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儿童肥胖影响因素及干预措施研究进展

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目前随着社会发展,人们生活水平大幅提升,儿童肥胖发生率也在日益上升,现已成为发达国家和发展中国家常见的公共卫生问题.肥胖不仅是一种疾病,还是许多其他疾病发生的危险因素,与高血压、糖尿病、非酒精性脂肪性肝病、阻塞性睡眠呼吸暂停综合征、血脂异常等疾病息息相关,对儿童生理及心理健康都会产生较大影响.另外,引起儿童肥胖的原因并非单一因素,而是多方面共同作用的结果.因此,为保障儿童身心健康,明确导致儿童肥胖的危险因素极为重要,以便采取适当的干预措施,对于控制儿童肥胖及降低肥胖发生率至关重要.研究从探究儿童肥胖影响因素及干预措施的角度出发,通过探索相关国内外文献,指出儿童肥胖影响因素主要有孕期营养状况、喂养方式、饮食习惯、运动过少、睡眠不足、基因遗传、周围环境影响、情绪心理障碍、其他代谢疾病等,干预措施主要集中在生活行为干预、环境干预、心理干预及医学干预方面.然而在目前的干预措施方面仍存在一些问题,如儿童心理抵触情绪较大,干预措施难以系统开展,难以长期维持;后续跟踪随访缺失,有效可观察病例较少等,还需要进一步探讨更为有效且实施性强的干预措施.
Research progress on influencing factors and intervention measures of childhood obesity
At present,with the development of society,people's living standards have been greatly improved,and the incidence of childhood obesity is also increasing,and it has become a common public health problem in developed and developing countries.Obesity is not only a disease,but also a risk factor for many other diseases.It is closely related to hypertension,diabetes,non-alcoholic fatty liver disease,obstructive sleep apnea syndrome,dyslipidemia and other diseases,and has a great impact on children's physical and mental health.In addition,the cause of child-hood obesity is not a single factor,but the result of the interaction of many aspects.Therefore,in order to ensure the physical and mental health of children,it is very important to systematically identify the risk factors leading to childhood obesity.Appropriate interventions can be taken to clarify the influencing factors.Appropriate interventions are essential to control childhood obesity and reduce the incidence of obesity.From the perspective of exploring the influencing factors and intervention measures of childhood obesity,this paper points out that the influencing factors of childhood obesity mainly include nutritional status during pregnancy,feeding patterns,eating habits,too little exercise,lack of sleep,genetic inheritance,environmental impact,emotional and psychological disorders,and other metabolic diseases through exploring relevant domestic and foreign literatures.Intervention measures mainly focus on life behavior intervention,environmental intervention,psychological intervention and medical intervention.However,there are still some problems in the current intervention measures,such as children's psychological resistance is large,intervention measures are difficult to carry out systematically,and they are difficult to maintain for a long time;lack of follow-up,and few effective observable cases,etc.It is necessary to further explore more effective and implementable intervention measures.

ChildrenObesityInfluencing factorsIntervention measures

李慧敏、唐温、胡淑萍

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天津中医药大学第一附属医院,天津,300193

国家中医针灸临床医学研究中心,天津,300193

天津中医药大学,天津,301617

儿童 肥胖 影响因素 干预措施

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(21)