目的 分析芜湖市3～6岁儿童腰围特征,探讨高腰围的影响因素。方法 2017年整群抽取芜湖市7所幼儿园3～6岁儿童,测量儿童的身高、体重、腰围,描述其腰围特征,对家长进行问卷调查,通过logistic回归分析3～6岁儿童高腰围影响因素。结果 调查1 924名儿童,其中男性1 009人,女性915人,男童平均腰围(52.35±4.85) cm,女童平均腰围(51.22±4.37)cm,腰围在各性别(t=5.344,χ2<0.05)、年龄(F=75.944,P<0.05)组间差异有统计学意义。logistic回归多因素分析结果显示,儿童超重(OR=19.579,95%CI:13.902~27.573)、父亲超重(OR=1.722,95%CI:1.236-2.397)、iPad使用时间≥1 h(OR=2.218,95%CI:1.212-4.058)、进餐速度快(OR=2.566,95%CI:1.582-4.165)、进餐速度过慢(OR=1.578,95%CI:1.053~2.363)、喜欢吃荤食(OR=1.526,95%CI:1.060~2.197)会增加高腰围发生的风险。结论 3～6岁儿童腰围受父母BMI、视频时间和自身的饮食习惯影响。
Abstract
Objective To analyze the waist circumference characteristics and explore the influencing factors of high waist circumference of 3 to 6 years old children in Wuhu City. Methods In 2017,children aged 3 to 6 in 7 kindergartens in Wuhu City were selected by a cluster sampling method to measure their height,weight and waist circumference,describe their waist circumference characteristics,conduct a questionnaire survey on their parents.The influencing factors of high waist circumference of 3 to 6 years old children were analyzed by Logistic regression. Results 1 924 children were investigated,including 1 009 males and 915 females.The average waist circumference of boys was (52.35±4.85) cm,and that of girls was (51.22±4.37) cm.There was significant difference in waist circumference between different gender groups (t = 5.344,P < 0.05) and age groups (F = 75.944,χ2< 0.05).The results of multivariate logistic regression analysis showed overweight in children (OR=19.579,95%CI:13.902-27.573),father being overweight (OR=1.722,95%CI:1.236-2.397),using iPad time ≥ 1 hour (OR=2.218,95%CI:1.212-4.058),eating fast (OR=2.566,95%CI:1.582-4.165),eating slowly (OR=1.578,95%CI:1.053-2.363) and liking to eat non-vegetarian food (OR=1.526,95%CI:1.060-2.197) will increase the risk of high waist circumference. Conclusion The waist circumference of 3 to 6 years old children was affected by their parents' BMI,time spent watching videos and their own eating habits.
关键词
3～6岁儿童 /
腰围 /
腹型肥胖 /
妇幼保健
Key words
3 to 6 years old children /
Waist circumference /
Abdominal obesity /
Maternal and child health care
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基金
长江中下游流域学龄前儿童发育与健康研究课题;安徽省妇幼保健协会科研课题(17FY011)
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