目的 探索影响婴幼儿肥胖的孕产期因素,为制定预防婴幼儿肥胖干预措施提供科学依据。方法 采用分层随机整群抽样的方法,用自制问卷对1 930名婴幼儿家长展开调查。结果 婴幼儿肥胖检出率为4.0%,农村高于城市,6~11个月龄组高于其他月龄组,孕产期因素中剖宫产(OR=1.685,CI∶1.059~2.683)、巨大儿(OR=2.932,CI∶1.489~5.774)、新生儿窒息(OR=4.786,CI∶1.591~14.392)是婴幼儿肥胖发生的危险因素(P均＜0.05)。结论 池州市婴幼儿肥胖问题不容忽视,应重点关注农村、小月龄段婴幼儿,加强孕产期保健服务和指导,降低剖宫产率,避免巨大儿和出生窒息,减少婴幼儿肥胖的发生。
Abstract
Objective To explore the factors affecting infant obesity during pregnancy and puerperal period,and to provide scientific basis for formulating intervention measures to prevent infant obesity. Methods A stratified random cluster sampling method was used to survey 1930 infant parents with self-made questionnaires. Results The detection rate of obesity in infants was 4.0%.It was higher in rural areas than in urban areas,and higher in 6-11 months group than in other months group.Cesarean section(OR=1.685,CI:1.059-2.683),macrosomia (OR= 2.932,CI:1.489-5.774) and asphyxia neonatorum (OR= 4.786,CI:1.591-14.392) were the risk factors of infant obesity (all P＜ 0.05). Conclusion The problem of infant obesity in Chizhou City should not be ignored.More attention should be paid to rural and small-month-old infants,strengthening health care and guidance during pregnancy and puerperal period,reducing cesarean section rate,avoiding macrosomia and birth asphyxia,and reducing infant obesity.
关键词
婴幼儿 /
肥胖 /
孕产期 /
影响因素
Key words
Infants /
Obesity /
Pregnancy and puerperal period /
Influencing factors
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基金
2017年安徽省妇幼健康科研课题(项目编号:17FY012)
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