%,with the detection rates of overweight and obesity being 17.69%and 19.39%respectively.The detection rates of obesity(22.96%)and overweight and obesity(42.08%)in male students were higher than those in female students(15.65%,31.85%),showing statistically significant differences(x2=40.89,x2=53.55,both P<0.001).With the increase of school stage,the detection rates of obesity and overweight and obesity both showed downward trends.Multiple logistic regression analysis revealed that female students(OR=0.638,95%CI:0.550-0.740)were the protective factor for obesity in the primary and secondary school students,while primary and junior high schooling stages(primary school OR=1.843,95%CI:1.424-2.386;middle school OR=1.325,95%CI:1.038-1.691)and the frequency of fruit consumption in the past 7 days(OR=1.424,95%CI:1.204-1.684)were the risk factors for obesity in the primary and secondary school students.Conclusion The problem of overweight and obesity among the primary and secondary school students in Puyang City is serious,and it is necessary to accurately intervene the factors affecting overweight and obesity so as to control the problem of overweight and obesity among the primary and secondary school students.

primary and secondary school studentsoverweightobesityPuyang City

李国星、杨翠平、温守营、麻顺广、陈怡雪、赵俊君、贾伟、隋煜

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濮阳市疾病预防控制中心,河南 濮阳 457000

中小学生 超重 肥胖 濮阳市

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(4)
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