【摘要】 目的对学龄期儿童进行群体性肥胖干预,探讨儿童肥胖干预对儿童身高发育水平的影响。方法在厦门市肥胖发生率较高的地区选择条件基本相同的两所小学,1所为干预学校,1所为对照学校。干预学校开展"中国/WHO以肥胖控制为切入点发展健康促进项目"活动,对照学校不开展相关活动。2006年4月—2010年4月,对两所学校各840名学生进行每月一次的身高、体重监测,持续监测5年。结果干预后,干预学校学生的超重率和肥胖率显著下降(χ2=27.198,P<0.001),干预学校学生的体质指数(BMI)均值下降明显,与对照学校学生比较,差异有统计学意义(t=-93.814,P<0.01)。干预学校学生干预后的BMI值与干预前BMI值相减求差值,对照学校学生也与自己干预前BMI值相减求差值,对两组差值进行独立样本t检验,差异有统计学意义(t=-89.785,P<0.01)。干预学校学生干预后的身高值与干预前身高值相减求差值,对照学校学生也与干预前身高值相减求差值,对两组差值进行独立样本t检验,差异无统计学意义(t=-1.117,P>0.05)。结论对学龄期儿童进行肥胖干预不会影响儿童的身高发育。要有效地控制儿童肥胖,需要创造良好的控胖环境支持,需要学校、家长、社会共同开展长期的、多方面的、可持续性的干预活动。更多还原

【Abstract】 Objective To explore the effect of group obesity intervention on body height development in overweight and obese children in primary schools in Xiamen.Methods Two primary schools with same basic conditions and located in the areas with high incidence rate of obesity in Xiamen were selected,one as the intervention group,and another as a control group.In the intervention school,a program of "focus on obesity control to create health-promoting school" and related health promotion were carried out,but no program and activities were did in the control school.The baseline survey was finished before April 2006 in two schools and then the 840 students were followed-up for 5 years,tracking and taken weight measurement once per month.Results After the intervention,the rates of overweight and obesity in the intervention school were decreased(χ2=27.198,P<0.001)and the mean BMI dropped significantly(t=-93.814,P<0.01).The difference values of BMI after and before intervention between two schools were statistically significant(t=-89.785,P<0.01).But the difference values of body height after and before intervention between two schools had no statistical significance(t=-1.117,P>0.05).Conclusion The intervention to obesity in children had no significant effect on their body development.更多还原