摘要
目的 探讨2037名城市学龄前儿童超重、肥胖的影响因素,为儿童健康成长提供科学指导.方法 选取江苏省南京市和山东省淄博市4所公立幼儿园的2037名城市学龄前儿童作为研究对象,对其家长进行问卷调查.组间差异采用x2检验进行分析,使用累积比数模型进行儿童超重、肥胖影响因素分析.结果 多因素分析显示,母亲超重(OR=1.644,95%CI=1.279~2.112)、母亲肥胖(OR=1.973,95%CI=1.244~3.130)、父亲肥胖(OR=2.030,95%CI=1.513~2.722)、儿童高出生体重(OR=1.850,95%CI=1.397~2.451)、吃饭速度快(OR=2.110,95%CI=1.518~2.934)、吃饭速度慢(OR=0.386,95%CI=0.299~0.489)、睡眠时间过长或过短(OR=1.296,95%CI=1.050~1.601)是学龄前儿童超重、肥胖的影响因素(P<0.05).结论 学龄前儿童超重、肥胖的发生与父母超重或肥胖、出生体重、饮食习惯、睡眠状况有关,应针对相关影响因素制订有效干预措施.
Abstract
Objective To explore the influencing factors of overweight and obesity in 2037 urban preschool children,so as to provide scientific basis for the healthy growth of children.Methods A total of 2037 urban preschool children from 4 public kindergartens in Nanjing,Jiangsu Province and Zibo,Shandong Province were selected,and their parents were investigated by questionnaire.x2 test was used to analyze the differences between groups,and the cumulative odds logit model was used to analyze the influencing factors of overweight and obesity in children.Results Multivariate analysis showed that the mother's overweight(OR=1.644,95%CI=1.279-2.112),mother's obesity(OR=1.973,95%CI=1.244-3.130),father's obesity(OR=2.030,95%CI=1.513-2.722),birth high weight of children(OR=1.850,95%CI=1.397-2.451),fast eating(OR=2.110,95%CI=1.518-2.934),slow eating(OR=0.386,95%CI=0.299-0.489),and too long or too short sleep time(OR=1.296,95%CI=1.050-1.601)were the influencing factors of overweight and obesity in preschool children(P<0.05).Conclusion The occurrence of overweight and obesity in preschool children is related to parents'overweight and obesity,birth weight,eating habits and sleep status,and therefore,effective intervention measures should be formulated according to relevant influencing factors.