摘要
【目的】探索儿童单纯肥胖症的群体干预方法，降低学龄前儿童肥胖发病率。【方法】从朝阳区和大兴区各选择2所幼儿园的2～4岁儿童为研究对象，每区各有1所幼儿园为干预组，另1所为对照组。采用WHO身高标准体重值为肥胖判断标准。对干预组进行为期2年的群体干预，干预措施包括对儿童家长的健康教育、保证儿童运动锻炼时间、幼儿园提供平衡膳食、告知家长儿童体格测量结果等。对照组除与干预组同期体检外不接受任何干预措施。【结果】经过1年干预（干预中期），干预组肥胖率从7．72％降至5．34％，对照组肥胖率从3．96％上升为4．62％；干预组血压偏高检出率从5．05％降至2．76％，对照组从1．61％上升为3．11％；干预组儿童骨强度平均增长值高于对照组（P〈0．05）。【结论】肥胖群体干预方案在幼儿园实施1年来对学龄前儿童肥胖发病率的控制取得了一定的效果。
[Objective] To evaluate the impact of a kindergarten based intervention program to childhood obesity and to reduce the prevalence of obesity among preschool children. [Methods] Two intervention and two control kindergartens were selected from Chaoyang and Daxing districts, to attend the field trial. Each district had an intervention and a control kindergarten. Children aged 2 to 4-year-old in the kindergarten were studied. Obesity was defined by WHO standard weight for height. The children in two intervention kindergartens would participate in a kindergarten-based intervention program for 2 years. The program included health education, exercise, providing diet of balanced nutrition,and informing parents the growth situation of the child. Outcomes were assessed using pre-intervention and follow-up measures. [Resuits] The prevalence of obesity among the children in intervention group was reduced from 7.72% to 5.34% over 1 year intervention period,which in control group increased from 3.96% to 4. 62% over 1 year. The prevalence of hypertension in intervention group was reduced from 5.05% to 2.76 %,which in control group increased from 1.61% to 3.11%. The average increament of bone strength of children in intervention group was higher than that in control group（P〈0.05 ）. [Conclusion] The kindergarten based intervention program is effective in controlling the prevalence of obesity among the children in kindergarten.
出处
《中国儿童保健杂志》
CAS
2006年第6期559-561,共3页
Chinese Journal of Child Health Care
基金
北京市科技计划重点项目(H030930030690)
关键词
肥胖
群体干预
儿童
obesity
intervention kindergarten-based
children
