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中小学生家长肥胖知信行与子女腹型肥胖发生风险的关联

黄闪 桂曌环 章舒心 姜楠 黄绍逸 普雪娅 陈亚军

黄闪, 桂曌环, 章舒心, 姜楠, 黄绍逸, 普雪娅, 陈亚军. 中小学生家长肥胖知信行与子女腹型肥胖发生风险的关联[J]. 中国学校卫生, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004
引用本文: 黄闪, 桂曌环, 章舒心, 姜楠, 黄绍逸, 普雪娅, 陈亚军. 中小学生家长肥胖知信行与子女腹型肥胖发生风险的关联[J]. 中国学校卫生, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004
HUANG Shan, GUI Zhaohuan, ZHANG Shuxin, JIANG Nan, HUANG Shaoyi, PU Xueya, CHEN Yajun. Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004
Citation: HUANG Shan, GUI Zhaohuan, ZHANG Shuxin, JIANG Nan, HUANG Shaoyi, PU Xueya, CHEN Yajun. Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004

中小学生家长肥胖知信行与子女腹型肥胖发生风险的关联

doi: 10.16835/j.cnki.1000-9817.2022.11.004
基金项目: 

2012年卫生公益性行业科研专项项目 201202010

详细信息
    作者简介:

    黄闪(1999-), 男, 河北邢台人, 在读硕士, 主要研究方向为儿童体质健康与慢性病

    通讯作者:

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

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: G 478 R 723.14 R 179

Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice

  • 摘要:   目的  了解中国7省市中小学生腹型肥胖与家长肥胖相关知识、信念、行为的关联性, 为制定儿童青少年腹型肥胖相关干预措施提供参考。  方法  采用多阶段整群随机抽样的方法, 于2013年9月从中国7省市抽取17 307名正常腰围学生, 进行9个月的随访, 最终14 118名6~18岁儿童青少年纳入分析。通过自制问卷调查收集家长肥胖相关知信行情况, 测量学生基线和随访腰围指标。采用多重线性回归和多因素Logistic回归分别分析家长知信行与子女腰围变化值以及腹型肥胖发生风险的关联性。  结果  6~18岁儿童青少年腹型肥胖前期和腹型肥胖的9个月累积发病率分别为6.67%, 0.85%, 不同性别、年龄间差异均有统计学意义。家长的知识、信念、行为得分率分别为80.17%, 78.17%, 50.50%。校正混杂因素后, 家长信念得分与学生腰围变化值(β=-0.18, 95%CI=-0.26~-0.10)及腹型肥胖前期/腹型肥胖发生风险均呈负相关(OR=0.90, 95%CI=0.82~0.98)(P值均 < 0.05)。  结论  家长对子女肥胖持积极正确的信念与子女腹型肥胖发生风险呈负相关。家长建立正确的健康信念有利于预防儿童青少年腹型肥胖的发生。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同组别学生腹型肥胖9个月累积发病率比较

    Table  1.   Comparison of nine-month cumulative incidence of childhood abdominal obesity among different groups of students

    组别 选项 人数 统计值 腹型肥胖前期 腹型肥胖
    性别 7 453 370(4.96) 32(0.43)
    6 665 571(8.57) 88(1.32)
    χ2 33.14 7.24
    P <0.01 <0.01
    年龄/岁 6~11 8 871 528(5.95) 45(0.51)
    12~18 5 247 413(7.87) 75(1.43)
    χ2 14.84 33.27
    P <0.01 <0.01
    合计 14 118 941(6.67) 120(0.85)
    注:()内数字为发病率/%。
    下载: 导出CSV

    表  2  不同体型学生家长肥胖相关知信行得分比较(x±s)

    Table  2.   Comparison of KAP scores related to obesity among parents of students of different body types(x±s)

    体型 人数 知识 信念 行为 总分
    正常腰围 13 057 9.61±1.42 4.71±1.03 5.05±1.84 19.47±2.53
    腹型肥胖前期 941 9.78±1.19 4.42±0.95 5.04±1.89 19.26±2.46
    腹型肥胖 120 9.65±1.56 4.58±1.01 5.25±1.78 19.61±2.62
    F 6.17 36.50 0.52 2.33
    P <0.01 <0.01 0.60 0.10
    下载: 导出CSV

