卫生研究

目的了解无锡市10～14岁儿童超重肥胖的流行现状,并探讨其影响因素。方法采用分层整群随机抽样方法,随机抽取无锡市3个地区的10～14岁儿童共2870人,进行问卷调查和体格检查。结果儿童超重检出率为11.39%(男生10.03%,女生1.36%),儿童肥胖检出率为2.23%(男生1.64%,女生0.59%),且男生超重和肥胖的检出率高于女生(P<0.01)。经多元线性回归分析表明,出生体重、父亲和母亲的BMI以及喜欢吃油炸食品为儿童期BMI的可能影响因素。结论无锡市10～14岁儿童超重和肥胖的流行情况处于中国富裕乡村和中小城市之间,控制超重向肥胖发展是一个重要的预防措施。出生体重、父亲和母亲的BMI以及喜欢吃油炸食品是儿童BMI的主要影响因素,提示应积极采取综合家庭干预的措施,预防儿童肥胖的发生及发展。

Objective To learn the prevalence of overweight and obesity of children aged 10 to 14 in Wuxi and to analyze its potential influencing factors.Methods With a stratified cluster random sampling method,2870 children aged 10 to 14 in three districts of Wuxi were surveyed by means of questionnaire and physical examination.Results The incidence of overweight was 11.39%(Boys' was 10.03% and girls' was 1.36%) and that of obesity was 2.23%(Boys' was 1.64% and girls' was 0.59%).The incidence of overweight and obesity of boys was much higher than that of girls(P<0.01).The result of multiple linear regression analysis indicated the influencing factors of BMI in childhood might include birth weight,BMI of father and mother and preference for fried foods.Conclusion The prevalence of overweight and obesity of children aged 10 to 14 in Wuxi was between the rich rural areas and small and middle-sized cities in China.To prevent overweight developing to obesity is an important measure.Birth weight,BMI of father and mother,preference for fried foods were the main factors affecting children's BMI.A comprehensive prevention and control measure of family intervention should be taken.