摘要
目的探讨儿童肥胖与其母亲孕期增重和婴儿喂养方式之间的关系,为制定预防儿童肥胖相关公共卫生政策和措施提供参考依据。方法采用整群抽样调查的方法选取本院所在区域的4所幼儿园中的956名儿童及其家长作为研究对象进行问卷调查。内容包括儿童体质量、身高、母亲孕期情况、婴儿的喂养方式、家庭基本情况等。通过单因素分析和多因素Logistic回归分析母亲孕期增重、婴儿喂养方式和儿童肥胖之间的关系。结果本研究共发放956份调查问卷,成功收回的有效调查问卷948份,回收率99.16%。受访儿童中有10.02%(95/948)为肥胖。单因素分析显示,母亲孕期体质量增加大于15kg和婴儿6个月龄内纯母乳喂养是儿童肥胖的相关因素(P<0.05)。多因素Logistic回归分析显示,母亲孕期体质量增加大于15kg是儿童肥胖的危险因素(P<0.05),婴儿6个月龄内纯母乳喂养是儿童肥胖的保护因素(P<0.05),其他因素与儿童肥胖无显著相关性(P>0.05)。结论在制定预防儿童肥胖的相关公共卫生政策和措施的工作中,指导孕妇适当控制体质量增长,鼓励产妇采用纯母乳喂养是工作重点。
Objective To research the relationship of childhood obesity with their mothers＇ weight gain during pregnancy and infant feeding modes and to provide reference for making public health policies related to the prevention of childhood obesity.Methods Using cluster sampling method we selected 956 children and their parents in 4 kindergartens as the research subjects.Questionnaire survey was conducted in the research.The content of the investigation included children＇s weight,height,mothers pregnancy state,infants feeding modes,basic situation of families,etc.Through the single factor analysis and multivariable Logistic regression analysis,pregnancy weight gain,infant feeding modes and their relationship with childhood obesity were analyzed.Results A total of 956 copies of questionnaires were delivered,and 948 copies of effective questionnaires were collected,with a collection rate of 99.16%.According to the study 10.02%（95/948）of the children were obese.Single factor analysis showed that the mother＇s weight gain during pregnancy more than 15 kg and exclusive breastfeeding within 6 months are related factors of childhood obesity（P〈0.05）.Multivariable Logistic regression analysis showed that the mother＇s weight gain during pregnancy greater than 15 kg was a risk factor for childhood obesity（P〈0.05）,and exclusive breastfeeding within 6 months was the protection factor in childhood obesity（P〉0.05）;other factors had no significant correlation with childhood obesity（P〈0.05）.Conclusion In making public health policies and measures related to the prevention of childhood obesity,it is the focus to guide the appropriate weight control in pregnant women and to encourage them to adopt exclusive breastfeeding.
出处
《中国中西医结合儿科学》
2015年第5期488-490,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
肥胖
喂养方式
孕期保健
儿童
obesity
feeding mode
gestational healthcare
children
作者简介
游诚（1980-），女，主治医师。研究方向：儿童预防保健。
