Prevalence of simple obesity and its high-risk factors in preschool children in Fuzhou, China

GUO Jing-Min, LIN Hua-Chuan, OU Ping

Chinese Journal of Contemporary Pediatrics ›› 2018, Vol. 20 ›› Issue (11) : 934-938.

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Chinese Journal of Contemporary Pediatrics ›› 2018, Vol. 20 ›› Issue (11) : 934-938. DOI: 10.7499/j.issn.1008-8830.2018.11.011
CLINICAL RESEARCH

Prevalence of simple obesity and its high-risk factors in preschool children in Fuzhou, China

  • GUO Jing-Min, LIN Hua-Chuan, OU Ping
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Abstract

Objective To investigate the prevalence of simple obesity and its risk factors in preschool children in Fuzhou, China. Methods The physical examination data of 14 kindergartens in Fuzhou, China were collected by stratified cluster random sampling. The detection rate of simple obesity was calculated. The children with normal body weight were selected as the control group by 1:1 case-control method. The risk factors for childhood simple obesity were investigated by self-made questionnaire and multivariate logistic regression analysis. Results A total of 5767 children aged 3-6 years were enrolled in this study. A total of 289 (5.01%) children with simple obesity were screened out, including 153 with mild obesity and 136 with moderate to severe obesity. The prevalence rate of simple obesity gradually increased with the age of children. The multivariate logistic regression analysis showed that the following factors were independent risk factors for simple obesity:preference for fried food (OR=4.789, P < 0.05), caregivers' over-concern about diet (OR=4.620, P < 0.05), eating before sleep (OR=4.006, P < 0.05), eating fast (OR=3.221, P < 0.05), preference for sweets (OR=2.282, P < 0.05), high birth weight (OR=2.202, P < 0.05), overweight or obesity in father (OR=2.074, P < 0.05), overweight or obesity in mother (OR=2.047, P < 0.05), more than 1.2 times the food intake at the same age (OR=2.013, P < 0.05), watching TV (OR=1.665, P < 0.05), and lack of exercise (OR=1.463, P < 0.05). Conclusions The prevalence rate of simple obesity is 5.01% in preschool children in Fuzhou, China. The development of simple obesity is multifactorial. It is suggested that doctors, parents, and teachers should strengthen health education for preschool children, help them develop good living and eating habits, and encourage them to take more exercise, in order to reduce the development of simple obesity.

Key words

Simple obesity / Prevalence rate / High-risk factor / Sampling survey / Preschool child

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GUO Jing-Min, LIN Hua-Chuan, OU Ping. Prevalence of simple obesity and its high-risk factors in preschool children in Fuzhou, China[J]. Chinese Journal of Contemporary Pediatrics. 2018, 20(11): 934-938 https://doi.org/10.7499/j.issn.1008-8830.2018.11.011

