【摘要】 目的了解南通市2~12岁儿童单纯性肥胖的流行现况及其影响因素,为制定儿童肥胖防制策略提供科学依据。方法采用整群随机抽样方法,对南通市2641名2~12岁儿童进行体格检查,筛选单纯性肥胖儿童后采用病例对照研究方法对儿童进行问卷调查,分析其相关影响因素。结果2641名2~12岁儿童中筛查出单纯性肥胖者173例,总检出率为6.55%,其中男性100例(7.24%),女性73例(5.80%)。2~6岁儿童单纯性肥胖49例(5.56%),轻、中、重度肥胖检出率分别为3.51%,1.25%,0.79%;7~12岁儿童单纯性肥胖124例(7.05%)。非条件Logistic回归分析结果显示,肥胖家族史(P=0.012)、出生时的生产方式(P=0.003)、进食速度(P=0.001)、既往食欲(P=0.002)、暴食暴饮(P=0.004)以及对体型的看法(P=0.012)等6个因素与肥胖发生相关。结论开展广泛的健康教育,积极纠正儿童不良饮食习惯与审美观念,控制其高能量、高脂肪食品的过量摄入有助于减少儿童肥胖的发生。更多还原

【Abstract】 Objective To study the prevalence and risk factors of simple obesity among children in Nantong, and to provide evidence for the intervention measures against children’s obesity. Methods The simple obese cases came from a cluster random sample of 2 461 children aged 2-12 were tested by a physical examination. A case-control study was conducted to analyze the risk factors of simple obesity. Results Among 2 641 children, 173 were diagnosed as simple obesity, and the prevalence rate was 6.55%, 7.24% ( 100 children) for boys and 5.80%(73 children) for girls. The prevalence rates of slight, moderate and serious obesity in children aged 2-6 was 3.51%, 1.25% and 0.79% respectively. The prevalence rate of simple obese in children aged 7-12 was 7.05%. The results of non-conditional-logistic regression analysis indicated that history of familial obesity (P=0.012), parturition mode (P= 0.003), eating speed(P=0.001), appetite in the past (P=0.002), excessive intake of food(P=0.004) and the children’s attitude to figure(P=0.012) were correlated to obesity. Conclusion Health education on sound life style and eating habits should be emphasized to induce the incidence of obesity in children.更多还原