中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
30期
3531-3535
,共5页
郭连增%刘蕊%陈珉惺%张引%孙蓬飞%王朝昕
郭連增%劉蕊%陳珉惺%張引%孫蓬飛%王朝昕
곽련증%류예%진민성%장인%손봉비%왕조흔
儿童%青少年%肥胖症
兒童%青少年%肥胖癥
인동%청소년%비반증
Child%Adolescent%Obesity
儿童青少年肥胖是一个重大的公共卫生问题。本文以中国儿童青少年肥胖研究为例,探讨中国儿童青少年肥胖研究和实践的瓶颈与机遇。通过检索中英文文献,分析纳入文献的研究主题、问题、设计、视角、维度和方法,中国儿童青少年肥胖研究的发展大致可分为三个“十年”:第一个十年,中国的改革开放刚刚开启,主要是儿童青少年肥胖概念的引入及简单的现况研究;第二个十年,发达国家的饮食习惯和生活方式开始冲击中国,导致儿童青少年肥胖的发生率急剧上升,主要是围绕生理性影响因素的研究和大规模的横断面调查,但这一阶段重复性研究较多;最后一个十年,基于前期影响因素研究基础,研究对学校和家庭两种干预模式进行尝试,但干预困难较大。中国儿童青少年肥胖研究三个阶段的主题虽然受到了本地复杂的社会经济环境的影响而规律变化,但由于发展中国家环境类似,希望能为我国及欠发达国家和地区的相关决策和实践提供借鉴和参考。
兒童青少年肥胖是一箇重大的公共衛生問題。本文以中國兒童青少年肥胖研究為例,探討中國兒童青少年肥胖研究和實踐的瓶頸與機遇。通過檢索中英文文獻,分析納入文獻的研究主題、問題、設計、視角、維度和方法,中國兒童青少年肥胖研究的髮展大緻可分為三箇“十年”:第一箇十年,中國的改革開放剛剛開啟,主要是兒童青少年肥胖概唸的引入及簡單的現況研究;第二箇十年,髮達國傢的飲食習慣和生活方式開始遲擊中國,導緻兒童青少年肥胖的髮生率急劇上升,主要是圍繞生理性影響因素的研究和大規模的橫斷麵調查,但這一階段重複性研究較多;最後一箇十年,基于前期影響因素研究基礎,研究對學校和傢庭兩種榦預模式進行嘗試,但榦預睏難較大。中國兒童青少年肥胖研究三箇階段的主題雖然受到瞭本地複雜的社會經濟環境的影響而規律變化,但由于髮展中國傢環境類似,希望能為我國及欠髮達國傢和地區的相關決策和實踐提供藉鑒和參攷。
인동청소년비반시일개중대적공공위생문제。본문이중국인동청소년비반연구위례,탐토중국인동청소년비반연구화실천적병경여궤우。통과검색중영문문헌,분석납입문헌적연구주제、문제、설계、시각、유도화방법,중국인동청소년비반연구적발전대치가분위삼개“십년”:제일개십년,중국적개혁개방강강개계,주요시인동청소년비반개념적인입급간단적현황연구;제이개십년,발체국가적음식습관화생활방식개시충격중국,도치인동청소년비반적발생솔급극상승,주요시위요생이성영향인소적연구화대규모적횡단면조사,단저일계단중복성연구교다;최후일개십년,기우전기영향인소연구기출,연구대학교화가정량충간예모식진행상시,단간예곤난교대。중국인동청소년비반연구삼개계단적주제수연수도료본지복잡적사회경제배경적영향이규률변화,단유우발전중국가배경유사,희망능위아국급흠발체국가화지구적상관결책화실천제공차감화삼고。
Obesity of the childhood and adolescent is a serious public health problem. Using China's experiences in childhood and adolescent obesity research as an example,the research investigated the bottlenecks and opportunities in childhood and adolescent obesity research and practice. We searched the Chinese - English document database and analyzed research themes,research questions,research designs,perspectives,dimensions and methods of the literature involved and found that the development of childhood and adolescent obesity research in China was divided into three " decades" . In the first decade, China had just started reform and opening up and the research mainly focused on introducing the concept and conducting simple surveys on the status quo. In the second decade,China began to be influenced by the diet habits and lifestyle of developed coun-tries,which led to a sharp rise in childhood obesity. The main research was focused on examining physiological influencing factors and conducting large scale cross sectional surveys. However,there were more repetitive studies. In the third decade,based on the earlier research on obesity influencing factors,the research mainly attempted two intervention models targeting on the school and the family respectively but it turned out to be very difficult. The theme of China's research on obesity of children and adolescent in these three decades is influenced and changed by the social and economic environment of the local places,but due to the similari-ties of conditions in developing countries,we hope our research can provide references for China and less developed countries and places on policy-making and practicing.