摘要
目的了解天津市中小学生超重肥胖流行趋势及其相关因素,为制定超重肥胖防控策略提供依据。方法于2019—2023年的每年9月,采用分层随机整群抽样方法,选取天津市16个区的197707名中小学生按照《学生健康检查技术规范》进行体格检查,开展超重肥胖调查。通过问卷调查收集基本信息、吸烟、饮酒、饮食、体育锻炼及睡眠情况等。结果2019—2023年天津市中小学生超重肥胖检出率分别为39.07%,43.33%,41.54%,43.92%和40.24%,呈增长趋势(χ^(2)_(趋势)=7.96,P<0.01),超重检出率在职业高中及郊县中均呈增长趋势(χ^(2)_(趋势)值分别为9.08,47.18),肥胖检出率在男生、女生、小学、职业高中和郊县中均呈增长趋势(χ^(2)_(趋势)值分别为108.34,15.99,7.32,10.95,14.75)(P值均<0.01)。多因素Logistic回归分析结果显示,吸烟、饮酒、不健康饮食和不进行良好体育锻炼中小学生肥胖风险更高(OR值分别为1.26,1.13,1.08,1.21,P值均<0.05)。分层分析发现,不健康和中等水平生活方式的男生、不健康生活方式的小学生肥胖风险更高(OR值分别为1.15,1.11,1.27);不健康生活方式的男生、女生和小学生,中等水平生活方式的女生、普通高中生超重风险更高(OR值分别为1.14,1.32,1.21,1.18,1.40)(P值均<0.05)。结论天津市中小学生超重和肥胖检出率呈增长趋势。应实施综合生活方式干预措施,更好地预防和控制超重肥胖的患病风险。
Objective To understand trends and related factors influencing overweight and obesity among primary and secondary school students in Tianjin,so as to provide a basis for formulating overweight and obesity prevention and control strategies.Methods In September of each year from 2019 to 2023,a survey was conducted among 197707 primary and secondary school students in 16 districts of Tianjin through a stratified random cluster sampling method.Physical examination was carried out in accordance with the Technical Standard for Physical examination for Student,and overweight and obesity survey was carried out.Basic information,smoking,drinking,diet,physical exercise,and sleep status were collected through questionnaire surveys.Results The detection rates of overweight and obesity among primary and secondary school students in Tianjin from 2019 to 2023 were 39.07%,43.33%,41.54%,43.92%,and 40.24%,respectively,showing an increasing trend(χ^(2)_(trend)=7.96,P<0.01).The detection rates of overweight increased in both vocational high schools and suburban counties(χ^(2)_(trends)=9.08,47.18,P<0.01).The detection rates of obesity increased among both male and female students,in primary and vocational high schools and suburban counties(χ^(2)_(trends)=108.34,15.99,7.32,10.95,14.75,P<0.01).Multivariate Logistic regression analysis showed that smoking,drinking,unhealthful diet,and lack of proper physical exercise had a higher risk of obesity among primary and secondary school students(OR=1.26,1.13,1.08,1.21,P<0.05).Stratified analysis showed that the risk of obesity was higher among boys with unhealthful and moderate lifestyle habits,as well as primary school students with unhealthful lifestyle habits(OR=1.15,1.11,1.27,P<0.05).Boys,girls and primary school students with unhealthful lifestyle habits,girls and ordinary high school students with moderate lifestyle habits had higher risk of being overweight(OR=1.14,1.32,1.21,1.18,1.40,P<0.05).Conclusions The detection rates of overweight and obesity among primary and secondary school students in Tianjin shows an increasing trend.Comprehensive lifestyle should be implemented to better prevent and control the risk of overweight and obesity.
作者
刘忠慧
赵赛赛
肖英琛
孙志颖
张献伟
徐渴
高磊
董彦会
宋逸
陈璐
LIU Zhonghui;ZHAO Saisai;XIAO Yingchen;SUN Zhiying;ZHANG Xianwei;XU Ke;GAO Lei;DONG Yanhui;SONG Yi;CHEN Lu(Institute of Environmental and Public Health,Tianjin Center of Disease Control and Prevention,Tianjin(300011),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2024年第8期1176-1180,1185,共6页
Chinese Journal of School Health
基金
天津市医学重点学科(专科)建设项目(TJYXZDXK-051A)。
关键词
超重
肥胖症
回归分析
学生
Overweight
Obesity
Regression analysis
Students
作者简介
刘忠慧(1981-),女,河北沧州人,硕士,副主任医师,主要研究方向为儿童青少年健康;通信作者:陈璐,E⁃mail:chenlu6@tj.gov.cn。
