儿童肥胖健康干预研究

目的为建立有效可行的肥胖健康教育及健康促进模式提供科学依据;为家长、教育系统实施肥胖干预提供借鉴.方法随机整群抽取贵阳地区7所学校部分肥胖学生进行危险因素问卷调查.就其中一所学校106名肥胖儿童与相应对照人群进行生理、心理指标检测,并对抽取的肥胖儿童进行为期一年的干预研究.结果通过饮食结构调整、生活方式改善、指导体能训练、及时心理指导等手段进行健康干预.干预后,生理指标改善明显,肥胖度、收缩压、甘油三脂、血尿酸等多项指标降低,饮食行为中总热能及脂肪摄入减少,且运动形式转变、运动量增加.心理指标中除人格测定中E分提高外,其余变化不明显.结论本次干预对肥胖儿童生理指标改善明显,但对心理健康改善不显著.心理影响一旦形成便不易纠正,这更说明预防肥胖及对超重和轻、中度肥胖患者进行健康干预的重要性.

Study of health intervention to children obesity

ObjectiveTo get a health education and health promotion model, and give some advice to parents and education division. MethodsA questionnaire was conducted among students of 7 primary schools by stratified-cluster sampling. Get the score of physiology of 106 simple obesity children and executed health intervention study on these obesity children for one year. ResultsHealth intervention measures included changing eating habit and life style, moderate exercise and nutrition education, etc. The result showed that many physiological target declined, such as, SBP, fat absorb, TG, blood uric acid etc. While in psychological targets, only E score of EPQ changed. ConclusionAfter health intervention, we can see itBF]'s effectiveness. But there is little change at psychological target, which implied that damage of psychological is not change easily. But these damages were not serious in light and moderate obesity children. So, itBF]'s very important to prevent and intervene the obesity, especially in over-weight, light and moderate obesity children.