儿童单纯性肥胖症发生危险因素的Meta分析

目的：综合评价我国儿童单纯性肥胖症发生的危险因素。方法：应用Meta分析方法对国内21篇有关儿童单纯性肥胖危险因素的病例对照研究进行定量综合分析。统计处理采用Meta分析的效应模型和随机效应模型。结果：父母至少一方肥胖，出生时体重过大、食欲好、食量大、常吃油腻食物、喜爱甜食、过多吃零食、进食速度快、偏／挑食、每天看电视时间过长以及不爱参加体育活动等因素的合并OR值分别为2．35、1．64、2．44、10．52、3．33、2．39、2．23、1．93、5．09、0．40、2．09和3．29。结论：父母肥胖史、高出生体重、活动少和不良饮食习惯包括常吃油腻食物、喜欢甜食、过多吃零食、食欲好、食量大、进食速度快等与儿童单纯性肥胖症发生有关。

Meta Analysis of Risk Factor on Simple Obesity of Children Under Age 14 in China

To evaluate the risk factor of simple obesity of children. The results of 21 case control studies from 1990 to 2001 were analyzed by Meta analysis method in this sutdy.Fix effect model and random effect model were applied to process data. The pools OR values of father and/or mother obese history,high birth weight,hyperphagia,appetite big,enjoying fatness and sweet food,taking snack food too much,taking food too fast,partiality for a particular kind of food,watching televisions too long everyday and less physical activity were 2.35,1.64,2.44,10.52,3.33,2,39,2.23,1.93,5.09,0.40,2.09 and 3.29 respectively. [Conclusion] Father and/or mother obese history,high birth weight,hyperphagia,appetite big,enjoying fatness and sweet food,taking snack food too much,taking food too fast and less physical activity were the important risk factors of simple obesity in children.