CAJ | 학술논문

目的:研究长沙和深圳市儿童肥胖的发生率及其危险因素.方法:以在中国长沙和深圳两市6 288名6～9岁儿童肥胖调查中发现的209名肥胖儿童为病例,按性别、年龄和学校进行配比选择209名体质量正常的儿童作对照,进行病例对照研究,计算各危险因素的调整OR值和95%可信区间.结果:儿童超体质量和肥胖的发生率在长沙为9.28%和3.30%,在深圳为12.17%和4.22%.两地儿童的超体质量发生率差异有统计学意义,而肥胖发生率差异没有统计学意义.中国城市儿童肥胖患病率为3.95%.用多因素Logistic回归分析对潜在的混杂因素加以调整后,父亲肥胖(OR:1.78, 95% CI:1.01～3.16),母亲怀孕期体质量增加15 kg以上(OR:5.22, 95% CI:2.78～9.80),出生体质量4 kg以上(OR: 2.55, 95% CI:1.24～5.26),每周不健康快餐1次以上(OR:3.94, 95% CI:1.11～13.99),每天看电视2 h以上(OR:2.35,95% CI:1.01～5.47)等因素与儿童肥胖有关.结论:父亲肥胖、妊娠期体质量增加、出生体质量和不健康生活方式是中国南方城市儿童肥胖的重要危险因素.
목적:연구장사화심수시인동비반적발생솔급기위험인소.방법:이재중국장사화심수량시6 288명6～9세인동비반조사중발현적209명비반인동위병례,안성별、년령화학교진행배비선택209명체질량정상적인동작대조,진행병례대조연구,계산각위험인소적조정OR치화95%가신구간.결과:인동초체질량화비반적발생솔재장사위9.28%화3.30%,재심수위12.17%화4.22%.량지인동적초체질량발생솔차이유통계학의의,이비반발생솔차이몰유통계학의의.중국성시인동비반환병솔위3.95%.용다인소Logistic회귀분석대잠재적혼잡인소가이조정후,부친비반(OR:1.78, 95% CI:1.01～3.16),모친부잉기체질량증가15 kg이상(OR:5.22, 95% CI:2.78～9.80),출생체질량4 kg이상(OR: 2.55, 95% CI:1.24～5.26),매주불건강쾌찬1차이상(OR:3.94, 95% CI:1.11～13.99),매천간전시2 h이상(OR:2.35,95% CI:1.01～5.47)등인소여인동비반유관.결론:부친비반、임신기체질량증가、출생체질량화불건강생활방식시중국남방성시인동비반적중요위험인소.
Objective To determine the prevalence and the risk factors for childhood obesity in Changsha and Shenzhen, China.Methods A case-control study was conducted in 209 obese children (the cases) identified in the investigation on childhood obesity in 6 288 children aged 6 to 9 years in Changsha and Shenzhen in China and 209 children with normal weight (the controls). The cases and controls were matched by gender, age, and school. Adjusted odds ratio (aOR) and 95% confidence intervals (CI) for the risk factors were measured.Results The prevalence rate of overweight and obese children was 9.28% and 3.30% in Changsha, and 12.17% and 4.22% in Shenzhen, respectively. The rate of overweight children is significantly higher in Shenzhen than in Changsha. No statistical difference was observed in the rate of obesity between the children in both cities. Paternal obesity (OR 1.78, 95% CI 1.01 to 3.16), maternal weight gain during pregnancy ≥15.0 kg (OR 5.22, 95% CI 2.78 to 9.80), birth weight ≥4.00 kg (OR 2.55, 95% CI 1.24 to 5.26), unhealthy snacks ≥1 per week (OR 3.94, 95% CI 1.11 to 13.99), and watching television ≥2 hours per day(OR 2.35, 95% CI 1.01 to 5.47) were associated with childhood obesity when potential confounding factors were adjusted by multi-variable logistic regression analysis. Conclusion Paternal obesity, gestational weight gain, high birth weight, and unhealthy life-style are important risk factors for obesity in urban children in south China.