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儿童肥胖发病相关因素调查分析 被引量:9

Investigation and analysis of childhood obesity-related factors
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摘要 【目的】研究学龄儿肥胖发生的相关因素,为提出预防及干预措施提供依据。【方法】选择西安交通大学医学院第二附属医院儿科生长发育门诊2010-2011年就诊的单纯性肥胖儿童,随机抽取86名,年龄7~18岁,平均14岁,男50例,女36例。采用1∶1病例对照配对研究问卷调查方法,调查内容包括遗传因素、早期喂养、饮食行为、学习及运动情况、家庭环境等与肥胖相关因素。所得资料采取单因素及多因素Logistic回归分析。【结果】Logistic回归分析显示,进餐速度快、喜好零食及家族中糖尿病人数多,是影响学龄儿发生肥胖的危险因素,而喜欢参与运动及母亲职业是肥胖的保护因素。【结论】不良的饮食习惯及糖尿病家族史均能增加肥胖发生的风险,提示在具有糖尿病家族史高危因素的儿童中要特别注意饮食结构,养成良好的饮食习惯,减少危险因素的暴露,从而预防肥胖的发生。 [Objective] To investigate the obesity-related factors in the school-age children,and to provide a basis for proposed preventing and interfering measures. [Metheds] Among the children with simple obesity,who were present at the pediatric growth and development clinic in the hospital from 2010 to 2011,86 (male 50, female 36) were randomly select- ed at the age of 7 to 18 years old,averaged 14 years old. Questionnaires were used in the 1 : 1 matched case-control study, including such obesity-related factors as genetic factors, early feeding,dietary behaviors, learning and sporting and family en- vironment. The obtained data were analyzed by univariate and multivariate Logistic regression analyses. [Results] It was shown in the Logistic regression analyses that the obesity-related risk factors in the school-age children included fast eating, liking to eat snacks and more family numbers with diabetes, and anti-obesity factors cover sporting and working mother. [Conclusions] As the high-risk factors identified in the study,both poor eating habits and family history of diabetes cause increased risk of obesity. This suggests that for the children at high risk due to family history of diabetes, special attention should be paid to dietary patterns and serious efforts taken to develop good eating habits and reduce exposure to such risk factors, in order to prevent the children from suffering from obesity.
出处 《中国儿童保健杂志》 CAS 北大核心 2013年第8期806-808,共3页 Chinese Journal of Child Health Care
基金 陕西省科学技术研究发展计划项目[2008K14-05(2)]
关键词 肥胖 高危因素 儿童 obesity high-risk factors children
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参考文献12

  • 1单晓益,米杰,王友发.儿童肥胖的流行趋势及其危险因素[J].中国实用儿科杂志,2004,19(4):245-248. 被引量:54
  • 2季成叶,孙军玲,陈天娇.中国学龄儿童青少年1985~2000年超重、肥胖流行趋势动态分析[J].中华流行病学杂志,2004,25(2):103-108. 被引量:376
  • 3Sinha RvFisch G, Teague B,etal. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity[J]. New England lournal of Medicine, 2002,346 (11) :802-810.
  • 4Reilly JJ ,Armstrong J,Dorosty AR, et al. Early life risk factors for obesity in childhood: cohort study[J]. British Medical 10urnal,2005,330(7504) :1357-1359.
  • 5胡立群,龚群.儿童肥胖病因学研究进展[J].中国妇幼健康研究,2008,19(6):589-591. 被引量:14
  • 6Huerta M, Bibi H, Haviv J .et al. Parental smoking and education as determinants of overweight in Israeli childrene[J]. Prev Chronic Dis, 2006 ,3 (2) : 48-55.
  • 7Kral TVE, Stunkard AJ, Berkowitz RI, et al. Daily food intake in relation to dietary energy density in the free-living environment: a prospective analysis of children born at different risk of obesity[J]. American [ ournal of Clinical Natrition, 2007,86(1):41-47.
  • 8De maria AN. Of fast food and franchises[J]. Journal of the American College of Cardiology, 2003, 41( 7) : 1227-1228.
  • 9Bouchard C. Genetics of energy intake and food preference [M]. Boca Raton: CRC Press, 1994: 125-130.
  • 10Luepker RV. How physically active are American children and what can we do about it? [J]. International [ ournal. of Obesity, 1999,23 (5) : 12-17.

二级参考文献38

  • 1丁宗一.中国儿童期单纯肥胖症现状、趋势及防治对策[J].天津体育学院学报,1999,14(1):13-15. 被引量:22
  • 2Daghestani M H, Ozand P T, Al A R, et al. Hormonal levels of Ieptin, insulin, ghrelin, and neuropcptide Y in lean, overweight, and obese Sandi females[ J]. Sandi Mcd J,2007,28(8) :1191-1197.
  • 3Baker M, Gaukrodger N, Mayosi B M,et al. Association between common polymorphisms of the proopiomelanocortin gene and body fat distfibution:A family study [ J ]. Diabetes, 2005,54 ( 8 ) : 2492- 2496.
  • 4Hainerova I, Hoist B, Larsen L H, et al. Melanocortin 4 receptor mutations in obese Czech children:Studies of prevalence, phenotype development, weight reduction response, and functional analysis [ J ]. Clin Endoerinol Metab ,2007,92:3689-3696.
  • 5Kalra S P, Kalra P S. NPY and cohorts in regulating appetite, obesity and metabolic syndrome:Beneficial effects of gene therapy [ J]. Neuropeptides ,2004,38:201-211.
  • 6Le Fur S,Le Stunff C, Dos S C, et al. The common-866 G/A polymorphism in the promoter of uncoupling protein 2 is associated with increased carbohydrate and decreased lipid oxidation in juvenile obesity[ J]. Diabetes,2004,53 ( 1 ) :235-239.
  • 7Kovacs P, Hanson R L, Franks P, et al. Genetic variation in UCP2 is associated with energy metabolism in Pima Indians [ J ]. Diabetoloqia,2005,48 ( 11 ) :2292-2295.
  • 8Ishii Y, Blundell J E, Halford J C, et al. Satiety enhancement by selective orexin-1 receptor antagonist SB-334867 : Influence of test context and profile comparison with CCK-SS [ J]. Behav Branin Res, 2005,160(1) :11-24.
  • 9Frayling T M, Timpson N J, Weedon M N, et al. A commom variant in the FTO gene is association with body mass index and predisposes to childhood and adult obesity [ J ]. Science, 2007,316 (5826) :889-894.
  • 10Ong K K. Size at birth, postnatal growth and risk of obesity [ J ]. Horm Res,2006,65 (3) :65-69.

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