摘要
目的 了解江苏省0～5岁儿童肥胖现状及其影响因素,为0～5岁儿童肥胖的防治提供依据.方法 采用分层整群随机抽样方法于2014年4月-2015年3月从江苏省10个城市招募0～5岁的儿童进行多中心大样本的抽样调查.通过自编的问卷,调查儿童的身高/身长、体重、性别、出生情况、地区、季节等信息.并通过多因素Logistic回归模型分析0～5岁儿童肥胖的影响因素.结果 共调查5 284名0～5岁儿童,肥胖检出率为6.8％.0～＜1岁、1～＜2岁、2～＜3岁、3～＜4岁、4～＜5岁、5～＜6岁儿童肥胖检出率分别为7.7％、4.7％、4.0％、6.0％、7.1％、11.0％.多因素Logistic回归分析表明,与2～＜3岁相比,0～＜1岁、5～＜6岁儿童肥胖的风险更高(OR=1.982、2.202);男童、出生体重≥4 000g、调查时在冬季的儿童肥胖的风险更高(OR=1.581、1.600、2.109,P＜0.05).结论 江苏省0～5岁儿童肥胖率处于较高水平.肥胖发生率与年龄、性别、出生体重、调查季节相关,应制定肥胖防治相关干预措施.
Abstract
Objective To understand the current prevalence and influencing factors of obesity in children aged 0 to 5 years in Jiangsu Province,in order to proride reference for the prevention and treatment of childhood obesity.Methods A stratified cluster random sampling method was used to recruit children aged 0 to 5 years from 10 cities in Jiangsu Province between April 2014 and March 2015 for a multi-center large-sample survey.Through a self-designed questionnaire,information on height/length,weight,gender,birth condition,region,and season was collected.A multivariate Logistic regression model was used to analyze the influencing factors of obesity in children aged 0 to 5 years.Results A total of 5284 children aged 0 to 5 years were surveyed,with an obesity detection rate of 6.8％.The obesity detection rates for children aged 0 to＜1 year,1 to＜2 years,2 to＜3 years,3 to＜4 years,4 to＜5 years,and 5 to＜6 years were 7.7％,4.7％,4.0％,6.0％,7.1％,and 11.0％,respectively.Multivariate Logistic regression analysis indicated that compared to children aged 2 to＜3 years,the risk of obesity was higher in children aged 0 to＜1 year and 5 to＜6 years(OR=1.982,2.202);boys,children with birth weight ≥4 000 g,and children surveyed during winter had a higher risk of obesity(OR=1.581,1.600,2.109,P＜0.05).Conclusions The obesity rate in children aged 0 to 5 years in Jiangsu Province is at a relatively high level.The incidence of obesity is statistically associated with age,gender,birth weight,and the season of the survey,related intervention measures are warranted for the prevention and treatment of childhood obesity.
维普
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