首页|信阳市6~12岁儿童矮小症患病情况及影响因素分析

信阳市6~12岁儿童矮小症患病情况及影响因素分析

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目的 了解信阳市6~12岁儿童矮小症患病情况,探讨儿童矮小症的影响因素,为降低矮小症的患病率,促进儿童健康成长提供依据.方法 收集2020年4月-2023年2月在信阳市中心医院、信阳市妇幼保健院健康体检的1215例6~12岁儿童为研究对象.采用问卷形式收集儿童一般情况,测量儿童身高体重,评估儿童睡眠状况、运动及膳食情况,计算儿童矮小症患病率,并采用单因素x2检验和多因素logistic回归分析儿童矮小症影响因素.结果 本研究纳入的1 215例儿童中,男童626例,女童589例,平均年龄(9.11±2.28)岁,其中6、7、8、9岁儿童中,男童平均身高高于同龄女童,差异均有统计学意义(P<0.05),而10、11及12岁不同性别儿童中,其身高差异均无统计学意义(P>0.05).经诊断共发现63例矮小症患儿,患病率为5.19%.在矮小症影响因素分析中发现,儿童超重/肥胖、每日睡眠不足是发生矮小症的危险因素(OR>1,P<0.05),而儿童每周体育锻炼频率≥3次及儿童合理膳食是发生矮小症的保护因素(OR<1,P<0.05).结论 信阳地区儿童矮小症患病率为5.19%,家长应对儿童保持健康体重、积极锻炼、合理膳食、保证充足睡眠;儿童应每年体检,积极筛查矮小症,对于矮小症儿童应引导至医院积极进行治疗,以改善儿童生活质量,提高儿童身高.
Prevalence and influencing factors of dwarfism among children aged 6-12 years in Xinyang City
Objective To investigate the prevalence of dwarfism amongst children aged 6-12 years in Xinyang City,to explore the factors influencing dwarfism in the children,and to provide a basis for reducing the prevalence rate of dwarfism and promoting their healthy growth.Methods A total of 1,215 children aged 6-12 years who underwent health check-ups in Xinyang Municipal Central Hospital and Xinyang Maternal and Child Health Hospital from April 2020 to February 2023 were collected as the study subjects.A questionnaire survey was conducted to collect the children's general conditions,their heights and weights were measured,their sleep,physical exercise and diet status were assessed,and the prevalence rate of childhood dwarfism was calculated.One-way x2 test and multifactorial logistic regression analysis were applied to analyzing the factors affecting childhood dwarfism.Results A total of 1,215 children were enrolled into this study,including 626 boys and 589 girls,with a mean age of(9.11±2.28)years.Among children aged 6,7,8 and 9 years,the average heights at the same age were significantly higher in the boys than in the girls,showing statistically significant differences(all P<0.05),whereas among children of different sexes aged 10,11 and 12 years,the differences in the heights were not statistically significant(all P>0.05).A total of 63 cases of dwarfism were diagnosed,with the prevalence rate of 5.19%.In the analysis of factors influencing dwarfism,it was found that childhood overweight/obesity and daily sleep deprivation were the risk factors for the occurrence of dwarfism(OR>1,P<0.05),while the frequency of childhood physical exercise ≥3 times per week and proper childhood diet were the protective factors for the occurrence of dwarfism(OR<1,P<0.05).Conclusion The prevalence rate of dwarfism among the children in Xinyang was 5.19%.Parents should keep their children at a healthy weight,urge the children to participate in physical exercise actively,and ensure the children's reasonable diet and enough sleep.Annual health checkups and dwarfism screening should be actively performed among the children,and children with dwarfism should be directed to hospitals for active treatment so as to improve their quality of life.

childrendwarfisminfluencing factorepidemiologyXinyang City

李亚萍、史长松、章昌敏

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郑州大学人民医院,河南 郑州 450000

河南省人民医院,河南 郑州 450003

信阳市妇幼保健院,河南 信阳 464000

儿童 矮小症 影响因素 流行病学 信阳市

河南省医学科技攻关计划项目

SBGJ202102017

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(7)
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