Abstract：Objective To survey the prevalence of obesity among school-aged children in Hai'an City, and to analyze its influencing factors so as to provide a scientific basis for early intervention of obesity in school-age children. Methods A stratified random cluster sampling method was used to select 2,480 students from grades I-VI of two primary schools in Hai'an City to serve as the surveyed subjects. The body mass index (BMI) value of the students was calculated through anthropometric measurements. The prevalence of obesity was recorded according to the BMI Classification Reference for Overweight and Obesity in Chinese Children and Adolescents. The factors related to the prevalence of obesity among the school-aged children were surveyed using self-made Questionnaire on Health Status and Health Behavior in School-aged Children in Hai'an City. Univariate χ2 test and multivariate logistic regression analysis were conducted to explore the related influencing factors of obesity among the school-aged children in Hai'an City. Results In this study, the prevalence rate of obesity among the school-aged children in Hai'an City was 11.49% (285/2,480). Univariate χ2 test and multivariate logistic regression analysis revealed that having a family history of obesity (OR=3.391, 95%CI:2.019-5.700), having a preference for snacks and beverages (OR=3.804, 95%CI:1.988-7.277), having a preference for western fast-food (OR=3.149, 95%CI:2.030-4.884), having a preference for meat (OR=2.713, 95%CI:1.829-4.023), exercise for less than 2 hours per day (OR=2.795, 95%CI:1.845-4.236), parents often satisfying their children with food of their choice (OR=3.785, 95%CI:1.986-7.213), and parents' lack of understanding of the adverse consequences of obesity (OR=4.141, 95%CI:2.021-8.486) were risk factors affecting obesity among the school-aged children in Hai'an City (P<0.05). Conclusion The prevalence rate of obesity was high among the school-aged children in Hai'an City, and it was associated with a variety of factors. Special attention should be paid to the school-aged children's obesity. It is necessary to strengthen the publicity and education so as to promote good living habits and behaviors in the school-aged childrenand reduce and prevent the occurrence of obesity.
杨慧, 吉小军, 袁伯稳. 海安市学龄期儿童肥胖流行情况及影响因素分析[J]. 实用预防医学, 2024, 31(1): 35-38.
YANG Hui, JI Xiaojun, YUAN Bowen. Prevalence of obesity and its influencing factors among school-aged children in Hai'an City. , 2024, 31(1): 35-38.
[1] Firman N, Wilk M, Harper G, et al. Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review[J]. BMJ Paediatr Open, 2022, 6(1):e001528. [2] Nagpal N, Messito MJ, Katzow M, et al. Obesity in children[J]. Pediatr Rev, 2022, 43(11):601-617. [3] 何炜. 富阳区学龄期儿童肥胖现状调查及影响因素分析[J]. 中国妇幼保健, 2019, 34(1):160-162. [4] Jebeile H,Kelly AS,O'Malley G,et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endo, 2022, 10(5):351-365. [5] 闫冰, 庞随军. 儿童肥胖的危害研究进展[J]. 新乡医学院学报, 2018, 35(9):840-842. [6] Hu Y, Ding G, Lv C, et al. Association between triclosan exposure and obesity measures among 7-year-old children in northern China[J]. Ecotoxicol Environ Saf, 2022, 239:113610. [7] 徐雁,邓小龙,黄亦明,等. 江岸区学龄前儿童单纯性肥胖现状调查及影响因素分析[J].实用预防医学, 2020, 27(6):750-754. [8] 中国肥胖问题工作组. 中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102. [9] 曹志娟, 陈瑶, 叶周丰, 等. 上海市某区7～13岁学生超重和肥胖流行趋势[J].中国儿童保健杂志, 2020, 28(2):128-130. [10] 胡霄,李丽,欧阳一非,等. 2000—2018年中国十六省(自治区、直辖市)7~17岁儿童青少年超重与肥胖流行趋势[J]. 卫生研究, 2022, 51(4):568-573. [11] 江载芳,申昆玲,沈颖,等. 诸福棠实用儿科学[M].第8版.北京:人民卫生出版社.2015:593-597. [12] Wang J,Lin H,Chiavaroli V,et al. High prevalence of cardiometabolic comorbidities among children and adolescents with severe obesity from a large metropolitan centre (Hangzhou, China)[J]. Front Endocrinol (Lausanne), 2022, 13:807380. [13] 梁轶,张杰兰,王芳,等. 泸州市小学生超重肥胖现状及其与5-2-1-0模式的相关性[J].华南预防医学,2022,48(11):1301-1304. [14] 高梅影, 薛琨, 郭红卫, 等. 不同方法、标准评价上海市浦东新区学龄儿童超重肥胖率[J].中国儿童保健杂志, 2020, 28(2):131-134. [15] 陈新春,寇永妹,刘晓璐,等. 唐山市7～14岁肥胖儿童非酒精性脂肪肝流行现状及危险因素初步分析[J].中国儿童保健杂志,2021,29(6):669-673. [16] 李源渊,刘莉,钟勇. 学龄期肥胖与体质量正常儿童血清25羟维生素D水平及其与儿童肥胖程度及糖脂代谢的关系[J]. 安徽医药,2018,22(1):88-91. [17] 马春利. 小儿肥胖的流行情况及导致肥胖的心理健康因素调查[J]. 中国妇幼保健, 2019, 34(3):657-660. [18] 欧阳范献,杨亮亮,徐慧兰,等. 海口市少年儿童肥胖与饮食行为习惯相关性调查[J].中国热带医学, 2021, 21(8):784-790. [19] 景方圆, 李迎君, 范春红. 中国儿童青少年含糖饮料消费与肥胖的相关性研究[J]. 浙江预防医学, 2018, 30(5):494-497. [20] 廖书杰,方乐耕. 上海市杨浦区新江湾街道学龄期儿童肥胖状况及影响因素调查[J].中国妇幼保健, 2020, 35(18):3475-3477. [21] 刘忠慧,徐渴,孙志颖,等. 2018年天津市中小学生超重肥胖现状及影响因素研究[J].中国慢性病预防与控制,2020,28(10):743-747. [22] 李艳清,黄展,许洁婷,等. 2017—2021年江门市儿童青少年学生超重与肥胖流行趋势分析[J].实用预防医学,2022,29(12):1439-1442.
2024, Vol. 31 
