安庆市开发区0~3岁儿童生长发育Z评分及营养状况评价

目的 了解安庆市开发区0~3岁儿童生长发育水平及营养状况,为本地区开展儿童保健和营养改善工作提供参考依据。方法 采用分层随机抽样的方法,在开发区各街道内按照不同月龄段以接近1∶1的年龄别比例抽取2014年1月1日—2016年12月31日出生的0~3岁儿童的健康档案,共收集有效资料2 793份。采用世界卫生组织(WHO)推荐的Z评分法进行评价。结果 0~3岁儿童各月龄组WHZ、WAZ、HAZ三项评分均值接近WHO标准;WHZ、WAZ、HAZ三项评分在各月龄组间比较差异有统计学意义(P＜0.05);男童WHZ 评分值高于女童,差异有统计学意义(P＜0.05);男童超重和肥胖发生率比女童高,差异有统计学意义(P＜0.05)。结论 安庆市开发区0~3岁儿童生长发育总体状况良好,超重和肥胖成为突出问题,男童超重和肥胖情况比女童严重。

Growth development and nutritional status assessment of children under 3 years old using Z scorein economic and technological development district in Anqing

Objective To know about the growth status of children under 3 years old in economic and technological development district in Anqing, and to provide reference for local health care work of children. Methods Stratified random sampling method was used to selected children under 3 years old in each street of the development zone with 1∶1 ratio of boys to girls. And finally 2 793 valid data were collected. Results The mean value of WHZ, WAZ and HAZ in children of 0 year old,1 year old and 2 years old were close to WHO standard. There were significant differences on the mean value of WHZ, WAZ and HAZ in children at age of different months(P＜0.05). The mean value of WHZ of boys was higher than that of girls, and the difference was statistically significant(P＜0.05). Overweight/obesity rate of boys was significantly higher than that of girls(P＜0.05). Conclusions The growth and development status of children under 3 years old in economic and technological development district in Anqing is generally good. However, overweight and obesity have been the most serious problem at present, especially in boys.