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[中国3至6岁儿童肥胖危险因素病例对照研究的Meta分析]

[Meta-analysis of case-control studies on obesity risk factors in children aged 3-6 years in China].

作者信息

Li Chao, Wang Ronghui, Li Lin, Li Hongjuan, Fei Xi

机构信息

College of Sport Human Science, Beijing Sport University, Beijing 100084, China.

Mengyin No.2 Experimental Primary School, Linyi 276200, China.

出版信息

Wei Sheng Yan Jiu. 2022 Jul;51(4):656-661. doi: 10.19813/j.cnki.weishengyanjiu.2022.04.026.

DOI:10.19813/j.cnki.weishengyanjiu.2022.04.026
PMID:36047274
Abstract

OBJECTIVE

To explore the risk factors of obesity in children aged 3-6 years in China.

METHODS

Using search terms, preschooler, obesity, risk factors/influence factors, case-control studies, and language limited to Chinese and English, search databases(CNKI, Wanfang, VIP, CBM, PubMed, Web of science, Embase, The Cochrane library). To collect domestic and foreign literature on the case-control study design of obesity risk factors in preschool children in China published from January 1, 2000 to June 30, 2021. Stata 14.0 software was used for Meta-analysis of the included literature, and publication bias test and sensitivity analysis were performed.

RESULTS

A total of 11 770 people were included in 12 papers, including 4092 in the case group and 7678 in the control group. Meta analysis shows: birth weight ≥4000 g OR=2.176, 95% CI 1.507-3.143; strong appetite OR=3.860, 95%CI 2.991-4.980; fast eating OR=2.836, 95%CI 2.552-3.152; mother overweight and obesity OR=1.903, 95%CI 1.213-2.986; mother's low level of education OR=1.744, 95%CI 1.100-2.766; Physical inactivity OR=1.488, 95%CI 1.267-1.748.

CONCLUSION

Birth weight ≥ 4000 g, fast eating speed, strong appetite, mother overweight and obesity, mother's low level of education, and physical inactivity are risk factors for obesity in children aged 3-6 years.

摘要

目的

探讨我国3 - 6岁儿童肥胖的危险因素。

方法

使用检索词“学龄前儿童”“肥胖”“危险因素/影响因素”“病例对照研究”,并限定语言为中文和英文,检索数据库(中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of science、Embase、考克兰图书馆)。收集2000年1月1日至2021年6月30日发表的关于我国学龄前儿童肥胖危险因素病例对照研究设计的国内外文献。采用Stata 14.0软件对纳入文献进行Meta分析,并进行发表偏倚检验和敏感性分析。

结果

12篇论文共纳入11770人,其中病例组4092人,对照组7678人。Meta分析显示:出生体重≥4000g,OR = 2.176,95%CI为1.507 - 3.143;食欲旺盛,OR = 3.860,95%CI为2.991 - 4.980;进食速度快,OR = 2.836,95%CI为2.552 - 3.152;母亲超重和肥胖,OR = 1.903,95%CI为1.213 - 2.986;母亲教育程度低OR = 1.744,95%CI为1.100 - 2.766;缺乏身体活动,OR = 1.488,95%CI为1.267 - 1.748。

结论

出生体重≥4000g、进食速度快、食欲旺盛、母亲超重和肥胖、母亲教育程度低以及缺乏身体活动是3 - 6岁儿童肥胖的危险因素。

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引用本文的文献

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