CAJ | 학술논문

目的了解郑州地区儿童肥胖发生情况和探索干预措施.方法于2001年抽样调查5688例中小学生,男2848名,女2840名,年龄7～18岁.肥胖标准以Cole 等的诊断儿童肥胖的参考BMI值判断,并对筛选出的单纯性肥胖儿童22例(7～15岁,男18例,女4例)以中医循经推拿和行为矫正及饮食、运动调整综合治疗1个月,且于治疗结束6个月后随访.结果所调查的5688名中小学生超重发生率15.4%,肥胖发生率3.2%,男生超重、肥胖发生率(19.2%,4.6%)明显高于女生(11.5%,1.7% P<0.001);各年龄阶段超重发生率有明显差异(χ2=42.88 P<0.001),高发年龄为8～15岁;各年龄阶段肥胖发生率亦有差异(χ2=21.28 P<0.05),高发年龄为7～10岁和14～15岁;治疗1个月后22例肥胖儿童体质量均有下降,由入院时(76.45±19.87) kg下降至(69.06±17.98) kg,下降幅度(7.43±2.58)kg,BMI值由治疗前(31.05±3.96)下降至(27.72±3.54),治疗前后体质量和BMI值比较均有显著差异(t=13.6,12.88 P<0.01),且体质量、BMI值下降幅度与入院时体质量、BMI值均呈明显相关性(r=0.77 P<0.01;r=0.49 P<0.05).结论近年来儿童肥胖发生率增高,以中医循经推拿和行为矫正及饮食、运动调整综合治疗的方法疗效好且舒适,儿童易于接受.
목적료해정주지구인동비반발생정황화탐색간예조시.방법우2001년추양조사5688례중소학생,남2848명,녀2840명,년령7～18세.비반표준이Cole 등적진단인동비반적삼고BMI치판단,병대사선출적단순성비반인동22례(7～15세,남18례,녀4례)이중의순경추나화행위교정급음식、운동조정종합치료1개월,차우치료결속6개월후수방.결과소조사적5688명중소학생초중발생솔15.4%,비반발생솔3.2%,남생초중、비반발생솔(19.2%,4.6%)명현고우녀생(11.5%,1.7% P<0.001);각년령계단초중발생솔유명현차이(χ2=42.88 P<0.001),고발년령위8～15세;각년령계단비반발생솔역유차이(χ2=21.28 P<0.05),고발년령위7～10세화14～15세;치료1개월후22례비반인동체질량균유하강,유입원시(76.45±19.87) kg하강지(69.06±17.98) kg,하강폭도(7.43±2.58)kg,BMI치유치료전(31.05±3.96)하강지(27.72±3.54),치료전후체질량화BMI치비교균유현저차이(t=13.6,12.88 P<0.01),차체질량、BMI치하강폭도여입원시체질량、BMI치균정명현상관성(r=0.77 P<0.01;r=0.49 P<0.05).결론근년래인동비반발생솔증고,이중의순경추나화행위교정급음식、운동조정종합치료적방법료효호차서괄,인동역우접수.
Objective To explore incidence of child obesity in Zhengzhou area and intervention measures.Methods In 2001, spot check was conducted on 5688 cases of high and primary school students ,including 2848 boys and 2840 girls at the age of 7-18.Child obesity was diagnosed by meeting reference BMI value published by Cole et al,conducted comprehensive treatment consisting of massage intervention along channel of traditional Chinese medicine, behavior modification, dietetic and sport adjustment for 22 cases of simple obesity children (7-15 years old, 18 boys, 4 girls) selected for one month, and follow-up survey 6 months after treatment.Results Five thousands,six hundreds and eighty-eight high and primary school students investigated had an overweight incidence of 15.4%, an obesity incidence of 3.2%,boys' overweight incidence and obesity incidence(19.2%,4.6%) were remarkably higher than those of girls (11.5%,1.7% P<0.001). Overweight incidence of various age groups evidently differed(χ2=42.88 P<0.001) with the group of 8-15 years old children as popular. Incidence of various age groups also differed(χ2=21.28 P<0.05) with 7-10 years old and 14-15 years old children as popular. After one-month treatment, weight of all the 22 cases of fat children decreased from (76.45±19.87) kg upon hospitalized to (69.06±17.98) kg with a decrease of (7.43±2.58)kg, BMI value decreased from (31.05±3.96) before treatment to (27.72±3.54).Weight and BMI value before and after treatment differed evidently (t=13.6,12.88 P<0.01), and weight and BMI value decrease were remarkably related with those upon hospitalized (r=0.77 P<0.01;r=0.49 P<0.05).Conclusions Incidence of child obesity has been increasing in recent years, comprehensive treatment consisting of massage intervention along channel of traditional Chinese medicine, behavior modification, dietetic and sport adjustment have good curative effect and are comfortable, well received by children and suitable to promote and apply.