【摘要】 目的探讨婴儿期增重与5岁以下儿童单纯性肥胖的相关性。方法选取2006年至2011年在中山市博爱医院出生的6 746例婴儿进行随访登记,统计相关数据,从中筛选出单纯性肥胖的567例儿童设为肥胖组,并按年龄、性别匹配原则1:1配对者设为对照组,进行父母文化程度、婴儿出生体重、喂养等方面的单因素分析,并进行影响儿童单纯性肥胖的多因素logistics回归分析。结果多因素logistics回归分析显示:与儿童单纯性肥胖显著相关的变量为婴儿出生时的体重(OR=1.94,95%CI=1.56,2.32)、婴儿期前6个月平均增重量(OR=2.17,95%CI=2.11,2.36)及婴儿期后6个月的平均增重量(OR=1.90,95%CI=1.61,2.19),均P<0.05。结论与儿童单纯性肥胖密切相关的影响因素为:婴儿出生时的体重、婴儿期前6个月及添加辅食后6个月的平均增重量。更多还原

【Abstract】 Objective To discuss the correlation between infant weight gain and simple obesity of children under 5 years old.Methods From 2006 to 2011 6 746 infants born at Zhongshan Humanitarian Hospital were registered and followed up.Relevant data were recorded.Totally 567 children with simple obesity were chosen in obesity group,and control group was matched with 1:1 in age and gender.Multiple logistic regression analysis was conducted to analyze the influencing factors of children ’ s simple obesity in the aspects of parents ’educational level,infant birth weight and feeding.Results Multiple logistic regression analysis indicated that simple obesity in children had significant correlation with infant birth weight(OR = 1.94,95%CI = 1.56,2.32),average weight gain during the first 6 months(OR =2.17,95%CI = 2.11,2.36) and average weight gain during the later 6 months(OR = 1.90,95%C/= 1.61,2.19)(all P < 0.05).Conclusion Children’s simple obesity is closely correlated with infant birth weight,average weight gain during the first 6 months and average weight gain during the later 6 months when supplementary food is added.更多还原