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目的了解无锡市10～14岁儿童超重肥胖的流行现状,并探讨其影响因素。方法采用分层整群随机抽样方法,随机抽取无锡市3个地区的10～14岁儿童共2870人,进行问卷调查和体格检查。结果儿童超重检出率为11.39%(男生10.03%,女生1.36%),儿童肥胖检出率为2.23%(男生1.64%,女生0.59%),且男生超重和肥胖的检出率高于女生(P<0.01)。经多元线性回归分析表明,出生体重、父亲和母亲的BMI以及喜欢吃油炸食品为儿童期BMI的可能影响因素。结论无锡市10～14岁儿童超重和肥胖的流行情况处于中国富裕乡村和中小城市之间,控制超重向肥胖发展是一个重要的预防措施。出生体重、父亲和母亲的BMI以及喜欢吃油炸食品是儿童BMI的主要影响因素,提示应积极采取综合家庭干预的措施,预防儿童肥胖的发生及发展。
Objective To understand the prevalence of overweight and obesity in children aged 10 ~ 14 in Wuxi and to explore the influencing factors. Methods A stratified cluster random sampling method was used to randomly select 2870 children aged 10-14 years in three districts of Wuxi for questionnaire survey and physical examination. Results The prevalence of overweight in children was 11.39% (10.03% for boys and 1.36% for girls). The detection rate of childhood obesity was 2.23% (1.64% for boys and 0.59% for girls), and the prevalence of overweight and obesity in boys was higher than that of girls P <0.01). Multiple linear regression analysis showed that birth weight, father and mother’s BMI, and those who prefer to eat fried foods as the possible influencing factors of childhood BMI. Conclusion The prevalence of overweight and obesity among children aged 10-14 in Wuxi City is between the rich rural areas and middle and small cities in China. It is an important preventive measure to control the development of overweight and obesity. Birth weight, father’s and mother’s BMI, and children’s favorite BMI are the main influencing factors. It suggests that comprehensive family intervention should be actively taken to prevent the occurrence and development of childhood obesity.