【作者】 李荔； 徐培培； 杨媞媞； 甘倩； 曹薇； 潘慧； 许娟； 胡小琪； 张倩；

【Author】 Li Li;Xu Peipei;Yang Titi;Gan Qian;Cao Wei;Pan Hui;Xu Juan;Hu Xiaoqi;Zhang Qian;National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention;

【机构】 中国疾病预防控制中心营养与健康所；

【摘要】 目的分析中国6～17岁儿童早餐频度与营养状况之间的关系。方法数据来自2010—2012年中国居民营养与健康状况监测。采用多阶段分层与人口成比例的整群随机抽样的方法进行抽样,共选取6～17岁儿童28 431名作为研究对象。采用食物频率法调查儿童过去1周吃早餐频度,并收集身高、体重及个人基本信息等资料。结果过去1周不吃早餐的儿童营养不足率为16. 5%(59/356),其中生长迟缓率和消瘦率分别为5. 6%(20/358)、11. 0%(39/356),均高于每天吃早餐的儿童(P <0. 05)。不吃早餐的儿童发生生长迟缓、消瘦、营养不足的风险分别是每天吃早餐儿童的1. 855(95%CI 1. 149～2. 995)、1. 449(95%CI 1. 017～2. 065)和1. 646(95%CI 1. 220～2. 221)倍。过去1周每天吃早餐的儿童超重肥胖率更高为17. 1%(4347/25 360)(P <0. 05)。Logistic多元回归分析结果表明,儿童食用早餐频度不是儿童超重肥胖的影响因素。结论不吃早餐的儿童发生营养不足的危险性大于每天食用早餐的儿童,不吃早餐是影响中国6～17岁儿童营养不足的独立危险因素。更多还原

【Abstract】 Objective To study the relationship between the frequency of breakfast and nutrition status of children aged 6-17 in China. Methods Data were collected from China National Nutrition and Health Surveillance in 2010-2012. By using multi-stage stratified sampling and population proportional stratified random sampling method,the research objects were 28 431 children aged 6-17 years. The information of breakfast frequency in the past week were collected by questionnaire,the child’s height,weight and personal basic information were also collected. Results The rate of malnutrition for children who did not eat breakfast in the past week was 16. 5%( 59/356),the rates of stunting and wasting were 5. 6%( 20/358) and 11. 0%( 39/356) respectively,which were significantly higher than the rates of children who ate breakfast everyday( P <0. 05). The risks of stunting,wasting and malnutrition in children who did not havebreakfast were 1. 855( 95% CI 1. 149-2. 995),1. 449( 95% CI 1. 017-2. 065) and1. 646( 95% CI 1. 220-2. 221) times,respectively,of the ones who had breakfast every day. The overall rate of overweight and obesity for children who had breakfast every day was 17. 1%( 4347/25360),which was significantly higher than the rate of children who did not eat breakfast( P < 0. 001),Logistic regression analysis showed that breakfast frequency was not a factor affecting children’s overweight and obesity. Conclusion The risks of malnutrition prevalence for the children who don’t have breakfast are more than the ones who have breakfast every day. Breakfast skipping is an independent factor to malnutrition that can increase risk of malnutrition.更多还原