Nejadsadeghi Elham, Shojaeizadeh Davood, Sadeghi Roya, Majlesi Fereshteh, Djazayeri Abolghassem, Yekaninejad Mir Saeed, Amanat Mahshid
Ph.D. Student of Health Education and Promotion, Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ph.D. of Health Education and Promotion, Professor, Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2018 Mar 25;10(3):6554-6562. doi: 10.19082/6554. eCollection 2018 Mar.
The world is experiencing an alarming increase in prevalence of childhood obesity. The aim of this study was to determine the demographic determinants of obesity and adherence to dietary and physical activity guidelines among children aged 4 to 6 years old in Behbahan city, southwest Iran, in 2016.
This cross-sectional study was conducted on 120 preschool children aged 4 to 6 years old in Behbahan city, southwest Iran, in 2016. Multi-stage random sampling was done. The weight and height of the children were measured with standard methods. The demographic and behavioral factors data were collected in self report questionnaires which were completed by the children's mothers. The Chi-square test, Independent-samples t-tests, One-way analysis of variances and logistic regression analysis were used for data analysis. SPSS software (version 22) was employed.
This study showed that 88.3% of the children did not meet the guideline of 5 servings per day of fruit and vegetables. Only 2.5% met the guideline of 60 minutes of structured physical activity every day. Sex and mother's occupation status were associated with adhering to screen time guideline. This study found a significant difference in the mean of screen time between sexes. Boys were more likely to meet the screen time guideline. A significant association between adhering to physical activity guidelines and mother's occupation status was revealed. Significant statistical relationship between demographic factors and BMI categories was not illustrated. Demographic covariates were not significantly related to adherence to dietary and physical activity guidelines.
In preventive programs of obesity among 4 to 6-year-old children key lifestyle behaviors and demographic factors need to be considered.
全球儿童肥胖率正以惊人的速度上升。本研究旨在确定2016年伊朗西南部贝赫巴汉市4至6岁儿童肥胖的人口统计学决定因素以及他们对饮食和身体活动指南的遵循情况。
2016年，在伊朗西南部贝赫巴汉市对120名4至6岁的学龄前儿童进行了这项横断面研究。采用多阶段随机抽样。用标准方法测量儿童的体重和身高。人口统计学和行为因素数据通过儿童母亲填写的自填问卷收集。数据分析采用卡方检验、独立样本t检验、单因素方差分析和逻辑回归分析。使用SPSS软件（版本22）。
本研究表明，88.3%的儿童未达到每天食用5份水果和蔬菜的指南要求。只有2.5%的儿童达到了每天进行60分钟有组织体育活动的指南要求。性别和母亲的职业状况与遵守屏幕使用时间指南有关。本研究发现男女在屏幕使用时间平均值上存在显著差异。男孩更有可能达到屏幕使用时间指南要求。揭示了遵守体育活动指南与母亲职业状况之间存在显著关联。未说明人口统计学因素与BMI类别之间存在显著统计关系。人口统计学协变量与遵守饮食和体育活动指南没有显著关系。
在4至6岁儿童肥胖预防项目中，需要考虑关键的生活方式行为和人口统计学因素。
