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广州市城区小学二年级学生家庭在外就餐频次与学生肥胖的关系
引用本文:郑义锦,梁健平,敖丽萍,邓纳莉,谈蔚清,杨翌,刘丽.广州市城区小学二年级学生家庭在外就餐频次与学生肥胖的关系[J].现代预防医学,2020,0(18):3318-3321.
作者姓名:郑义锦  梁健平  敖丽萍  邓纳莉  谈蔚清  杨翌  刘丽
作者单位:1.广东药科大学公共卫生学院,广东 广州 510310;2.广州市中小学卫生健康促进中心,广东 广州 510180
摘    要:目的 了解广州市城区小学二年级学生的家庭在外就餐现状及其影响因素,并分析其与儿童超重肥胖的关系。方法 抽取广州市12所小学的二年级学生2 206名,进行问卷调查和体格检查。应用logistic回归模型分析家庭在外就餐的影响因素及其与儿童超重肥胖的关系。结果 学生家庭在外就餐≥1次/周者占53.99%。多因素分析显示,独生子女家庭比非独生子女家庭有更高的可能性在外就餐(OR = 1.45,95% CI:1.18~1.78,P<0.001)。与家庭人均月收入<5 000元的家庭相比,收入高的家庭在外就餐的可能性更高(家庭人均月收入为5 000~9 999元:OR = 1.60,95% CI:1.21~2.13,P = 0.001;≥10 000元:OR = 2.22,95% CI:1.68~2.94,P<0.001)。类似,与父母文化程度为高中及以下的家庭相比,父母文化程度为大专或本科的家庭有更高的在外就餐可能性(OR = 1.87,95% CI:1.44~2.43,P<0.001)。而中等营养知识得分的家长较得分高的家长有减少带孩子外出就餐的倾向(OR = 0.75,95% CI:0.59~0.95,P = 0.016)。此外,家庭在外就餐与儿童超重肥胖风险增高存在统计学关联(OR = 1.31,95% CI:1.03~1.67,P = 0.032)。结论 广州市城区小学二年级学生家庭在外就餐现象较为普遍。独生子女家庭、家庭收入和父母文化程度和营养知识水平是家庭在外就餐的影响因素。家庭在外就餐可能会增加儿童超重肥胖的风险。

关 键 词:儿童  超重肥胖  家庭在外就餐

Prevalence of family eating out-of-home and its association with obesity among primary school students of grade two in Guangzhou urban area
ZHENG Yi-jin,LIANG Jian-ping,AO Li-ping,DENG Na-li,TAN Wei-qing,YANG Yi,LIU Li.Prevalence of family eating out-of-home and its association with obesity among primary school students of grade two in Guangzhou urban area[J].Modern Preventive Medicine,2020,0(18):3318-3321.
Authors:ZHENG Yi-jin  LIANG Jian-ping  AO Li-ping  DENG Na-li  TAN Wei-qing  YANG Yi  LIU Li
Affiliation:*School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510310, China
Abstract:To investigate the prevalence and the influencing factors of family eating out-of-home among primaryschool students of grade two in urban area of Guangzhou, and to explore the association between family eating out-of-homeand overweight/obesity in children. Methods This study enrolled 2206 grade 2 of primary school students from 12 primaryschools in Guangzhou. Questionnaire surveys and anthropometric measures was conducted. Logistic regression model wasused to analyze the influencing factors of family eating out-of-home, and to explore the association between family eatingout-of-home and overweight/obesity in children. Results The proportion of family eating out-of-home ≥ 1 time per week forstudents was 54.0%. In multivariate analysis, the only-child families were associated with higher ratio of family eating outof-home, as compared to multi-child family (OR=1.45, 95% CI: 1.18-1.78, P<0.001). Higher-income families also had higherratio of family eating out-of-home than the families with per capital monthly income <5000 yuan (per capital monthly income of5000-9999 yuan: OR=1.60, 95% CI: 1.21-2.13, P=0.001; ≥10000 yuan: OR=2.22, 95% CI: 1.68-2.94, P<0.001). Similarly,the parents with a college degree or bachelor’s degree had higher ratio of eating out-of-home with children than the parentswith lower cultural degree (OR=1.87, 95% CI: 1.44-2.43, P<0.001). On the contrary, the parents who have high level ofnutrition knowledge (OR=0.75, 95% CI: 0.59-0.95, P=0.016) would reduce the probability of dining out. Additionally, eatingout-of-home was associated with an increased risk of overweight/obesity in children (OR=1.31, 95% CI: 1.03-1.67, P=0.032).Conclusion Family eating out-of-home is common among grade 2 of primary schools’ students in urban Guangzhou. Onlychild family, household income, education level of parents, and parents’ nutrition knowledge may be the influencing factorsof family eating out-of-home. Family eating out-of-home may increase the risk of overweight/obesity in children.
Keywords:Child  Overweight/ Obesity  Family eating out-of-hom
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