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广州市儿童生命早期因素与超重肥胖的关联

张婧姝 桂曌环 谭恺韫 陈亚军

张婧姝, 桂曌环, 谭恺韫, 陈亚军. 广州市儿童生命早期因素与超重肥胖的关联[J]. 中国学校卫生, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031
引用本文: 张婧姝, 桂曌环, 谭恺韫, 陈亚军. 广州市儿童生命早期因素与超重肥胖的关联[J]. 中国学校卫生, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031
ZHANG Jingshu, GUI Zhaohuan, TAN Kaiyun, CHEN Yajun. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031
Citation: ZHANG Jingshu, GUI Zhaohuan, TAN Kaiyun, CHEN Yajun. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031

广州市儿童生命早期因素与超重肥胖的关联

doi: 10.16835/j.cnki.1000-9817.2021.09.031
基金项目: 

国家自然科学基金项目 81673193

详细信息
    作者简介:

    张婧姝(1996-),女,陕西汉中人,在读硕士,主要研究方向为环境健康和儿童慢性病

    通讯作者:

    陈亚军,E-mail:chenyj68@mail.sysu.edu.cn

  • 中图分类号: R723.14  R179

Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou

  • 摘要:   目的  探讨广州市6~11岁儿童生命早期因素与超重肥胖之间的关系, 为儿童超重肥胖的预防提供科学依据。  方法  基线采用分层整群随机抽样的方法, 于2017年抽取广州市5所小学共5 172名学生作为研究对象, 进行2年的随访, 最终纳入学生3 315名。通过问卷调查收集学生的生命早期因素, 并测量基线和随访中身高和体重等指标。采用Logistic回归分析儿童生命早期因素与超重肥胖的关系。  结果  广州市6~11岁儿童超重肥胖发生率为8.7%。校正混杂因素后, Logistic回归分析显示, 母亲孕前消瘦的儿童超重肥胖发生风险比母亲孕前正常体重的儿童降低了46%(OR=0.54, 95%CI=0.38~0.76);母亲孕期增重过多的儿童超重肥胖发生风险比孕期增重正常的儿童增加了55%(OR=1.55, 95%CI=1.14~2.10);与自然分娩儿童相比, 剖宫产的儿童超重肥胖发生风险增加了30%(OR=1.30, 95%CI=1.00~1.68)(P值均 < 0.05)。  结论  母亲孕期增重过多和剖宫产增加儿童超重肥胖的发生风险, 母亲孕前消瘦降低儿童超重肥胖的发生风险。
  • 表  1  不同组别儿童超重肥胖检出率比较

    Table  1.   General characteristics of the children in the study at baseline

    变量 选项 人数 超重肥胖人数 χ2 P
    性别 1 680 177(10.5) 14.66 < 0.01
    1 635 111(6.8)
    父母文化程度 初中及以下 107 12(11.2) 7.46 0.06
    高中或中专 353 21(5.9)
    大专或职大 653 69(10.6)
    本科及以上 2 145 179(8.3)
    肥胖家族史 459 49(10.7) 2.60 0.11
    2 814 236(8.4)
    户外活动时间/(h·d-1) < 1 1 155 98(8.5) 5.69 0.13
    1~1.9 1 507 119(7.9)
    2~4 448 47(10.5)
    >4 135 17(12.6)
    母亲孕前体重 正常 2 447 241(9.8) 15.95 < 0.01
    消瘦 805 43(5.3)
    超重或肥胖 63 4(6.3)
    孕期增重 正常 1 342 101(7.5) 12.08 < 0.01
    不足 1 106 87(7.9)
    过多 867 100(11.5)
    分娩方式 自然分娩 1 541 120(7.8) 2.94 0.09
    剖宫产 1 774 168(9.5)
    出生体重 适于胎龄儿 2 770 240(8.7) 0.72 0.70
    小于胎龄儿 370 30(8.1)
    大于胎龄儿 175 18(10.3)
    喂养方式 纯母乳喂养 1 000 98(9.8) 7.08 0.03
    混合喂养 1 752 131(7.5)
    人工喂养 563 59(10.5)
    注: ( )内数字为检出率/%。部分项目存在人数缺失。
    下载: 导出CSV

    表  2  生命早期因素对儿童期超重肥胖发生的Logistic回归分析[OR值(OR值95%CI)]

    Table  2.   Adjusted odds ratio and 95% confidence interval for the incidence of overweight and obesity related to early-life factors[OR(OR 95%CI)]

    自变量 男生(n=1 680) 女生(n=1 635) 合计(n=3 315)
    孕前体重
        正常 1.00 1.00 1.00
        消瘦 0.50(0.32~0.78)* 0.62(0.36~1.07) 0.54(0.38~0.76)*
        超重或肥胖 0.52(0.12~2.24) 0.99(0.23~4.37) 0.70(0.25~1.97)
    孕期增重
        正常 1.00 1.00 1.00
        不足 0.81(0.53~1.22) 1.58(0.98~2.56) 1.07(0.78~1.45)
        过多 1.55(1.06~2.29)* 1.56(0.94~2.59) 1.55(1.14~2.10)*
    分娩方式
        自然分娩 1.00 1.00 1.00
        剖宫产 1.38(0.99~1.94) 1.15(0.77~1.74) 1.30(1.00~1.68)*
    出生体重
        适于胎龄儿 1.00 1.00 1.00
        小于胎龄儿 0.85(0.49~1.46) 0.85(0.42~1.73) 0.84(0.54~1.29)
        大于胎龄儿 1.65(0.86~3.15) 1.10(0.46~2.61) 1.37(0.82~2.29)
    喂养方式
        纯母乳喂养 1.00 1.00 1.00
        混合喂养 0.71(0.49~1.04) 0.90(0.57~1.42) 0.79(0.59~1.06)
        人工喂养 1.16(0.73~1.82) 1.31(0.73~2.35) 1.23(0.86~1.75)
    注: *P < 0.05。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2020-11-19
  • 修回日期:  2021-01-10
  • 网络出版日期:  2021-09-24
  • 刊出日期:  2021-09-24

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