陈永刚　　高青　　朴泰弘　　程明　　叶茜雯　吴明

[摘要] 目的 了解2018—2019年本溪市儿童青少年超重和肥胖情况，并分析其影响因素。为防控儿童青少年超重和肥胖提供相应的策略措施。 方法 采用多阶段分层随机整群抽样的方法，抽取2018-2019年本溪市9～18岁儿童青少年，并对其进行体格检查和问卷调查。本次调查共回收问卷分别为2985份和3489份。利用Logistic回归分析儿童青少年超重和肥胖的影响因素。 结果 2018和2019年本溪市儿童青少年超重和肥胖分别为38.23%、41.79%，年增长率为3.56%。多因素分析发现，影响本溪市儿童青少年超重和肥胖的主要因素有营养不良、城乡分类、年龄分类、性别、吃甜食情况。其中，营养良好为其保护性因素，而郊县、13～18岁、性别女、爱吃甜食是其危险性因素。 结论 本溪市儿童青少年超重和肥胖率相对较高，应尽快采取有效的防控措施，消除不良因素影响，有效降低儿童青少年超重和肥胖的发生。

[關键词] 青少年;超重;肥胖;影响因素

[中图分类号] R723.14;R179;R193          [文献标识码] B          [文章编号] 1673-9701（2021）11-0158-05

Analysis of overweight and obesity status of children and adolescents and associated influencing factors in Benxi

CHEN Yonggang1   GAO Qing2   PIAO Taihong1   CHENG Ming1   YE Qianwen2   WU Ming2

1.Department of Chronic Non-communicable Diseases，Benxi Center for Disease Control and Prevention in Liaoning Province， Benxi 117000， China; 2.School Health Institute， Liaoning Center for Disease Control and Prevention， Shenyang   110005， China

[Abstract] Objective To understand the overweight and obesity status of children and adolescents in Benxi City from 2018 to 2019 and analyze the influencing factors， to provide corresponding strategies and measures to prevent and control overweight and obesity in children and adolescents. Methods A multi-stage stratified random cluster sampling method was used to select children and adolescents aged 9-18 in Benxi City from 2018 to 2019. The physical examinations and questionnaire surveys were conducted. A total of 2985 and 3489 questionnaires were returned in this survey. Logistic regression was used to analyze the influencing factors of overweight and obesity in children and adolescents. Results In 2018 and 2019， the overweight and obesity of children and adolescents in Benxi City accounted for 38.23% and 41.79%， respectively， with an annual growth rate of 3.56%. Multi-factor analysis found that the main factors affecting overweight and obesity in children and adolescents in Benxi City were malnutrition， urban and rural classification， age classification， gender， and sweets eating. Among them， good nutrition was a protective factor， while suburbs， 13-18 years old， female gender， and sweet tooth were the risk factors. Conclusion The rates of overweight and obesity in children and adolescents in Benxi City are relatively high. Effective prevention and control measures should be taken as soon as possible to eliminate the influence of adverse factors and effectively reduce the incidence of overweight and obesity in children and adolescents.

[Key words] Adolescents; Overweight; Obesity; Influencing factors

目前，我国儿童青少年营养状况已有明显的改善，但仍存在很大问题。据最新调查显示，我国的营养问题已从发育不良转变为超重和肥胖[1]。尤其是儿童青少年的超重和肥胖问题，已进入流行阶段[2-4]。预计我国2025年儿童青少年超重和肥胖人数将高达4850万[5]。因此，防控儿童青少年超重和肥胖十分必要。本研究主要为防控儿童青少年超重和肥胖提供相关理论依据，现报道如下。

1 对象与方法

1.1研究对象

采用多阶段分层整群随机抽样的方法，抽取2018—2019年本溪市9～18岁儿童青少年。……