摘要
目的探讨"学校-家庭-医院"三位一体健康教育模式对学龄期肥胖儿童的影响。方法采取分层抽样的方法,随机选取沧州市城区和郊区共计8所小学,筛选出其中二、三、四年级的肥胖学生788人,按照随机原则均分成综合干预组和对照组。干预1年后,比较2组肥胖儿童在饮食习惯、运动时间、能量消耗等方面的差异及家长在干预前后对肥胖态度及行为的改变情况。结果干预后,二年级干预组和对照组的肥胖率分别为17.05%和55.81%;三年级的肥胖率分别为19.56%和55.07%;四年级的肥胖率分别为8.67%和54.33%,差异均具有统计学意义(P<0.01)。与对照组相比较,干预组的儿童家长对孩子健康成长认知显著提高。干预后,二年级干预组与对照组的果蔬摄入比分别为69.5%和30.2%;三年级的分别为72.4%和32.5%;四年级的分别为70.3%和33.4%,差异均具有统计学意义(P<0.01)。二年级干预组与对照组的每日体育运动消耗能量分别为(856.3±31.8)kcal和(533.2±25.8)kcal;三年级的分别为(876.4±22.7)kcal和(547.8±20.2)kcal;四年级的分别为(836.3±36.2)kcal和(550.5±21.4)kcal,差异均具有统计学意义(P<0.01)。结论 "学校-家庭-医院"三位一体健康教育模式,对肥胖儿童治疗有着积极作用,值得推广。
Objective To explore the influence of health model in school-family-hospital on school-age obese chil- dren. Methods 788 obesity students which were selected from the second, third and fourth grade in total 8 primary schools were randomly divided into control group and comprehensive intervention group. After one year intervention, the differences between the two groups of obese children in eating habits, exercise time, energy consumption, and the change of attitude and behavior of parents before and after the intervention were compared. Results The obesity rates of intervention group and the control group in the second grade were 17.05% and 55.81% with significant differences; the obesity rates of the third grade were 19.56% and 55.07% with significant differences; the obesity rates of the fourth grade were 8.67% and 54. 33% with significant differences （P 〈 0. 01 ）. Compared with the control group, the children parents in intervention group have significantly improved their awareness of the healthy growth of children. The fruit and vegetable intake ratio of in- tervention group and the control group in the second grade were 69.5% and 30. 2% with significant differences; the fruit and vegetable intake ratio of third grade was 72. 4% and 32. 5% with significant differences; the fruit and vegetable intake ratio of fourth grade was 70. 3% and 33.4% with significant differences （P 〈 0. 01 ）. The daily energy consumption of the intervention group and the control group in the second grade was （ 856.3 ± 31.8 ） and （ 533.2 ± 25.8 ） with significant differences ; the daily energy consumption in the third grade was （ 876.4 ± 22. 7 ） and （ 547.8 ± 20. 2 ） with significant differences; the daily energy consumption in the third grade was （836.3 ± 36. 2） and （550. 5 ± 21.4） with significant differences （P 〈 0. 01 ）. Conclusion The school-family-hospital health education model has a positive effect on the treat- ment of obese children and deserves popularization.
出处
《中国健康教育》
北大核心
2017年第4期312-315,329,共5页
Chinese Journal of Health Education
基金
沧州市科技局项目(151302008)
关键词
健康教育
肥胖儿童
生活方式
能量消耗
Health education
Obese children
Lifestyle
Energy consumption
