佛山地区7~17岁儿童肥胖的流行现状及影响因素分析

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摘要目的调查佛山地区7~17岁青少年儿童超重及肥胖的检出率及分布情况,分析相关影响因素。方法采用多阶段分层随机抽样方法抽取南海区2个街道6个镇共17124户中7~17岁常住居民进行调查。采用入户面对面访谈的方法,并进行相关人体测量。采用中国肥胖问题工作组青少年超重肥胖标准计算超重肥胖检出率,用SPSS13.0统计软件进行多因素Logistic回归分析,查找青少年儿童超重肥胖的相关影响因素。结果佛山地区青少年儿童体重指数均值为18. 26±3.14,超重、肥胖的检出率分别为7.9%、4.5%。男女生超重、肥胖检出率分别为10.1%、 5.1%和5.3%、3.7%,差异均有统计学意义。多因素Logistic回归显示,与7~10岁儿童相比,13岁以上各年龄组超重肥胖的风险均明显下降,OR值分别为0.370、0.264,P均<0.01。其他包括性别0.544(0.443~0.668)、挑食0.692(0.560~0.857)、每天刷牙0.560(0.315~0.994)、每天玩电脑看电视时间1.398(1.007~1.942)及睡眠状况0.494(0.352~0.695)是青少年超重肥胖的影响因素。结论佛山地区青少年儿童超重肥胖率超过全国平均水平,成为严重的公共卫生问题,应以7~13岁儿童作为重点人群,通过改善饮食习惯和行为生活方式,加强体育锻炼等防治措施控制和降低超重肥胖的发生率。

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	周泉
	王培席
	周志衡
	李芳健
	王家骥

关键词 ：青少年, 超重, 肥胖, Logistic回归

Abstract：The aim of this study was to analyze the incident of overweight and obesity of 7~17 years old teenagers in FoShan in 2010 and identify the influencing factors. Methods Muti-stage random sampling was used, people aged 7~17 years from 17124 families were selected in 8 geographical regions of FoShan in 2010. Data of these residents were collected with questionnaire by face-to-face interview. Physical examinations were taken by trained interviewers. Adopt China(WGOC) childhood BMI standard was used to calculated the incidence of overweight and obesity. And Spss 13.0 software package were used to analyze the influencing factors of childhood overweight and obesity. Results Among 4583 teenagers of 7~17years old investigated, the incidence of overweight and obesity was 7.9%,4.5%. Boys＇incidence of overweight and obesity was10.1%,5.1%;being 5.3%,and 3.7%in girls, The differences were statistically significant. LOGISTIC regression showed that compare to age under 13 years old, the risk of overweight and obesity were higher in 13 years and older(OR:0.370/0.294, P<0.001,both). Other related factors include sex0.544(0.443~0.668)、particular about food0.692(0.560~0.857)、brushing every day0.560(0.315~0.994)、time for watch TV and play computer1.398(1.007~1.942) and sleep0.494(0.352~0.695). Conclusion The overweight and obesity of FoShan are above the national average. To control and reduce this situation, There should be some effective measure on eating habit, behavior life style, and physical exercise improvement, especially for those 7~13 years old.

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周泉, 王培席, 周志衡, 李芳健, 王家骥. 佛山地区7~17岁儿童肥胖的流行现状及影响因素分析[J]. 实用预防医学, 2014, 21(11): 1394-1396. ZHOU Quan, WANG Jiaji, LI Fangjian, KUANG Shaobing, PAN Xuhong WANG Peixi. Incident of overweight and obesity of 7~17 years old teenagers and the influencing factors in FoShan.. , 2014, 21(11): 1394-1396.

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