摘要
目的探索儿童肥胖的影响因素,评价学校对肥胖儿童进行群体性干预的效果。方法选择条件基本相同的两所小学,1所为干预学校,1所为对照学校。干预学校开展"中国/WHO以肥胖控制为切入点发展健康促进学校"活动,对照学校不开展相关活动。2004年4月完成基线调查,然后对两所学校各820名学生进行持续4年的跟踪监测,并于每年的4月分别对两所学校全体学生、学生家长和全体教职工进行知信行问卷调查、身高测量和体重测量。结果厦门市学龄期儿童单纯性肥胖的影响因素主要为营养过度和饮食行为偏差,采取针对性干预措施后,干预校学生的肥胖率和超重率显著下降,分别从原来的28.3%和17.4%下降到9.9%和15.0%,差异具有统计学意义(χ2=150.322,P<0.01);知识、态度、行为的正确率显著提高,分别从原来的51.5%、82.7%和59.4%提高到95.3%、99.1%和97.2%,差异具有统计学意义,P值均小于0.01。结论健康促进学校活动对肥胖儿童进行群体性干预的效果显著,为儿童肥胖干预提供了一个非常好的平台。
Objective To explore the influencing factors of childhood obesity at one primary school in Xiamen City,and to evaluate the effectiveness of school-based group intervention for obese children.Methods Two primary schools with basically same conditions were selected,one as the intervention group,and another as the control group.In the intervention school,the ＂focus on obesity control to create health-promoting school＂ activities were carried out,while in the control school,the associated activities were not implemented.The baseline survey was completed in April 2004,and a four-year follow-up surveillance was conducted.In April of each following years,approximately 820 participants including students,teachers,parents,and administrative staff at each school were investigated with KPA questionnaire along with weight and height measurements.Results The leading influencing factors for childhood obesity in Xiamen City were over-nutrition and eating disorder.After the intervention,the obesity rates was changed from 28.3% to 9.9%,and the overweight rates from 17.4% to 15.0%（χ~2=150.322,P0.01）.The rates of knowledge awareness,attitude holding,and behavior forming was increased from 51.5%,82.7%,and 59.4% to 95.3%,99.1%,and 97.2%,respectively（P0.05）.Conclusion Health-promoting school is a good platform for the childhood obesity intervention,and the effectiveness of the school-based group intervention is remarkable.
出处
《中国健康教育》
2010年第10期756-759,766,共5页
Chinese Journal of Health Education
关键词
儿童
肥胖
影响因素
分析
Childhood
Obesity
Influencing factor
Analysis
