中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
7期
773-778
,共6页
曹志娟%王书梅%郑文娟%郭家宁%曲爽笑
曹誌娟%王書梅%鄭文娟%郭傢寧%麯爽笑
조지연%왕서매%정문연%곽가저%곡상소
肥胖%干预%儿童%评估%广义估计方程
肥胖%榦預%兒童%評估%廣義估計方程
비반%간예%인동%평고%엄의고계방정
Obesity%Intervention%Child%Evaluation%Generalized Estimating Equation
目的 评估儿童肥胖综合干预项目在控制儿童超重/肥胖及改善儿童肥胖相关知识-态度-行为的效果,为制定儿童肥胖干预措施提供依据.方法 通过整群随机对照实验设计并采用广义估计方程模型对儿童肥胖相关重复测量数据进行统计分析.结果 实验组965人,对照组895人.实验组的学生从正常体重发展为超重/肥胖的风险是对照组学生的0.824倍,即干预措施降低了17.6％成为超重/肥胖的风险(P=0.031).此外,实验组学生肥胖相关知识正确率的均值提高一个单位的可能性是对照组学生的1.044倍(P=0.001);实验组学生肥胖相关正确态度率的均值提高一个单位的可能性是对照组学生的1.023倍(P=0.001);实验组学生肥胖相关行为的均值提高一个单位的可能性是对照组学生的1.522倍(P=0.046).结论 基于知识-态度-行为模式建立的针对儿童肥胖的干预措施可有效降低正常体重儿童发展为超重/肥胖的风险,并在改善儿童肥胖相关知识-态度-行为方面呈现一定的效果.
目的 評估兒童肥胖綜閤榦預項目在控製兒童超重/肥胖及改善兒童肥胖相關知識-態度-行為的效果,為製定兒童肥胖榦預措施提供依據.方法 通過整群隨機對照實驗設計併採用廣義估計方程模型對兒童肥胖相關重複測量數據進行統計分析.結果 實驗組965人,對照組895人.實驗組的學生從正常體重髮展為超重/肥胖的風險是對照組學生的0.824倍,即榦預措施降低瞭17.6％成為超重/肥胖的風險(P=0.031).此外,實驗組學生肥胖相關知識正確率的均值提高一箇單位的可能性是對照組學生的1.044倍(P=0.001);實驗組學生肥胖相關正確態度率的均值提高一箇單位的可能性是對照組學生的1.023倍(P=0.001);實驗組學生肥胖相關行為的均值提高一箇單位的可能性是對照組學生的1.522倍(P=0.046).結論 基于知識-態度-行為模式建立的針對兒童肥胖的榦預措施可有效降低正常體重兒童髮展為超重/肥胖的風險,併在改善兒童肥胖相關知識-態度-行為方麵呈現一定的效果.
목적 평고인동비반종합간예항목재공제인동초중/비반급개선인동비반상관지식-태도-행위적효과,위제정인동비반간예조시제공의거.방법 통과정군수궤대조실험설계병채용엄의고계방정모형대인동비반상관중복측량수거진행통계분석.결과 실험조965인,대조조895인.실험조적학생종정상체중발전위초중/비반적풍험시대조조학생적0.824배,즉간예조시강저료17.6％성위초중/비반적풍험(P=0.031).차외,실험조학생비반상관지식정학솔적균치제고일개단위적가능성시대조조학생적1.044배(P=0.001);실험조학생비반상관정학태도솔적균치제고일개단위적가능성시대조조학생적1.023배(P=0.001);실험조학생비반상관행위적균치제고일개단위적가능성시대조조학생적1.522배(P=0.046).결론 기우지식-태도-행위모식건립적침대인동비반적간예조시가유효강저정상체중인동발전위초중/비반적풍험,병재개선인동비반상관지식-태도-행위방면정현일정적효과.
Objective To evaluate the effect of child obesity intervention comprehensive program on the improvement of overweight,obese control and knowledge-attitude-practice.Methods The study design was under cluster-randomized controlled trial,with 965 children in the intervention and 895 children in the control groups.Repeated measurement data on child obesity was analyzed through Generalized Estimating Equation models.Results The risk of becoming overweight or obesity in the intervention group was 0.824 times more than children in the control group,showing a reduction of 17.6％ the risk of being overweight or obese (P=0.031).In addition,the possibility of increasing one unit of correct rate on obesity related knowledge,children in the intervention group children was 1.044 times (P=0.001) than in the control group.On the mean obesity related correct attitude rate,it was 1.023 times (P=0.001) in the intervention group of the control group.Regarding the possibility of increasing one unit om the mean obesity related behavior score,children in the intervention group was 1.522 times (P=0.001) than those in the control group (P=0.046).Conclusion The comprehensive child obesity intervention program could effectively reduce the risk of developing overweight or obeseity and improving the obesity related knowledge,attitude and behavior in children.
