Trend and Intervention Study on Overweight or Simple Obesity of Children Aged 3-6 Years in Chengdu_West China Medical Journal

Authors：

LUO Hongyi , ZHANG Lan , WANG Jin , et al

Department of Child Health Care,Maternal and Children’s Health Hospital of Chengdu,Chengdu 610031,China;

Corresponding author：

Keywords：

学龄前儿童; 超重; 单纯性肥胖; 发展趋势; 干预效果。

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目的:了解成都市3~6岁学龄前儿童超重、单纯性肥胖发展趋势和干预效果,以寻求更有效的干预措施。方法:自2000~2007年对成都市五城区所有一类托幼园所3~6岁儿童进行调查,对其超重、肥胖发生、发展动态趋势进行分析研究,并设重点干预点进行连续干预监测。参照WHO标准,应用身高别体重法评价儿童超重和肥胖。结果:2000~2005年中,成都市学龄前儿童超重、单纯性肥胖发生率显著升高(2000年为6.50%、2.14%;2005年为9.57%,4.39%,P lt;0.001);通过对托幼园所实施肥胖干预后,2005~2007年儿童超重、单纯性肥胖检出率处于稳定控制状态(2007年为9.13%,4.17%,P gt;0.05)。2005~2007年对本市15所托幼机构实施重点干预后,儿童超重、肥胖检出率为8.51%,3.26%,明显降低(P lt;0.05),而一般干预点,超重、肥胖发生率明显升高(10.42%,5.12%,P lt;0.05)。结论:学龄前儿童超重、单纯性肥胖呈上升趋势,有效的干预措施能控制超重和肥胖发生率。

Citation： LUO Hongyi,ZHANG Lan,WANG Jin,et al. Trend and Intervention Study on Overweight or Simple Obesity of Children Aged 3-6 Years in Chengdu. West China Medical Journal, 2009, 24(3): 626-628. doi: Copy

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1. 王远琴,张希林,田召义.儿童少年肥胖判定标准的综合评价[C].儿童少年肥胖问题学术会议文集,2003,11:30-36..
2. 欧阳长安,董海莹,苏妙龄,等.厦门市7岁以下儿童单纯性肥症患病情况调查[J].中国儿童保健杂志,2004,12(3):256-257..
3. 陈曦,邱行光,杨式薇,等.福建省7岁以下儿童单纯性肥胖病患有关调查[J].海峡预防医学杂志,2004,10(2):30-31..
4. 丁宗一.儿童期单纯肥胖症[M].第1版,郑州:河南科学技术出版社,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..

West China Medical Journal

Trend and Intervention Study on Overweight or Simple Obesity of Children Aged 3-6 Years in Chengdu

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