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河北省3~6岁幼儿肥胖流行特征及相关因素分析

秦剑杰 张璇 毕鑫 郑旭彤

秦剑杰, 张璇, 毕鑫, 郑旭彤. 河北省3~6岁幼儿肥胖流行特征及相关因素分析[J]. 中国学校卫生, 2022, 43(12): 1881-1884. doi: 10.16835/j.cnki.1000-9817.2022.12.029
引用本文: 秦剑杰, 张璇, 毕鑫, 郑旭彤. 河北省3~6岁幼儿肥胖流行特征及相关因素分析[J]. 中国学校卫生, 2022, 43(12): 1881-1884. doi: 10.16835/j.cnki.1000-9817.2022.12.029
QIN Jianjie, ZHANG Xuan, BI Xin, ZHENG Xutong. Prevalence and associated factor of obesity in children aged 3-6 years in Hebei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(12): 1881-1884. doi: 10.16835/j.cnki.1000-9817.2022.12.029
Citation: QIN Jianjie, ZHANG Xuan, BI Xin, ZHENG Xutong. Prevalence and associated factor of obesity in children aged 3-6 years in Hebei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(12): 1881-1884. doi: 10.16835/j.cnki.1000-9817.2022.12.029

河北省3~6岁幼儿肥胖流行特征及相关因素分析

doi: 10.16835/j.cnki.1000-9817.2022.12.029
基金项目: 

河北省社会科学基金项目 HB19TY014

详细信息
    作者简介:

    秦剑杰(1979-),男,山西长治人,硕士,副教授,主要研究方向中为少年儿童体质健康

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R 723.14 G 617.8 R 179

Prevalence and associated factor of obesity in children aged 3-6 years in Hebei Province

  • 摘要:   目的  了解河北省3~6岁幼儿肥胖的流行特征以及相关因素,为制定并执行幼儿肥胖防治策略提供参考依据。  方法  采用分层随机整群抽样的方法,抽取河北省11个地市共6 034名3~6岁幼儿作为调查对象,进行体格检查和问卷调查。  结果  河北省3~6岁男、女幼儿的肥胖检出率分别为23.00%和17.48%,差异有统计学意义(χ2=28.51,P<0.01);乡村和少数民族幼儿的肥胖检出率(20.06%,21.68%)分别高于城镇和汉族幼儿(19.97%,20.90%),差异均无统计学意义(χ2值分别为0.01,0.78,P值均>0.05)。多因素Logistic回归分析结果显示,男生(OR=1.45)、出生时体重≥4 000 g(OR=2.80)、每周吃高油脂食品≥3次(OR=1.64)、每周喝碳酸饮料≥3次(OR=4.71)、不喜欢吃水果蔬菜(OR=1.22)、每天进行身体活动<2 h(OR=1.82)、母亲肥胖(OR=2.00)、父亲不参加体育锻炼(OR=1.95)均与河北省幼儿肥胖发生呈正相关(P值均<0.01)。  结论  河北省3~6岁幼儿的肥胖检出率处在较高水平,遗传、不良饮食和生活习惯是幼儿肥胖的相关因素。需要加大对健康知识和幼儿肥胖危害的宣传力度,帮助幼儿养成健康的饮食和生活习惯。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  河北省3~6岁幼儿肥胖相关因素的单因素分析

    Table  1.   Single-factor analysis of the fators related to obesity among young children aged 3-6 years in Hebei Province

    因素 选项 人数 肥胖人数 χ2 P
    出生时体重/g <4 000 3 123 423(13.54) 179.54 <0.01
    ≥4 000 2 911 798(27.41)
    出生后4个月是否母乳喂养 4 273 862(20.17) 0.04 0.85
    1 761 359(20.39)
    是否上幼儿园 5 752 1 132(19.68) 23.51 <0.01
    282 89(31.56)
    每周吃高油脂食品≥3次 2 896 816(28.18) 217.59 <0.01
    3 138 405(12.91)
    每周喝碳酸饮料≥3次 1 810 549(30.33) 163.29 <0.01
    4 224 672(15.91)
    每周吃甜食≥3次 1 509 424(28.10) 70.07 <0.01
    4 525 797(17.61)
    喜欢吃蔬菜水果 5 049 807(15.98) 218.90 <0.01
    985 414(42.03)
    参加文体特长班 1 404 267(19.02) 1.30 0.25
    4 630 945(20.41)
    每天进行身体活动的 3 729 548(14.70) 185.60 <0.01
    时间≥2 h 2 305 673(29.20)
    父亲为专科以上学历 2 641 327(12.38) 179.48 <0.01
    3 393 894(26.35)
    母亲为专科以上学历 1 516 313(20.65) 0.21 0.65
    4 518 908(20.10)
    父亲肥胖 3 615 706(19.53) 2.78 0.10
    2 419 515(21.29)
    母亲肥胖 1 327 343(25.85) 33.20 <0.01
    4 707 878(18.65)
    父亲每周参加1次体育锻炼 4 838 865(17.88) 83.94 <0.01
    1 196 356(29.77)
    母亲每周参加1次体育锻炼 2 580 513(19.88) 0.35 0.56
    3 454 708(20.50)
    注: ()内数字为检出率/%。
    下载: 导出CSV

    表  2  河北省3~6岁幼儿肥胖的多因素Logistic回归分析(n=6 034)

    Table  2.   Multi-factor Logistic regression analysis of obesity among children aged 3-6 years in Hebei Province(n=6 034)

    自变量 选项 β 标准误 Wald χ2 OR
    (OR值95%CI)
    性别 0.33 0.09 8.74 1.45(1.26~1.61)
    出生时体重/g ≥4 000 0.64 0.09 61.21 2.80(2.53~3.13)
    每周吃高油脂食品≥3次 0.45 0.13 13.46 1.64(1.34~2.03)
    每周喝碳酸饮料≥3次 1.68 0.27 76.35 4.71(3.54~5.32)
    每周吃甜食≥3次 1.34 0.15 87.62 5.71(4.17~6.12)
    喜欢吃水果蔬菜 0.41 0.11 7.98 1.22(1.02~1.68)
    每天进行身体活动的时间≥2 h 0.52 0.11 34.58 1.82(1.52~2.11)
    母亲肥胖 0.58 0.12 33.63 2.00(16.86~2.20)
    父亲每周参加1次体育锻炼 0.69 0.18 22.31 1.95(1.46~2.63)
    注: P值均 < 0.01。
    下载: 导出CSV
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  • 收稿日期:  2022-09-01
  • 修回日期:  2022-10-15
  • 网络出版日期:  2022-12-30
  • 刊出日期:  2022-12-25

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