• 成都市婦幼保健院兒保科,四川成都 610031;

目的:了解成都市3~6歲學(xué)齡前兒童超重、單純性肥胖發(fā)展趨勢(shì)和干預(yù)效果,以尋求更有效的干預(yù)措施。方法:自2000~2007年對(duì)成都市五城區(qū)所有一類托幼園所3~6歲兒童進(jìn)行調(diào)查,對(duì)其超重、肥胖發(fā)生、發(fā)展動(dòng)態(tài)趨勢(shì)進(jìn)行分析研究,并設(shè)重點(diǎn)干預(yù)點(diǎn)進(jìn)行連續(xù)干預(yù)監(jiān)測(cè)。參照WHO標(biāo)準(zhǔn),應(yīng)用身高別體重法評(píng)價(jià)兒童超重和肥胖。結(jié)果:2000~2005年中,成都市學(xué)齡前兒童超重、單純性肥胖發(fā)生率顯著升高(2000年為6.50%、2.14%;2005年為9.57%,4.39%,P lt;0.001);通過(guò)對(duì)托幼園所實(shí)施肥胖干預(yù)后,2005~2007年兒童超重、單純性肥胖檢出率處于穩(wěn)定控制狀態(tài)(2007年為9.13%,4.17%,P gt;0.05)。2005~2007年對(duì)本市15所托幼機(jī)構(gòu)實(shí)施重點(diǎn)干預(yù)后,兒童超重、肥胖檢出率為8.51%,3.26%,明顯降低(P lt;0.05),而一般干預(yù)點(diǎn),超重、肥胖發(fā)生率明顯升高(10.42%,5.12%,P lt;0.05)。結(jié)論:學(xué)齡前兒童超重、單純性肥胖呈上升趨勢(shì),有效的干預(yù)措施能控制超重和肥胖發(fā)生率。

引用本文: 羅紅裔,章嵐,王勁,陳小燕. 都市3~6歲兒童超重、肥胖發(fā)展趨勢(shì)及干預(yù)研究. 華西醫(yī)學(xué), 2009, 24(3): 626-628. doi: 復(fù)制

1. 王遠(yuǎn)琴,張希林,田召義.兒童少年肥胖判定標(biāo)準(zhǔn)的綜合評(píng)價(jià)[C].兒童少年肥胖問(wèn)題學(xué)術(shù)會(huì)議文集,2003,11:30-36..
2. 歐陽(yáng)長(zhǎng)安,董海瑩,蘇妙齡,等.廈門(mén)市7歲以下兒童單純性肥癥患病情況調(diào)查[J].中國(guó)兒童保健雜志,2004,12(3):256-257..
3. 陳曦,邱行光,楊式薇,等.福建省7歲以下兒童單純性肥胖病患有關(guān)調(diào)查[J].海峽預(yù)防醫(yī)學(xué)雜志,2004,10(2):30-31..
4. 丁宗一.兒童期單純肥胖癥[M].第1版,鄭州:河南科學(xué)技術(shù)出版社,2005:130,130-131..
5. EPSTEIN LH,MYERS MD,RAYNOR HA,et al.Treatment of pediatric obesity [J].Pediatrics,1998,101:554-570..
6. EPSTEIN LH,VALOSKI A,WING RR,et al.McCurley,Tenyear outcomes of behavioral familybased treatment for childhood obesity[J].Health Psychol,1994,13:373-383..
7. EPSTEIN LH,VALOSKI AM,KALARCHIAN MA,et al.Do children Lose and maintain weight easier than adults A comparison of child and parent weight changes from six months to ten years [J].Obes Res,1995,3:411-417..
8. WONG JP,HO SY,LAI MK,et al.Overweight,obesity,weightrelated concerns and behaviours in Hong Kong Chinese children and adolescents[J].Acta Paediatr,2005,94:595-601..
9. BARLOW SE,DIETZ WH.Obesity evaluation and treatment expert committee reconnendations[J].Pediatrics,1998,102:E29..
  1. 1. 王遠(yuǎn)琴,張希林,田召義.兒童少年肥胖判定標(biāo)準(zhǔn)的綜合評(píng)價(jià)[C].兒童少年肥胖問(wèn)題學(xué)術(shù)會(huì)議文集,2003,11:30-36..
  2. 2. 歐陽(yáng)長(zhǎng)安,董?,?蘇妙齡,等.廈門(mén)市7歲以下兒童單純性肥癥患病情況調(diào)查[J].中國(guó)兒童保健雜志,2004,12(3):256-257..
  3. 3. 陳曦,邱行光,楊式薇,等.福建省7歲以下兒童單純性肥胖病患有關(guān)調(diào)查[J].海峽預(yù)防醫(yī)學(xué)雜志,2004,10(2):30-31..
  4. 4. 丁宗一.兒童期單純肥胖癥[M].第1版,鄭州:河南科學(xué)技術(shù)出版社,2005:130,130-131..
  5. 5. EPSTEIN LH,MYERS MD,RAYNOR HA,et al.Treatment of pediatric obesity [J].Pediatrics,1998,101:554-570..
  6. 6. EPSTEIN LH,VALOSKI A,WING RR,et al.McCurley,Tenyear outcomes of behavioral familybased treatment for childhood obesity[J].Health Psychol,1994,13:373-383..
  7. 7. EPSTEIN LH,VALOSKI AM,KALARCHIAN MA,et al.Do children Lose and maintain weight easier than adults A comparison of child and parent weight changes from six months to ten years [J].Obes Res,1995,3:411-417..
  8. 8. WONG JP,HO SY,LAI MK,et al.Overweight,obesity,weightrelated concerns and behaviours in Hong Kong Chinese children and adolescents[J].Acta Paediatr,2005,94:595-601..
  9. 9. BARLOW SE,DIETZ WH.Obesity evaluation and treatment expert committee reconnendations[J].Pediatrics,1998,102:E29..