中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2009年
4期
400-402
,共3页
江华%贾文智%王琴%尹世菊%王秋伟
江華%賈文智%王琴%尹世菊%王鞦偉
강화%가문지%왕금%윤세국%왕추위
巨大儿%幼儿期%生长发育%肥胖
巨大兒%幼兒期%生長髮育%肥胖
거대인%유인기%생장발육%비반
macrosomia%infancy%growth and development%obesity
目的 对巨大儿和正常出生体重儿在婴幼儿期超重和肥胖的发生情况进行比较,以便采取积极有效的干预措施改善儿童的生长发育状况.方法 随机选择足月巨大儿145例和足月正常出生体重儿145例(对照组),进行体格测量及数据评价.结果 巨大儿组平均体重、平均身高1周岁时为11.27±1.24kg、78.64±2.62cm,2周岁时为14.01±1.69kg、91.10±3.18cm,2岁时身体质量指数为16.83±1.46 kg/m2,各指标均高于对照组,并有统计学差异(P<0.05);巨大儿组和对照组幼儿期超重和肥胖儿的发生率,1周岁时分别为17.24%和4.14%,χ2=13.039,P<0.05;2周岁时分别为11.03%和4.83%,χ2=3.825,P=0.05.巨大儿造成1岁幼儿超重和肥胖的风险是正常出生体重儿的4.83倍(P<0.05).结论 胎儿期的肥胖可影响至婴幼儿期,预防肥胖症的发生应该从孕前开始,应注重出生后第1年的喂养方式,提倡母乳喂养,以降低后期肥胖的发生率.
目的 對巨大兒和正常齣生體重兒在嬰幼兒期超重和肥胖的髮生情況進行比較,以便採取積極有效的榦預措施改善兒童的生長髮育狀況.方法 隨機選擇足月巨大兒145例和足月正常齣生體重兒145例(對照組),進行體格測量及數據評價.結果 巨大兒組平均體重、平均身高1週歲時為11.27±1.24kg、78.64±2.62cm,2週歲時為14.01±1.69kg、91.10±3.18cm,2歲時身體質量指數為16.83±1.46 kg/m2,各指標均高于對照組,併有統計學差異(P<0.05);巨大兒組和對照組幼兒期超重和肥胖兒的髮生率,1週歲時分彆為17.24%和4.14%,χ2=13.039,P<0.05;2週歲時分彆為11.03%和4.83%,χ2=3.825,P=0.05.巨大兒造成1歲幼兒超重和肥胖的風險是正常齣生體重兒的4.83倍(P<0.05).結論 胎兒期的肥胖可影響至嬰幼兒期,預防肥胖癥的髮生應該從孕前開始,應註重齣生後第1年的餵養方式,提倡母乳餵養,以降低後期肥胖的髮生率.
목적 대거대인화정상출생체중인재영유인기초중화비반적발생정황진행비교,이편채취적겁유효적간예조시개선인동적생장발육상황.방법 수궤선택족월거대인145례화족월정상출생체중인145례(대조조),진행체격측량급수거평개.결과 거대인조평균체중、평균신고1주세시위11.27±1.24kg、78.64±2.62cm,2주세시위14.01±1.69kg、91.10±3.18cm,2세시신체질량지수위16.83±1.46 kg/m2,각지표균고우대조조,병유통계학차이(P<0.05);거대인조화대조조유인기초중화비반인적발생솔,1주세시분별위17.24%화4.14%,χ2=13.039,P<0.05;2주세시분별위11.03%화4.83%,χ2=3.825,P=0.05.거대인조성1세유인초중화비반적풍험시정상출생체중인적4.83배(P<0.05).결론 태인기적비반가영향지영유인기,예방비반증적발생응해종잉전개시,응주중출생후제1년적위양방식,제창모유위양,이강저후기비반적발생솔.
Objective To compare morbidity rate of overweight and obesity in infancy between macrosomias and neonates with nomal birth weight so as to adopt effective measures to improve growth and development of the children. Methods 145 term macrosonias were selected randomly and other 145 term neonates with nomal birth weight were selected as controls. The growth and development status and morbidity rates of obesity and overweight of all infants during infancy were compared. Results The average body weight, body height of children at one-year old and two-year old and their BMI in the macrosomia group were greater than those of children in the control group(at one year old:11.27±1.24kg vs 10.22±1.05kg,78.64±2.62cm vs 76.56±2.46cm;at two years old:14.01±1.69kg vs 12.75±1.39kg,91.10±3.18cm vs 89.32±3.07cm;BMI at two years old :16.83±1.46 vs 15.93±1.20), there were significant differences between the two groups(all P<0.05). The morbidity rate of obesity and overweight in macrosomia group was 17.24% and that was 4.14% in the control group at one-year old (χ2=13.039,P<0.05), and that was 11.03% in the macrosomia group and 4.83% in the control group at two years old(χ2=3.825, P=0.05) , respectively. The risk of obesity and overweight in the macrosomia group at one-year old was 4.83 folds as compared with the control group and the difference was significant(P<0.05). Conclusion Our data suggest that there is a close relationship between fetal obesity and infantile obesity. Therefore, prevention of obesity should start from pregestational period, more attention should be paid to feeding patterns in the first year after birth and breast feeding should be advocated so as to reduce mobidity rate of obesity in infancy.
