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中国儿童青少年零食消费状况及其与超重肥胖的关联

黄绯绯 张继国 李园 郭春雷 王惠君

黄绯绯, 张继国, 李园, 郭春雷, 王惠君. 中国儿童青少年零食消费状况及其与超重肥胖的关联[J]. 中国学校卫生, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009
引用本文: 黄绯绯, 张继国, 李园, 郭春雷, 王惠君. 中国儿童青少年零食消费状况及其与超重肥胖的关联[J]. 中国学校卫生, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009
HUANG Feifei, ZHANG Jiguo, LI Yuan, GUO Chunlei, WANG Huijun. Snack consumption of children and adolescents in China and its correlation with overweight and obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009
Citation: HUANG Feifei, ZHANG Jiguo, LI Yuan, GUO Chunlei, WANG Huijun. Snack consumption of children and adolescents in China and its correlation with overweight and obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009

中国儿童青少年零食消费状况及其与超重肥胖的关联

doi: 10.16835/j.cnki.1000-9817.2023.09.009
详细信息
    作者简介:

    黄绯绯(1987-),女,北京市人,博士,副研究员,主要研究方向为公共营养与健康

    通讯作者:

    郭春雷,E-mail: gclwyf@163.com

    王惠君,E-mail:wanghj@ninh.chinacdc.cn

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R155.1  R153.2  R723.14

Snack consumption of children and adolescents in China and its correlation with overweight and obesity

  • 摘要:   目的  了解中国儿童青少年零食消费现状及其与超重肥胖的关联,为制定预防和控制中国儿童青少年超重肥胖策略提供依据。  方法  选取“中国健康与营养调查”项目2018年中国十五省、自治区、直辖市6~17岁儿童青少年共1 882名作为调查对象,采用连续3 d 24 h膳食回顾法调查零食消费状况,通过聚类分析法探索零食消费模式,并利用Logistic回归分析零食消费与超重肥胖的关联。  结果  儿童青少年零食消费率为60.6%,供能比为2.4%。零食消费特征可分为4个模式,模式1以每天只摄入中等量水果为特征,模式2以每天摄入少量水果和焙烤类为特征,模式3以每天只摄入少量水果为特征,模式4以每天摄入中等量奶类和少量水果为特征。调整能量摄入等相关协变量后,与不吃零食者相比,不同零食消费模式组发生超重肥胖风险的OR值(95%CI)分别为1.56(0.93~2.58),0.81(0.51~1.24),1.24(0.94~1.63),1.00(0.60~1.63),零食供能比自低至高四分位分组超重肥胖风险的OR值(95%CI)分别为1.17(0.81~1.68),1.32(0.92~1.89),1.12(0.77~1.61),1.00(0.69~1.45),均无统计学意义(P值均>0.05)。  结论  中国儿童青少年消费零食比例较高,种类以水果及其制品、奶类及其制品和焙烤类为主,未发现零食消费与超重肥胖的关联。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同年龄段城乡儿童青少年各类零食消费率比较

    Table  1.   Comparison of consumption rate of snacks in different age groups among children in urban and rural areas

    组别 人数 统计值 豆类及其制品 蔬菜及其制品 水果及其制品 坚果 肉类及其制品 奶类及其制品 蛋类及其制品
    年龄段/岁
      6~12 1 406 15(1.1) 32(2.3) 674(47.9) 105(7.5) 41(2.9) 345(24.5) 13(0.9)
      13~17 476 7(1.5) 13(2.7) 226(47.5) 36(7.6) 13(2.7) 122(25.6) 5(1.1)
    P 0.46 0.60 0.87 0.92 1.00 0.67 0.79
    城乡
      城市 660 7(1.1) 14(2.1) 383(58) 67(10.2) 16(2.4) 226(34.2) 7(1.1)
      农村 1 222 15(1.2) 31(2.5) 517(42.3) 74(6.1) 38(3.1) 241(19.7) 11(0.9)
    P 0.83 0.64 < 0.01 < 0.01 0.47 < 0.01 0.81
    合计 1 882 22(1.2) 45(2.4) 900(47.8) 141(7.5) 54(2.9) 467(24.8) 18(1.0)
    组别 人数 统计值 水产类 速食食品 焙烤类 饮料 糖果巧克力 冰淇淋 膨化食品
    年龄段/岁
      6~12 1 406 4(0.3) 45(3.2) 229(16.3) 49(3.5) 91(6.5) 8(0.6) 53(3.8)
      13~17 476 1(0.2) 26(5.5) 80(16.8) 28(5.9) 19(4.0) 1(0.2) 30(6.3)
    P 1.00 0.04 0.78 0.03 0.05 0.46 0.03
    城乡
      城市 660 1(0.2) 21(3.2) 118(17.9) 28(4.2) 34(5.2) 2(0.3) 36(5.5)
      农村 1 222 4(0.3) 50(4.1) 191(15.6) 49(4.0) 76(6.2) 7(0.6) 47(3.8)
    P 0.66 0.38 0.22 0.81 0.41 0.51 0.13
    合计 1 882 5(0.3) 71(3.8) 309(16.4) 77(4.1) 110(5.8) 9(0.5) 83(4.4)
    :()内数字为消费率/%。
    下载: 导出CSV

    表  2  不同零食模式特征儿童青少年零食消费情况[M(P25, P75)]

    Table  2.   Characteristics of different snack consumption patterns among children and adolescents[M(P25, P75)]

    模式 人数 水果及其制品/(g·d-1) 奶类及其制品/(g·d-1) 焙烤类/(g·d-1) 总能量摄入/(kcal·d-1) 零食能量摄入/(kcal·d-1) 零食供能比/%
    1 104 207.5(171.6, 250.8) 0(0, 55.6) 0 1 945.9(1 596.9, 2 256.2) 148.9(116.3, 234.4) 8.8(6.2, 12.7)
    2 175 62.8(0, 126.9) 0(0, 75.0) 35.0(29.6, 53.3) 1 956.5(1 567.5, 2 397.6) 281.6(204.2, 413.2) 14.8(10.8, 21.4)
    3 646 50.0(25.7, 83.3) 0(0, 36.9) 0 1 553.9(1 233.7, 1 920.4) 61.6(34.0, 106.5) 3.9(2.2, 7.7)
    4 144 65.4(16.7, 140.0) 166.7(150.0, 220.6) 0 1 693.9(1 369.0, 2 260.9) 192.1(135.0, 284.9) 11.5(7.9, 16.5)
    下载: 导出CSV
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  • 收稿日期:  2023-03-23
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  • 网络出版日期:  2023-09-28
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