CAJ | 학술논문

目的：研究不同地区华人学龄前儿童父母对儿童肥胖的认识并分析其影响因素,为临床医生开展儿童肥胖的针对性防治提供依据。方法在北京、高雄和旧金山分别选取47名、25名和28名3~5岁儿童及其家长进行研究。采用国际肥胖工作组体重指数标准作为儿童超重/肥胖的判定标准。测量儿童的身高体重,并由家长填写家庭饮食和运动习惯调查问卷、儿童喂养量表、儿童体型图表和人口学调查问卷。结果儿童的平均年龄为4.43岁,超重/肥胖比例为19.0%。超重/肥胖儿童中仅26.3%的家长认为自己的孩子超重。家长对儿童体重的担忧程度与食物限制、对儿童体重的认识、食物监测和儿童的体育活动水平有关(R2=0.59,P=0.001)。结论家长对儿童肥胖的认识不准确,且对儿童体重的担忧程度与不健康的喂养行为有关。医生应关注对儿童家长的健康教育,帮助他们正确认识儿童体重,并指导他们采取科学正确的喂养方法,以提高防治措施的依从性,改善治疗效果。
목적：연구불동지구화인학령전인동부모대인동비반적인식병분석기영향인소,위림상의생개전인동비반적침대성방치제공의거。방법재북경、고웅화구금산분별선취47명、25명화28명3~5세인동급기가장진행연구。채용국제비반공작조체중지수표준작위인동초중/비반적판정표준。측량인동적신고체중,병유가장전사가정음식화운동습관조사문권、인동위양량표、인동체형도표화인구학조사문권。결과인동적평균년령위4.43세,초중/비반비례위19.0%。초중/비반인동중부26.3%적가장인위자기적해자초중。가장대인동체중적담우정도여식물한제、대인동체중적인식、식물감측화인동적체육활동수평유관(R2=0.59,P=0.001)。결론가장대인동비반적인식불준학,차대인동체중적담우정도여불건강적위양행위유관。의생응관주대인동가장적건강교육,방조타문정학인식인동체중,병지도타문채취과학정학적위양방법,이제고방치조시적의종성,개선치료효과。
Objective This study aims to clarify the parental concerns about children’ s weight and possible risk fac-tors in Chinese preschoolers, and to provide basis for targeted prevention and treatment . Method Preschool children aged from 3 to 5 and their families participated in the study ( Beijing = 47, Kaohsiung = 25, San ③rancisco =28). Children’s weight status was classified using the BMI cutoff of IOT③. Children had their weight and height measured. Parents completed a family eating and activity habit questionnaire, a child feeding practices survey, a child body shape pictorial list, and a demographic survey. Result The mean age of the children was 4. 43. 19. 0%of all children were overweight and/or obese. Among overweight and/or obese children, only 26. 3% of parents per-ceived their children as overweight. Parents’ concern for children’ s weight was associated with increased food re-striction practice, perceived child’s weight, food monitoring, and child’s activity level (R2=0. 59, P=0. 001). Conclusion Results suggested lower rate of accurate perception of child’ s weight reported by their parents, and that unhealthy child-feeding practices are associated with parental concerns about children’ s weight. Doctors should pay attention to the health education of parents, including accurate perception of weight and scientific feeding behaviors.