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目的了解沈阳市3～6岁幼儿超重及肥胖情况,并调查出生体重与幼儿期肥胖发生的关系。方法采取整群抽样的方法,对沈阳市5所幼儿园3～6岁幼儿进行问卷调查及体格检查。结果1707名幼儿中超重及肥胖幼儿检出率分别为16.17%和7.15%。女童超重及肥胖检出率明显高于男童(P<0.01);出生体重正常者占89.63%,低出生体重者占1.86%,巨大儿占8.51%。与出生体重正常者比较,巨大儿在幼儿期超重及肥胖的发生率明显增高,差异有统计学意义(P<0.05),但低出生体重与幼儿期超重和肥胖的发生没有相关关系。结论巨大儿是幼儿期超重及肥胖发生的危险因素,预防肥胖应该从胎儿期抓起。
Objective To understand the prevalence of overweight and obesity among children aged 3 ~ 6 in Shenyang and to investigate the relationship between birth weight and childhood obesity. Methods A cluster sampling method was used to conduct questionnaires and physical examinations of 3 to 6-year-old children in 5 kindergartens in Shenyang City. Results The detection rates of overweight and obesity children in 1707 children were 16.17% and 7.15% respectively. The detection rate of overweight and obesity in girls was significantly higher than that in boys (P <0.01). The birth weight was 89.63%, the low birth weight was 1.86%, and the huge children was 8.51%. Compared with those with normal birth weight, the incidence of overweight and obesity in young children was significantly higher (P <0.05), but there was no correlation between low birth weight and overweight and obesity in early childhood. Conclusions Jumbo children are risk factors for overweight and obesity during early childhood. Prevention of obesity should be started from the fetus.