中华儿科杂志
中華兒科雜誌
중화인과잡지
Chinese Journal of Pediatrics
2014年
6期
464-467
,共4页
郭冰冰%梅红%杨森焙%张建端
郭冰冰%梅紅%楊森焙%張建耑
곽빙빙%매홍%양삼배%장건단
儿童%超重%相关因素
兒童%超重%相關因素
인동%초중%상관인소
Child%Overweight%Related factors
目的 探讨婴幼儿高体质指数(BMI)的相关因素.方法 通过出生队列研究,在沈阳、武汉和广州共收录2 220名新生儿.由儿童父母填写社会人口学调查问卷,由专业人员对儿童0～2岁期间进行定期体格发育测量和问卷调查.以是否为高BMI状态为因变量进行非条件Logistic回归分析.结果 儿童1岁和2岁时,高BMI状态者分别为550名(32.8％)和309名(26.2％),2岁时男、女童高BMI检出数分别为178(29.1％)和133名(23.1％),男童检出率高于女童(x2=5.52,P =0.02).Logistic回归分析显示,在校正儿童性别、父母文化程度、家庭经济状况等混杂因素后,母亲孕期被动吸烟[OR:1岁:1.38(1.05 ～ 1.82);2岁:1.48(1.05 ～2.09)]、母亲孕前超重肥胖[OR:1岁:1.29(1.05 ～1.58);2岁:1.35(1.04 ～ 1.76)]、父亲超重肥胖[OR:1岁:1.50(1.21 ～ 1.87);2岁:1.47(1.11～1.95)]及出生体重[OR:1岁:1.53(1.05 ～ 1.82);2岁:1.87(1.33 ～2.63)]与婴幼儿高BMI相关.结论 母亲孕期被动吸烟、父、母(孕前)超重肥胖和出生体重高等因素是婴幼儿高BMI状态的相关因素,预防儿童超重肥胖应该从孕前开始.
目的 探討嬰幼兒高體質指數(BMI)的相關因素.方法 通過齣生隊列研究,在瀋暘、武漢和廣州共收錄2 220名新生兒.由兒童父母填寫社會人口學調查問捲,由專業人員對兒童0～2歲期間進行定期體格髮育測量和問捲調查.以是否為高BMI狀態為因變量進行非條件Logistic迴歸分析.結果 兒童1歲和2歲時,高BMI狀態者分彆為550名(32.8％)和309名(26.2％),2歲時男、女童高BMI檢齣數分彆為178(29.1％)和133名(23.1％),男童檢齣率高于女童(x2=5.52,P =0.02).Logistic迴歸分析顯示,在校正兒童性彆、父母文化程度、傢庭經濟狀況等混雜因素後,母親孕期被動吸煙[OR:1歲:1.38(1.05 ～ 1.82);2歲:1.48(1.05 ～2.09)]、母親孕前超重肥胖[OR:1歲:1.29(1.05 ～1.58);2歲:1.35(1.04 ～ 1.76)]、父親超重肥胖[OR:1歲:1.50(1.21 ～ 1.87);2歲:1.47(1.11～1.95)]及齣生體重[OR:1歲:1.53(1.05 ～ 1.82);2歲:1.87(1.33 ～2.63)]與嬰幼兒高BMI相關.結論 母親孕期被動吸煙、父、母(孕前)超重肥胖和齣生體重高等因素是嬰幼兒高BMI狀態的相關因素,預防兒童超重肥胖應該從孕前開始.
목적 탐토영유인고체질지수(BMI)적상관인소.방법 통과출생대렬연구,재침양、무한화엄주공수록2 220명신생인.유인동부모전사사회인구학조사문권,유전업인원대인동0～2세기간진행정기체격발육측량화문권조사.이시부위고BMI상태위인변량진행비조건Logistic회귀분석.결과 인동1세화2세시,고BMI상태자분별위550명(32.8％)화309명(26.2％),2세시남、녀동고BMI검출수분별위178(29.1％)화133명(23.1％),남동검출솔고우녀동(x2=5.52,P =0.02).Logistic회귀분석현시,재교정인동성별、부모문화정도、가정경제상황등혼잡인소후,모친잉기피동흡연[OR:1세:1.38(1.05 ～ 1.82);2세:1.48(1.05 ～2.09)]、모친잉전초중비반[OR:1세:1.29(1.05 ～1.58);2세:1.35(1.04 ～ 1.76)]、부친초중비반[OR:1세:1.50(1.21 ～ 1.87);2세:1.47(1.11～1.95)]급출생체중[OR:1세:1.53(1.05 ～ 1.82);2세:1.87(1.33 ～2.63)]여영유인고BMI상관.결론 모친잉기피동흡연、부、모(잉전)초중비반화출생체중고등인소시영유인고BMI상태적상관인소,예방인동초중비반응해종잉전개시.
Objective To explore prenatal related factors of high BMI status in children at 1 and 2 years of age.Method A total of 2 220 newborns from Shenyang,Wuhan and Guangzhou were recruited in this birth cohort,thereafter they were followed up to two years of age.Self-administered questionnaires were used to collect such variables as social-demographic characteristics and feeding practice,etc.The anthropometric measures of children were collected by trained health staff.The data were subjected to multiple logistic regression analysis to determine the related factors for high BMI among infants and toddlers.Result The number of children with high BMI status were 550 (32.80％) at one year of age and 309(26.23％) at two,respectively.The number of boys with high BMI status were 178 and girls 309 at age two years.The prevalence of high BMI status among boys (29.1％) at age two was significantly higher than that of girls(23.1％) (x2 =5.52,P =0.02).Logistic regression analysis showed that after the adjustment for sex,parental educational level,family economic status and other confounding factors,maternal passive smoking during pregnancy [OR:aged one:1.38 (1.05-1.82) ; aged two:1.48 (1.05-2.09)],maternal pre-pregnancy overweight and obesity [aged one:1.29 (1.05-1.58) ; aged two:1.35 (1.04-1.76)],paternal overweight and obesity [aged one:1.50 (1.21-1.87) ; aged two:1.47 (1.11-1.95)] and birth weight [aged one:1.53 (1.05-1.82) ; aged two:1.87 (1.33-2.63)] were identified to be associated with high BMI status in children.Conclusion Maternal passive smoking during pregnancy,paternal and maternal (pre-pregnancy) overweight or obesity and high birth weight are found to be important related factors for high BMI status in young children.Childhood overweight/obesity prevention should be considered starting as early as before pregnancy.
