卡里姆纳加尔区农村学校儿童糖尿病调查及学校层面教育干预措施的影响
Survey of childhood diabetes and impact of school level educational interventions in rural schools in Karimnagar district.
作者信息
Kameswararao A Avasarala, Bachu Anilkrishna
机构信息
Department of Community Medicine and Epidemiology, Prathima Institute of Medical Sciences, Karimnagar - 505 417, AP, India.
出版信息
Int J Diabetes Dev Ctries. 2009 Apr;29(2):69-73. doi: 10.4103/0973-3930.53123.
CONTEXT
Diabetes in children is increasing to epidemic proportions. It is essential to prevent its occurrence by screening for its modifiable risk factors at an earliest time.
AIMS
- To screen for childhood diabetes and its modifiable risk factors like obesity, physical inactivity, excessive eating of sweets, carbohydrate foods and chocolate intake and prolonged TV viewing. 2. To bring about reduction in these risk factors by lifestyle modifications through school health teams.
SETTINGS AND DESIGN
A combined cross-sectional descriptive and interventional design among urban and rural school children was conducted.
MATERIALS AND METHODS
Survey was conducted among 610 school children by 8 resident doctors to know the modifiable risk factors for diabetes. Four educational interventions to reduce and prevent the risk factors were carried out by the school health teams.
STATISTICAL ANALYSIS USED
Proportions; chi(2) test, t-test, cluster sampling.
RESULTS
About 3.5% of children were diabetic. Reductions by 0.33%, 27.5%, 17%, 19% were achieved respectively in obesity, sweets/ chocolates/ carbohydrate rich food consumption, sedentary life and prolonged TV viewing.
CONCLUSIONS
Childhood diabetes burden can be minimized by preventing the development of risk factors like obesity, sedentary life and eating excess of sweets, carbohydrate rich foods and chocolates. School level educational interventions through teacher-parent-child teams will definitely reduce the prevalence of diabetes.
背景
儿童糖尿病正呈流行趋势增加。尽早筛查其可改变的危险因素以预防其发生至关重要。
目的
- 筛查儿童糖尿病及其可改变的危险因素，如肥胖、缺乏身体活动、过多食用甜食、碳水化合物类食物和巧克力摄入以及长时间看电视。2. 通过学校健康团队进行生活方式改变，以降低这些危险因素。
设置与设计
对城乡学童采用横断面描述性与干预性相结合的设计。
材料与方法
8名住院医生对610名学童进行调查，以了解糖尿病的可改变危险因素。学校健康团队开展了四项教育干预措施以降低和预防这些危险因素。
所用统计分析方法
比例；卡方检验、t检验、整群抽样。
结果
约3.5%的儿童患有糖尿病。肥胖、甜食/巧克力/富含碳水化合物食物的消费、久坐生活方式和长时间看电视分别降低了0.33%、27.5%、17%、19%。
结论
通过预防肥胖、久坐生活方式以及过多食用甜食、富含碳水化合物的食物和巧克力等危险因素的出现，可将儿童糖尿病负担降至最低。通过教师 - 家长 - 儿童团队进行的学校层面教育干预肯定会降低糖尿病的患病率。
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