| 徐州市中小学生超重肥胖与家庭行为因素的关系 |
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| 引用本文： | 吴海宏,乔程,郝孟娟,孙中慧,王艳梅,娄培安,张峰,常桂秋.徐州市中小学生超重肥胖与家庭行为因素的关系[J].中国学校卫生,2019,40(7):1001-1004. |
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| 作者姓名： | 吴海宏 乔程 郝孟娟 孙中慧 王艳梅 娄培安 张峰 常桂秋 |
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| 作者单位： | 江苏省徐州市泉山区疾病预防控制中心,221006 |
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| 摘 要： | 目的分析徐州市6~14岁中小学生超重肥胖与家庭行为因素的关系,为有针对性地制定相应防控策略提供依据。方法采用多阶段分层整群随机抽样的方法,确定徐州市10所小学、10所初中的6220名学生作为研究对象,通过χ^2检验和多因素Logistic逐步回归分析家庭行为因素与中小学生超重肥胖的关系。结果中小学男生超重肥胖率均高于女生,城市高于农村(P值均<0.05)。单因素分析显示,与中小学男生超重肥胖相关的家庭行为因素主要有父母肥胖、早餐不规律、吃快餐、喜食甜食、饮含糖饮料、视屏时间长及睡眠时间短,与中小学女生超重肥胖相关的家庭行为因素主要有父母肥胖、早餐不规律、吃快餐及喜食甜食(P值均<0.05)。此外,饮含糖饮料及睡眠时间短与小学女生、视屏时间长与中学女生超重肥胖均存在关联(P值均<0.05)。Logistic回归分析显示,与小学生超重肥胖相关的家庭行为因素主要有早餐不规律(OR男=1.58,OR女=1.74)、吃快餐(OR男=1.37,OR女=1.11)、喜食甜食(OR男=1.85,OR女=1.52)、饮含糖饮料(OR男=1.64,OR女=1.33)及睡眠时间短(OR男=1.56,OR女=1.69);视屏时间长与小学男生超重肥胖相关(OR=1.18)。与中学生超重肥胖相关的家庭行为因素主要有父母肥胖(OR男=1.29,OR女=1.23)及喜食甜食(OR男=1.44,OR女=1.51);与中学男生超重肥胖相关的家庭行为因素还包括早餐不规律(OR=1.51)、吃快餐(OR=1.22)、饮含糖饮料(OR=1.75)及视屏时间长(OR=1.15)。结论家庭行为因素与中小学生超重肥胖存在关联,且影响中小学生超重肥胖的家庭行为因素有所不同。应采取以家庭为基础的行为干预方式,做好中小学生超重肥胖防制工作。
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| 关 键 词： | 超重 肥胖症 家庭 行为 学生 |
Relationship between family behavior factors and overweight/obesity in primary and junior school students |
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| WU Haihong,QIAO Cheng,HAO Mengjuan,SUN Zhonghui,WANG Yanmei,LOU Peian,ZHANG Feng,CHANG Guiqiu.Relationship between family behavior factors and overweight/obesity in primary and junior school students[J].Chinese Journal of School Health,2019,40(7):1001-1004. |
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| Authors: | WU Haihong QIAO Cheng HAO Mengjuan SUN Zhonghui WANG Yanmei LOU Peian ZHANG Feng CHANG Guiqiu |
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| Affiliation: | (Department of Chronic Non-Communicable Diseases,District of Quanshan Center for Disease Control and Prevention,Xuzhou(221006),Jiangsu Province,China) |
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| Abstract: | Objective To analyze the relationship between family behaviors and overweight/obesity in primary and junior school students aged 6-14 years in Xuzhou,and to provide a reference for a targeted measure to prevent and control overweight and obesity.Methods Using multistage stratified cluster random sampling,a total of 6 220 students aged 6-14 years old from 10 primary schools and 10 junior schools were investigated by a self-designed questionnaire.Chi-square and multivariate Logistic regression models were used to explore the relationship between family behaviors and overweight/obesity in primary and junior school students.Results The rate of overweight/obesity in primary and junior boys was higher than that in primary and junior girls.The rate of overweight/obesity in urban students was higher than that of rural students(P<0.05).The Chi-square analysis showed that overweight of parents,irregular breakfast,eating fast food,eating sweets,drinking sweetened beverage,long screen time and short sleep duration were risk family behavior factors of overweight/obesity in primary and junior boy students(P<0.05).The risk family behavior factors of overweight/obesity in primary and junior girl students were overweight of parents,irregular breakfast,eating fast food and eating sweets(P<0.05).The risk family behavior factors of overweight/obesity,such as drinking sweetened beverage and short sleep duration,were also related to primary girls(P<0.05),and long screen time was related to junior girls(P<0.05).The multivariate Logistic regression showed that such family behavior factors as irregular breakfast(ORboy=1.58,ORgirl=1.74),eating fast food(ORboy=1.37,ORgirl=1.11),eating sweets(ORboy=1.85,ORgirl=1.52),drinking sweetened beverage(ORboy=1.64,ORgirl=1.33)and short sleep duration(ORboy=1.56,ORgirl=1.69)were positively correlated with the prevalence of overweight/obesity in primary students.Long screen time was also correlated to overweight/obesity primary boy students(OR=1.18).Family behavior factors for child overweight and obesity induded overweight of parents(ORboy=1.29,ORgirl=1.23)and eating sweets(ORboy=1.44,ORgirl=1.51).Irregular breakfast(OR=1.51),eating fast food(OR=1.22),drinking sweetened beverage(OR=1.75)and long visual screen time(OR=1.15)were also positively correlated with the prevalence of overweight/obesity in junior boy students.Conclusion Family behavior factors were positively correlated with the prevalence of overweight/obesity in primary and junior students.The influence of family behavior factors were different between primary and junior students.Behavioral interventions based on family should be adopted to prevent and control the overweight/obesity of children. |
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| Keywords: | Overweight Obesity Family Behavior Students |
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