北京市石景山区中学生超重肥胖现状及影响因素

目的了解北京市石景山区中学生超重肥胖状况及其影响因素,为中学生超重肥胖的预防与干预措施提供依据。方法采用多阶段整群随机抽样的方法,抽取北京市石景山区1240名中学生,进行超重肥胖流行状况调查,并对相关因素进行分析。结果在有效应答的1232名学生中,超重学生有126人,超重率10.23%;肥胖学生有99人,肥胖患病率8.03%,超重肥胖共发生225人,检出率为18.26%。高中男生(8.33%)肥胖率明显高于高中女生(5.74%),超重(26.19%)和肥胖(21.21%)及运动锻炼60 min以上≥3 d/周的比例明显低于正常组(51.64%),以上差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,运动锻炼60 min以上<3 d/周(OR=6.92)、使用计算机时间每天超过2 h(OR=6.55)、经常吃路边摊(OR=5.65)、每天看电视超过2 h(OR=4.30)、每天玩电子游戏超过2 h(OR=3.88)、经常吃油炸食品(OR=1.86)和甜点(OR=1.54)等是中学生超重肥胖的影响因素。结论儿童青少年存在着程度不同静态生活方式和的不良饮食行为和饮食习惯,是引起超重肥胖的危险因素。

Study on obesity and overweight and influencing factors among middle school students in Shijingshan District,Beijing City

Objective To understand the current status of obesity and overweight and its influencing factors among middle school students in Shijingshan. District, and to provide basis for appropriate prevention and intervention methods of obesity and overweight. Methods Multi-stage cluster random sampling was used to select 1240 middle school students in Shijingshan District, and status study wad applied to investigate the epidemic situation of obesity and overweight and the in- fluencing factors. Results In the 1232 effective response students, 126 overweight students were found, the rate of over- weight was 10.23% ; 99 obese students were found, the prevalence of obesity was 8.03%, there were 225 overweight students, the detection rate was lg. 26%. The high school boy＇ obesity rate （ 8.33% ） was significantly higher than the girls＇ （5.74%） , the rate of overweight （26. 19% ） and obese students （21.21%） to 60 min exercise, 3 times a week was obviously lower than the normal students （51.64% ） （P 〈 0.05）, and both the difference had statistical significance. Multivariate logistic analysis showed that 60min exercise, 3 times a week （ OR = 6. 92）, using the computer more than 2 hours every day （ OR = 6. 55）, often eating roadside stalls （ OR = 5.65 ）, watching TV more than 2 hours a day （ OR = 4. 30）, playing video games more than 2 hours a day （ OR = 3.88 ） and often eating fried food （ OR = 1.86） and desserts （ OR = 1.54） were influence factors of overweight among middle school students. Conclusion The sedentary lifestyle and and poor eating behavior and eating habits in various degree were risk factors for overweigh for children and adolescents.