冯承芸,邓冰,熊敏
FENG Cheng-yun; DENG Bing; XIONG Min (School of Public Health;

• 1:贵阳医学院预防医学系
• 2:贵阳医学院预防医学系
• 3:贵阳医学院预防医学系 贵州贵阳550004
• 4:贵州贵阳550004

摘要(Abstract)：

目的 :了解贵阳地区儿童单纯性肥胖症的现况及危险因素 ,为家长、教育系统实施干预提供依据 ,更好地预防成年期相关疾病的发生。方法 :随机整群抽取贵阳地区 7所学校学生进行体检 ,用身高标准体重法进行肥胖筛查 ,再随机抽取其中 3所学校部分学生进行危险因素问卷调查。结果 :肥胖检出率为 11 11% (男13 71% ,女 8 4 5 % ) ,肥胖高峰年龄为 9～ 11岁 ,肥胖分度构成中轻度为 4 9 92 % ,中、重度为 5 0 0 8% ,超重人数与肥胖人数比为 1 15。危险因素分析发现 ,有肥胖家族史、父母经济收入高、过早添加固体辅食、特殊饮食习惯及体育锻炼时间过少为肥胖主要危险因素。结论 :儿童单纯性肥胖症发生率高于以往水平 ,呈明显上升趋势 ,且中、重度肥胖比率较高。肥胖为遗传、环境、不良生活方式等多因素镶嵌作用而形成。
Objective: To know the prevalence and the affecting factors of simple obesity in children of Guiyang district, so as to obtain scientific basis to interferential measures for parents and schools.Methods: A stratified-cluster sampling method was used to investigate among the students of 7 primary schools by height-weight method. In addition, some of the students from 3 schools were chosen randomly to answer the questionnaire about risk factors.Results: The total obesity rate was 11.11%, and the obesity rate of males was higher than that of females (13.71% versus 8.45%). The peak age of obesity was 9-11 years old. The composition of obesity grading was that light obesity occupied 49.92%, and more than half of the obese students were moderate to severe obesity (50.08%). The ratio of over-weight versus obesity was 1.15. Risk factor analysis showed that familial aggregation, higher-income of the family, too early feeding with solid supplementary foods, special dietary habit, and lack of physical exercise were the main risk factors for simple obesity.Conclusions: The obesity incidence in Guiyang district from this survey is much higher than those from previous studies, and it has an increasing tendency. The main causes of obesity include genetic and environmental factors and unhealthy life-style behaviors.

关键词(KeyWords)： 肥胖症;危险因素;儿童;贵阳
obesity; risk factors; child; Guiyang

Abstract:

Keywords:

基金项目(Foundation): 贵州省卫生厅资助项目 (G2 0 0 2 1 8)

作者(Authors): 冯承芸,邓冰,熊敏
FENG Cheng-yun; DENG Bing; XIONG Min (School of Public Health;

DOI: 10.19367/j.cnki.1000-2707.2004.05.011

参考文献(References)：

• [1]吕书红.儿童肥胖流行趋势及干预对策研究[J].中国健康教育杂志,2002,8(18):526-528.
• [2]王幕狄.儿科学[M].第4版.北京:人民卫生出版社,1998.70.
• [3]丁宗一.儿童单纯肥胖症诊断方法学[J].中华儿科杂志,1999,4:246.
• [4]赵允忠,田琰玲,王雄飞,等.贵阳市小学生肥胖调查及血液生化指标的研究[J].中国学校卫生,1992,13(3):159.
• [5]邓冰.贵阳市城区儿童少年肥胖及相关因素研究[J].贵阳医学院学报,1999,4(24):352.
• [6]丁宗一.中国城区0～7岁儿童单纯性肥胖症流行病学调查[J].营养学报,1989,11(3):266.
• [7]LeibelP ,GregoryJ ,WhiteA .Physicalactivityandbodyfatnessinpreschoolchildren[J].IntJObes,1995,19(1):6-10.
• [8]陈松平,沈慧芬.儿童饮食因素与肥胖危险性的配对研究[J].中国校医,2001,15(5):337-338.

文章评论(Comment)：