References

[1] 马丽. 肥胖儿童的代谢特征和临床干预效果分析[J]. 中国儿童保健杂志, 2017, 25(3):297-300.
[2] Velázquez-López L, Santiago-Díaz G, Nava-Hernández J, et al. Mediterranean-style diet reduces metabolic syndrome components in obese children and adolescents with obesity[J]. BMC Pediatr, 2014, 14:175.
[3] 全国儿童期单纯肥胖症研究协作组. 全国0~6岁儿童单纯性肥胖流行病学研究[J]. 中华儿科杂志, 2008, 46(3):179-184.
[4] 李晓慧, 丁宗一, 文红, 等. 我国11城市3~6岁儿童单纯肥胖症危险因素分析[J]. 中华临床医师杂志, 2011, 5(1):31-36.
[5] 周晓倩, 张明瑛. 3~6岁儿童单纯性肥胖影响因素研究[J]. 中国生育健康杂志, 2017, 28(6):565-566.
[6] 黄婉平, 陈甘讷, 韦荣忠, 等. 广州花都3373名学龄前儿童单纯性肥胖现状及影响因素分析[J]. 中国儿童保健杂志, 2018, 26(1):67-70.
[7] 吴田英, 毛红芳. 儿童单纯性肥胖研究进展[J]. 上海预防医学, 2011, 23(11):577-579.
[8] 陈晓霞, 余红, 蒋丽萍. 绍兴地区3~6岁儿童单纯性肥胖的流行病学调查[J]. 中国儿童保健杂志, 2014, 22(3):318-320.
[9] 顾昉, 章荣华, 李丹, 等. 浙江省儿童青少年单纯性肥胖影响因素分析[J]. 中国学校卫生, 2015, 36(2):231-235.
[10] 王员芝, 杨海云, 朱克, 等. 2016年昆明市0~6岁儿童单纯性肥胖的流行病学调查[J]. 中国妇幼保健, 2018, 33(6):1381-1384.
[11] 王琦. 长治市幼儿园学龄前儿童营养膳食调查[J]. 现代预防医学, 2015, 42(17):3150-3153.
[12] Parks EP, Kazak A, Kumanyika S, et al. Perspectives on stress, parenting, and children's obesity-related behaviors in Black families[J]. Health Educ Behav, 2016, 43(6):632-640.
[13] Albuquerque G, Severo M, Oliveira A. Early life characteristics associated with appetite-related eating behaviors in 7-year-old children[J]. J Pediatr, 2017, 180:38-46.e2.
[14] 吴曼, 穆凤霞, 李晓惠, 等. 北京市怀柔区学龄前儿童肥胖影响因素分析[J]. 中国儿童保健杂志, 2016, 24(10):1087-1089.
[15] 徐冉. 河北邢台地区学龄前幼儿单纯性肥胖流行现状及影响因素[J]. 公共卫生与预防医学, 2016, 27(1):114-116.
[16] 骆彬, 贾珊珊, 杜丽梅, 等. 石家庄市长安区儿童肥胖现状分析[J]. 公共卫生与预防医学, 2011, 22(4):30-31.
[17] Ozanne SE, Fernandez-Twinn D, Hales CN. Fetal growth and adult diseases[J]. Semin Perinatol, 2004, 28(1):81-87.
[18] Vickers MH, Breier BH, Cutfield WS, et al. Fetal origins of hyperphagia, obesity, and hypertension and postnatal amplification by hypercaloric nutrition[J]. Am J Physiol Endocrinol Metab, 2000, 279(1):E83-E87.
[19] 李殉, 江向君, 卓暮春, 等. 广州市天河区学龄前儿童单纯性肥胖发生率及其影响因素[J]. 职业与健康, 2014, 30(6):805-807.
[20] 刘美玲, 杨晓梅, 张昭, 等. 父母对学龄前儿童肥胖的影响程度分析[J]. 中国妇幼保健, 2016, 31(21):4435-4437.
[21] Moraeus L, Lissner L, Yngve A, et al. Multi-level influences on childhood obesity in Sweden:societal factors, parental determinants and child's lifestyle[J]. Int J Obes (Lond), 2012, 36(7):969-976.
[22] 席波, 米杰, 段佳丽, 等. 北京市儿童肥胖的生活行为因素和家庭聚集性[J]. 中华预防医学杂志, 2009, 43(2):122-127.
[23] 李晓卉, 郭红侠, 黄艳丽, 等. 父母超重肥胖对儿童青少年超重肥胖的影响[J]. 中国学校卫生, 2016, 37(2):239-242.
[24] 冯海霞. 儿童肥胖危险因素性别差异及家长肥胖知晓率分析和干预模式探讨[D]. 上海:上海交通大学, 2015.
[25] 徐艳芹, 吕春华, 詹海荣. 儿童身体活动量以及屏幕时间与超重/肥胖相关性分析[J]. 山西医药杂志, 2017, 46(8):883-885.
[26] 黄妙辉, 陈素清, 吴斌. 福州市学龄前儿童单纯性肥胖症及其影响因素的临床流行病学调查[J]. 中国病毒病杂志, 2003, 5(1):21-23.
[27] 陈媛, 张红, 张明英. 2006年福州市城区7岁以下儿童单纯性肥胖症调查分析[J]. 海峡预防医学杂志, 2009, 15(3):35-36.

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