摘要
目的:了解肥胖流动儿童营养知识、态度及行为状况,探讨影响流动儿童肥胖的相关因素,为流动儿童肥胖防治提供科学依据。方法:采用整群抽样,抽取两所小学3~6年级学生。按照中国学龄儿童青少年MBI肥胖筛查标准,筛选出流动儿童中肥胖者62名(发生率8.2%)作为病例,按年龄、性别匹配181名BMI正常的流动儿童作为对照,通过对两组儿童及其看护人发放营养KAP问卷的形式展开调查。结果:营养KAP结果显示,两组儿童在家庭收入来源、家中做饭人员、儿童早餐地点、看护人营养知识、儿童吃水果频率方面的差异有统计学意义(P<0.05);多因素Logistic回归分析显示,儿童高频率摄入水果(β=-0.495,OR=0.610,95%CI∶0.411~0.905)和看护人良好的营养知识(β=-0.518,OR=0.595,95%CI∶0.390~0.910)是肥胖发生的保护因素,而家长打零工(β=1.886,OR=6.593,95%CI∶1.293~33.614)是儿童发生肥胖的危险因素。结论:流动儿童肥胖发生率接已近城市儿童,其因素与儿童吃水果频率、看护人营养知识水平、看护人打零工密切相关。因此,有必要对流动儿童及看护人进行营养健康教育,使流动儿童肥胖趋势得以控制。
ObjectiveTo study the status of nutrition knowledge, attitude, and behaviors among obese migrant children and to explore the related factors of obesity, then providing scientific basis for obesity prevention and control. Methods Pupils of grade 3 6 were chosen from two primary schools by using cluster sampling. According to body mass index （BMI） reference norm for screening obesity in Chinese and adolescents, 62 obese migrant children were screened （ incidence rate 8.2% ） as the case group, and 181 migrant children with normal BMI were matched as the control group. A questionnaire about nutrition KAP was conducted among these two groups＇ children and guardians. Results Nutrition KAP results showed the differences of two groups in the source of family income, staffs of home cooking, children＇ s dining places, guardians＇ nutrition knowledge, the frequency of children＇ s fruit intake were statistically significant （P 〈 0. 05 ） ; The result of the muhivariable logistic regression showed that children With high frequency of fruit intake （ 13 = - 0. 495, OR = 0. 610, 95% CI： 0. 411 ~ 0. 905 ） and guardians with more nutrition knowledge （ 13 = - 0. 518, OR = 0. 595, 95 % CI： 0. 390 ~ O. 910） were protective factors for preventing obesity, whereas parents with odd jobs was the risk factor for obesity （ 13 = 1. 886, OR = 6. 593,95% CI： 1. 293 ~ 33. 614）. Conclusion The incidence rate of obesity in migrant children was close to the rate of urban children. The related factors of obesity included jobbing parents, the frequency of children＇ s fruit intake and guardians＇ nutrition knowledge. Therefore, it is necessary to carry on nutrition health education, thus controlling the trend of obesity among migrant children.
出处
《中国卫生事业管理》
北大核心
2017年第12期953-956,共4页
Chinese Health Service Management
基金
教育部人文社会科学研究项目"城市流动学龄儿童营养状况影响因素及干预模式研究"(编号:15YJAZH104)
关键词
肥胖
流动儿童
营养KAP
病例对照研究
obesity
migrant children
nutrition KAP
case - control study.
