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云浮市中小学生营养不良状况调查

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目的 了解广东省云浮市中小学生营养不良状况及其影响因素,为完善学生营养保健策略提供依据.方法 采用多阶段分层整群随机抽样方法,于2022年抽取云浮市5个县(市、区)26所学校的在校中小学生为调查对象.通过问卷调查收集人口学信息、饮食和运动情况,分析学生营养不良状况.采用无序多分类logistic回归模型分析营养不良的影响因素.结果 调查7 213人,年龄M(QR)为13.50(4.00)岁.男生3 881人,占53.81%;女生3 332人,占46.19%.小学生2 667人,占36.97%;初中生2 662人,占36.91%;高中生1 884人,占26.12%.检出营养不良1 938人,检出率为26.87%;其中,营养不足、超重和肥胖检出率分别为11.66%、9.75%和5.46%.无序多分类logistic回归分析结果显示,性别(男,OR=2.227,95%CI:1.905~2.603)、学段(小学,OR=1.528,95%CI:1.239~1.884)、≥60 min/d中高强度运动(0~1 d/周,OR=1.422,95%CI:1.153~1.753;2~4 d/周,OR=1.280,95%CI:1.047~1.564)和体育课频次(1~2节/周,OR=1.732,95%CI:1.084~2.767;3~4节/周,OR=1.662,95%CI:1.026~2.693)是中小学生营养不足的影响因素;性别(男,OR=1.956,95%CI:1.656~2.311)、含糖饮料摄入频次(0次/d,OR=0.721,95%CI:0.528~0.984)和体育课频次(0节/周,OR=2.087,95%CI:1.151~3.784;1~2节/周,OR=1.644,95%CI:1.044~2.590;3~4节/周,OR=1.685,95%CI:1.051~2.703)是中小学生超重的影响因素;性别(男,OR=2.459,95%CI:1.964~3.078)是中小学生肥胖的影响因素.结论 云浮市中小学生营养不足、超重和肥胖并存,性别、学段、含糖饮料摄入频次和体育课频次是中小学生营养不良的影响因素.
Malnutrition status among primary and middle school students in Yunfu City
Objective To investigate the nutritional status and its influencing factors among primary and middle school students in Yunfu City,Guangdong Province,so as to provide the basis for improving nutrition and health strategies for students.Methods Primary and middle school students from 26 schools in 5 counties(cities,districts)of Yunfu City were selected in 2022 through multi-stage stratified cluster random sampling method.Demographic information,dietary and exercise behaviors were collected using questionnaire surveys,and the prevalence of malnutrition were analyzed.Fac-tors affecting malnutrition was evaluated using a multinomial logistic regression model.Results A total of 7 213 stu-dents were surveyed,including 3 881 boys(53.81%)and 3 332 girls(46.19%),and had a median age of 13.50(inter-quartile range,4.00)years.There were 2 667 primary school students(36.97%),2 662 middle school students(36.91%)and 1 884 high school students(26.12%).There were 1 938 students suffered from malnutrition,with a detection rate of 26.87%.The detection rates for undernutrition,overweight and obesity were 11.66%,9.75%and 5.46%,respectively.Multinomial logistic regression analysis showed that gender(boy,OR=2.227,95%CI:1.905-2.603),studying phase(prima-ry school,OR=1.528,95%CI:1.239-1.884),≥60 min/d of moderate/high-intensity exercise(0-1 d/week,OR=1.422,95%CI:1.153-1.753;2-4 d/week,OR=1.280,95%CI:1.047-1.564)and frequency of having physical education(1-2 classes/week,OR=1.732,95%CI:1.084-2.767;3-4 classes/week,OR=1.662,95%CI:1.026-2.693)were the influencing factors for undernutrition;gender(boy,OR=1.956,95%CI:1.656-2.311),frequency of sugary beverage intake(0 time/d,OR=0.721,95%CI:0.528-0.984)and frequency of having physical education(0 class/week,OR=2.087,95%CI:1.151-3.784;1-2 classes/week,OR=1.644,95%CI:1.044-2.590;3-4 classes/week,OR=1.685,95%CI:1.051-2.703)were the influencing factors for overweight;gender(boy,OR=2.459,95%CI:1.964-3.078)was the influencing factor for obesity among students.Conclusions Undernutrition,overweight and obesity coexist in primary and middle school students in Yunfu City.Gender,school phase,frequency of sugary beverage intake and frequency of having physical education are associated with malnutrition among primary and middle school students.

primary and middle school studentsnutrition statusundernutritionoverweightobesity

黄钦海、余石群、陈小敏、曾煜球

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云浮市疾病预防控制中心公共卫生科,广东 云浮 527300

中小学生 营养状况 营养不足 超重 肥胖

云浮市科技计划

WS2021030602

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(5)
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