江苏省中部地区儿童青少年超重肥胖现况调查

职业与健康 ›› 2023, Vol. 39 ›› Issue (21): 2985-2989.

江苏省中部地区儿童青少年超重肥胖现况调查

柏丽丽¹, 朱维维²

1.南京医科大学附属南京市疾病预防控制中心业务管理办公室,江苏南京 210003;
2.扬州市疾病预防控制中心儿童青少年健康促进科,江苏扬州 225100

收稿日期:2023-03-06 修回日期:2023-03-27 出版日期:2023-11-01 发布日期:2026-03-26
通信作者: 朱维维,主管医师,E-mail：906785314@qq.com
作者简介:柏丽丽,女,主管技师,主要从事疾病预防工作。
基金资助:
扬州市科技局社会发展项目（YZ2020126）

Investigation on overweight and obesity among children and adolescents in central Jiangsu Province

BAI Lili¹, ZHU Weiwei²

1. Project Management Office,Nanjing Center for Disease Control and Prevention Affiliated to Nanjing Medical University,Nanjing Jiangsu 210003,China;
2. Department of Child and Adolescent Health Promotion,Yangzhou Center for Disease Control and Prevention,Yangzhou Jiangsu 225100,China

Received:2023-03-06 Revised:2023-03-27 Online:2023-11-01 Published:2026-03-26
Contact: ZHU Weiwei,Physician in charge,E-mail：906785314@qq.com

摘要/Abstract

摘要： 目的了解江苏省中部地区儿童青少年超重肥胖现状,分析其影响因素,为制定有针对性的预防控制措施提供参考依据。方法 2020年10—12月,采取分层随机整群抽样的方法抽取江苏省中部地区1个城区和1个郊县共13所学校4 026名学生,进行网络在线问卷调查和现场体格测量,并对数据进行分析。结果江苏省中部地区儿童青少年超重检出率19.92%,其中男生超重检出率（23.06%）高于女生（16.63%）,差异有统计学意义（χ²=26.036,P<0.05）。肥胖检出率21.56%,其中男生肥胖检出率（26.02%）高于女生（16.89%）,差异有统计学意义（χ²=49.609,P<0.05）。不同学段之间超重和肥胖检出率比较,差异均有统计学意义（χ²_超重=13.175,χ²_肥胖=73.347,均P<0.05）。住校生中超重检出率高于非住校生,而肥胖检出率低于非住校生,差异均有统计学意义（χ²_超重=4.237,χ²_肥胖=27.694,均P<0.05）。不吃甜食的学生中超重和肥胖检出率高于吃甜食的学生,差异有统计学意义（χ²_超重=8.277,χ²_肥胖=11.087,均P<0.05）。不吃新鲜水果的学生中肥胖检出率高于吃新鲜蔬菜水果的学生,差异有统计学意义（χ²_肥胖=18.802,P<0.05）。进行中高等强度运动的比不锻炼的肥胖检出率高,差异有统计学意义（χ²_肥胖=7.353,P<0.05）。上体育课的比不上体育课的肥胖检出率高,差异有统计学意义（χ²_肥胖=5.731,P<0.05）。影响超重的因素有学段、性别,影响肥胖的因素有学段、性别和饮食（均P<0.05）。结论城市化进程较快的江苏省中部地区儿童青少年超重肥胖现况严峻,应引起高度重视,尤其低学龄段男生的超重肥胖,其影响因素主要是学段、性别、饮食,急需制定有效的、针对性强的干预措施。

关键词: 儿童青少年, 超重, 肥胖, 影响因素

Abstract: Objective To understand the status quo of overweight and obesity among children and adolescents in central Jiangsu Province,analyze its influencing factors,so as to provide scientific basis for formulating targeted prevention and control measures. Methods From October to December 2020,a total of 4 026 students from 13 schools in one urban area and one suburban county in the central region of Jiangsu Province were selected by stratified random cluster sampling method. The online questionnaire survey and physical measurement were conducted,and the data were analyzed. Results The detection rate of overweight in children and adolescents in central Jiangsu Province was 19.92%,the detection rate of overweight in boys（23.06%） was higher than that in girls（16.63%）,and the difference was statistically significant（χ²=26.036,P<0.05）. The detection rate of obesity was 21.56%,the detection rate of obesity in boys（26.02%） was higher than that in girls（16.89%）,and the difference was statistically significant（χ²=49.609,P<0.05）. There was statistically significant difference in overweight and obesity detection rates in different grades（χ²_overweight=13.175,χ²_obesity=73.347,both P<0.05）. The detection rate of overweight in residential students was higher than that in non-residential students,while the detection rate of obesity was lower than that in non-residential students,and the differences were statistically significant（χ²_overweight=4.237,χ²_obesity=27.694,both P<0.05）. The detection rates of overweight and obesity in students who did not eat sweets were higher than those who ate sweets,and the differences were statistically significant（χ²_overweight=8.277,χ²_obesity=11.087,both P<0.05）. The detection rate of obesity in students who did not eat fresh fruits was higher than that in students who ate fresh vegetables and fruits,and the differences were statistically significant（χ²_obesity=18.802,P<0.05）. The detection rate of obesity in students who did moderate or high intensity exercise was higher than that in students who did not exercise,and the differences were statistically significant（χ²_obesity=7.353,P<0.05）. The detection rate of obesity was higher among those who attend physical education classes than those who do not attend physical education classes（χ²_obesity=5.731,P<0.05）. The factors affecting overweight were school period and gender,and the factors affecting obesity were school period,gender and diet（all P<0.05）. Conclusion The status of overweight and obesity in children and adolescents in central Jiangsu Province,where urbanization process is fast,is serious,which should be paid more attention to,especially in boys of low grade,the influencing factors are mainly school period,gender and diet,and effective and targeted intervention measures are urgently needed.

Key words: Children and adolescents, Overweight, Obesity, Influencing factors

中图分类号:

R181.3

柏丽丽, 朱维维. 江苏省中部地区儿童青少年超重肥胖现况调查. [J]职业与健康, 2023, 39(21): 2985-2989.

BAI Lili, ZHU Weiwei. Investigation on overweight and obesity among children and adolescents in central Jiangsu Province. [J]OCCUPATION AND HEALTH, 2023, 39(21): 2985-2989.

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