    表  3  家长肥胖相关知信行对中小学生腰围变化值影响的多重线性回归分析(n=14 118)

    Table  3.   Multiple linear regression of parents' weight-related KAP scores with changes of waist circumference among primary and middle school students(n=14 118)

    家长肥胖KAP得分 模型 β值(β值95%CI) P
    知识 1 0.02(-0.04~0.07) 0.52
    2 0.04(-0.01~0.10) 0.11
    3 0.03(-0.03~0.09) 0.35
    信念 1 0.05(-0.02~0.12) 0.20
    2 -0.13(-0.20~-0.06) <0.01
    3 -0.18(-0.26~-0.10) <0.01
    行为 1 -0.01(-0.05~0.03) 0.56
    2 -0.02(-0.06~0.01) 0.23
    3 -0.01(-0.06~0.03) 0.58
    注:模型1调整基线年龄、性别;模型2在模型1基础上调整基线腰围;模型3在模型2基础上调整分娩方式、出生体重、是否独生子女、父母文化程度、家庭每月总收入、父母是否超重肥胖、城乡。
    下载: 导出CSV

    表  4  中小学生腹型肥胖前期/腹型肥胖发生风险的多因素Logistic回归分析(n=14 118)

    Table  4.   Multivariate Logistic regression of the risk ratio of pre-and abdominal obesity among primary and middle school students(n=14 118)

    自变量 选项 β 标准误 Wald χ2 P OR值(OR值95%CI)
    年龄 -0.55 0.04 246.04 <0.01 0.58(0.54~0.62)
    基线腰围 0.34 0.02 363.64 <0.01 1.41(1.36~1.46)
    家长知识得分 0.05 0.04 1.43 0.23 1.05(0.97~1.13)
    家长信念得分 -0.11 0.05 5.44 0.02 0.90(0.82~0.98)
    家长行为得分 0.01 0.03 0.28 0.59 1.01(0.96~1.07)
    性别 1.00
    1.47 0.11 193.00 <0.01 4.37(3.55~5.38)
    父母文化程度 初中及以下 1.00
    高中 0.04 0.12 0.12 0.73 1.04(0.82~1.32)
    大专 0.04 0.15 0.08 0.77 1.04(0.78~1.40)
    大学及以上 -0.03 0.17 0.04 0.84 0.97(0.70~1.34)
    家庭每月总收入/元 <5 000 1.00
    5 000~7 999 -0.04 0.13 0.10 0.76 0.96(0.74~1.24)
    ≥8 000 -0.18 0.15 1.47 0.23 0.84(0.63~1.12)
    拒绝回答 0.03 0.12 0.08 0.78 1.03(0.82~1.31)
    分娩方式 顺产 1.00
    剖宫产 0.06 0.10 0.37 0.54 1.06(0.87~1.29)
    出生体重 正常体重 1.00
    低出生体重 -0.40 0.21 3.84 0.05 0.67(0.45~1.00)
    高出生体重 0.45 0.14 10.22 <0.01 1.56(1.19~2.05)
    独生子女 1.00
    0.12 0.10 1.28 0.26 1.13(0.92~1.38)
    城乡 农村 1.00
    城市 0.41 0.11 13.65 <0.01 1.50(1.21~1.86)
    母亲肥胖 消瘦/正常 1.00
    超重/肥胖 0.11 0.11 0.92 0.34 1.11(0.90~1.38)
    父亲肥胖 消瘦/正常 1.00
    超重/肥胖 0.25 0.09 7.48 0.01 1.29(1.07~1.54)
    注:父母文化程度指父亲和母亲两者中最高文化程度。
    下载: 导出CSV
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  • 收稿日期:  2022-01-07
  • 修回日期:  2022-03-02
  • 网络出版日期:  2022-11-30
  • 刊出日期:  2022-11-25

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