王国伟

[摘要] 目的 探讨儿童肥胖症的流行因素及相应的干预措施。 方法 选取本市2010年1月～2013年12月≤6岁的儿童1000例为研究对象，采取问卷加随访的形式进行调查研究，调查工具由一般资料调查问卷、肥胖标准、干预方案组成，收集一般资料。 结果 男性的超重、肥胖症发生率均高于女性，差异有统计学意义（P＜0.05）。不同年龄儿童的超重及肥胖症发生率比较，差异有统计学意义（P＜0.05）。性别、年龄、家族肥胖史、家族哮喘史、高血压、高血脂、高糖高热量、进食进度快、户外活动多均是影响儿童肥胖症的独立危险因素。 结论 儿童单纯性肥胖是多因素作用的结果，应根据影响因素，给予针对性的干预，帮助其克服心理障碍，使其在治疗肥胖时心理上也能得到健康成长。

[关键词] 肥胖症；流行因素；干预措施；儿童

[中图分类号] R58[文献标识码] A[文章编号] 1674-4721（2014）04（c）-0049-03

Study on epidemic factor and corresponding intervention measure of children with obesity

WANG Guo-wei

Long Whistle Camp Manchu Township Health Center of Huairou District in Beijing City,Beijing101412,China

[Abstract] Objective To study epidemic factor and corresponding intervention measure of children with obesity. Methods 1000 cases of children in our city from January 2010 to December 2012 under 6 years of age were seleced.The form of questionnaire and follow-up study was taken by the general information questionnaire survey tools,obesity,standard,the intervention plan.General information was collected. Results The incidence of overweight,obesity in male was higher than that in female respectively,with statistical difference(P＜0.05).The incidence of overweight,obesity in children of different ages was compared,with statistical difference(P＜0.05).Gender,age,family history of obesity,family history of asthma,hypertension,high blood fat,high sugar,high calorie eating fast progress,outdoor activities are the independent risk factors of children obesity. Conclusion The cause of children′s simple obesity is a function of many factors.According to the influencing factors,give targeted intervention,help them to overcome the psychological barriers,so that in the treatment of obesity in psychology also can get healthy growth.

[Key words] Obesity;Epidemic factor;Intervention measure;Children

近年来，随着经济的快速发展，人民生活水平的不断提高，肥胖症在世界范围内日趋流行，儿童肥胖率和超重率也呈逐年增高趋势[1]。肥胖的危害不仅影响了儿童青少年的身心健康，而且其并发的成人期代谢综合征及心血管疾病等降低了人类的生活质量。肥胖症的治疗已从饮食、行为等矫治发展到了基因治疗，但由于对导致肥胖的流行因素缺乏综合的研究，在治疗上缺乏有效的监督和治疗措施，所以对儿童肥胖的治疗效果不尽人意。本研究从调查问卷出发，对儿童肥胖症的因素进行调查统计，给予相应的干预措施，探讨儿童肥胖症的流行因素及有效的干预措施。……