Xue Yong, Yun Chen, Zhao Ai, Wang Peiyu, Zhang Yumei, Mu Zhishen
Wei Sheng Yan Jiu. 2014 Sep;43(5):764-7.
To explore the rate of overweight and obesity, and the association between unhealthy dietary behaviors and overweight and obesity among Chinese school-aged children from 9 areas.
By multiple stage stratified cluster sampling, 814 children aged 7 - 12 years old were chosen, provided with questionnaire and anthropometric measurements. According to the definition from Working Group on Obesity in China, children,were divided into different group, univariate logistic regression and multivariate logistic regression were used to analyze the associations between unhealthy dietary behaviors and overweight and obesity.
The rates of overweight and obesity of school-aged children were 22. 88% and 9. 90%, respectively. The rates were higher in urban areas, and second-tier cities were similar with first-tier city. Influence factor analysis revealed skipping breakfast behavior was the influence factor (OR =1. 65, P<0.05, OR= 2. 22, P <0. 01), picky eating behavior was negative correlation (OR =0.43, P<0.01 ; OR = 0. 32, P <0. 01) , and eating fact food and drinking carbonated beverage were picked out by the multivariate logistic regression model.
School-aged children’s overweight and obesity has been an increasingly serious health problem, which were correlated with genetic factor, environmental factor, and dietary behaviors and so on, poor dietary behavior might be influence factor for overweight and obesity, so it is necessary to provide earlier intervention strategies for parents to promote children’s good dietary habits.
探讨中国9个地区学龄儿童的超重和肥胖率,以及不健康饮食行为与超重和肥胖之间的关联。
采用多阶段分层整群抽样方法,选取814名7 - 12岁儿童,进行问卷调查和人体测量。根据中国肥胖问题工作组的定义,将儿童分为不同组,采用单因素logistic回归和多因素logistic回归分析不健康饮食行为与超重和肥胖之间的关联。
学龄儿童超重率和肥胖率分别为22.88%和9.90%。城市地区的比率较高,二线城市与一线城市相似。影响因素分析显示,不吃早餐行为是影响因素(OR = 1.65,P < 0.05;OR = 2.22,P < 0.01),挑食行为呈负相关(OR = 0.43,P < 0.01;OR = 0.32,P < 0.01),多因素logistic回归模型筛选出吃快餐和喝碳酸饮料的行为。
学龄儿童超重和肥胖已成为日益严重的健康问题,其与遗传因素、环境因素和饮食行为等有关,不良饮食行为可能是超重和肥胖的影响因素,因此有必要为家长提供早期干预策略,以促进儿童养成良好的饮食习惯。