CAJ | 학술논문

目的：通过对上海市小于胎龄儿( SGA )的超重及肥胖问题进行横断面现况调查,了解上海市0~5岁SGA儿童超重及肥胖的分布特点。方法对上海市18个市辖区内所有0~5岁的常住儿童展开普查,为SGA儿童建卡,体格检查包括体质量、身长/身高及头围；根据世界卫生组织标准,采用体质量指数( BMI)评价儿童超重及肥胖状况。结果本研究共调查上海市0~5岁儿童728602名,最终符合标准的儿童23871名。其中男9805名(41.4%),女14066名(58.9%)。 SGA儿童4~18月龄的BMI高于适于胎龄儿(AGA)中位值,余年龄节点与AGA基本持平,变化趋势与AGA儿童相同。超重及肥胖在不同年龄SGA男童中的分布比例为7.7%~20.7%,平均15.7%；在女童中的分布比例为5.9%~18.3%,平均12.9%。 SGA男童超重及肥胖的比例高于SGA女童。4~18月龄的超重及肥胖比例显著高于余年龄节点。 SGA儿童中2岁前的超重及肥胖情况与其5岁时的超重及肥胖情况无相关性(P>0.05)。结论与SGA女童相比,SGA男童超重及肥胖问题更为严重。超重的高发时期在4~18月龄。 SGA儿童中2岁前的超重及肥胖情况并未影响到其5岁时的超重及肥胖程度。
목적：통과대상해시소우태령인( SGA )적초중급비반문제진행횡단면현황조사,료해상해시0~5세SGA인동초중급비반적분포특점。방법대상해시18개시할구내소유0~5세적상주인동전개보사,위SGA인동건잡,체격검사포괄체질량、신장/신고급두위；근거세계위생조직표준,채용체질량지수( BMI)평개인동초중급비반상황。결과본연구공조사상해시0~5세인동728602명,최종부합표준적인동23871명。기중남9805명(41.4%),녀14066명(58.9%)。 SGA인동4~18월령적BMI고우괄우태령인(AGA)중위치,여년령절점여AGA기본지평,변화추세여AGA인동상동。초중급비반재불동년령SGA남동중적분포비례위7.7%~20.7%,평균15.7%；재녀동중적분포비례위5.9%~18.3%,평균12.9%。 SGA남동초중급비반적비례고우SGA녀동。4~18월령적초중급비반비례현저고우여년령절점。 SGA인동중2세전적초중급비반정황여기5세시적초중급비반정황무상관성(P>0.05)。결론여SGA녀동상비,SGA남동초중급비반문제경위엄중。초중적고발시기재4~18월령。 SGA인동중2세전적초중급비반정황병미영향도기5세시적초중급비반정도。
Objective To understand the distribution of overweight and obesity in 0-5 years old children who were born small for gestational age ( SGA) in Shanghai through a cross-sectional investigation. Methods All resident children aged 0-5 years were included, covering all 18 districts in Shanghai. Health-check cards were prepared for SGA children. The check-up included weight,length/height and head circumference. Body mass index ( BMI) was used to evaluate the overweight and obesity according to the standard of World Health Organization ( WHO) . Results This study investigated 728 602 children aged 0-5 years in Shanghai,and ultimately 23 871 of them were defined as SGA,a-mong whom 9 805(41. 4%) were boys and 14 066(58. 9%) were girls. The BMI of SGA children were higher than that of appropriate for gestational age( AGA) from 4 to 18 months,while for the rest of the time,they were basically the same. There was no difference in changing tendency of BMI between SGA children and those AGA children. The distri-bution of overweight and obesity according to the standard of WHO in SGA boys among different ages was 7. 7% to 20. 7%, and 15. 7% in average;the distribution of SGA girls among different ages was 5. 9% to 18. 3%,and 12. 9% in average. The proportion of overweight at the age of 4-18 months was significantly higher than that of other ages. There was no correlation between overweight at 0-2 years old and overweight at the age of 5(P>0. 05). Conclusions Com-pared with SGA girls,overweight and obesity in SGA boys were more serious. The age of 4-18 months were the period of high incidence of overweight. There was no correlation between overweight at 0-2 years old and overweight at the age of 5.