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发育医学电子杂志  2025, Vol. 13 Issue (1): 33-39    DOI: 10.3969/j.issn.2095-5340.2025.01.005
  生长发育   论著 |
保定市城区0~5 岁儿童体格发育、营养状况调查及超重、肥胖儿童饮食行为状况分析
杜立燕 孟凡学 范松丽 张英奎 高静
河北省妇幼保健中心,河北 石家庄050031)

Investigation of physical development and nutritional status of children aged 0-5 years and eating behavior analysis of overweight and obese children in Baoding city
Du Liyan, Meng Fanxue, Fan Songli, et al
(Hebei Maternal and Child Health Center,Hebei, Shijiazhuang 050031, China)
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摘要 【摘要】 目的  调查保定市城区0~5 岁儿童的体格发育、营养状况,并分析超重、肥胖儿童的饮食行为
状况。 方法 采用随机整群抽样方法,选取2019 年1 月至2022 年12 月于保定市城区妇幼保健机构
体检的4 319 名0~5 岁儿童为研究对象,分为0 月龄(出生时)、1 月龄、3 月龄、6 月龄、8 月龄、12 月龄、18 月龄、2 岁、2.5 岁、3 岁、4 岁、5 岁12 个年龄组,测量身高、体质量,并与《2015 年中国九市七岁以下儿童体格发育调查》(以下简称“中国九市”)的结果进行比较,评价儿童生长迟缓率、低体质量率、超重率、肥胖率。将本研究3~5 岁年龄段检出的肥胖和超重儿童与正常儿童按照1 ∶ 1 配对,采用中国
学龄前儿童饮食行为量表(Chinese preschoolers' eating behavior questionnaire,CPEBQ)对儿童的饮食
行为进行评价。统计学方法采用t 检验。 结果  0~5 岁各年龄组中,除6 月龄、2 岁及3 岁年龄组的身
高外,除12 月龄、2.5 岁及4 岁年龄组的体质量外,男童身高和体质量均高于女童,差异均有统计学意义
(P 值均<0.05)。保定市城区0~5 岁男女童体质量、身高均与“中国九市”城区标准持平,且生长趋势
一致。在本研究调查的4 319 名0~5 岁儿童中,生长迟缓59 名(1.37%),低体质量49 名(1.13%),超重287 名(6.64%),肥胖164 名(3.80%),其中各年龄段均存在超重和肥胖。3~5 岁超重和肥胖儿童挑食、不良进食习惯、过饱响应、外因性进食CPEBQ 评分均低于正常儿童,食物响应和主动进食CPEBQ 评分均高于正常儿童,差异均有统计学意义(P 值均<0.05)。 结论 保定市城区0~5 岁儿童的体格发育状况
良好,营养不良比例较低,但是超重率和肥胖率均较高,与儿童的不良饮食行为相关,应引起高度重视。
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关键词:  儿童  生长发育  营养状况  肥胖  饮食行为    
Abstract: 【Abstract】 Objective To investigate the physical development and nutritional status of children aged 0-5 years, and analyze the eating behavior status of overweight and obese children in Baoding city. Method Using random cluster sampling method, a total of 4 319 children aged 0-5 years who underwent physical examination in maternal and child health institutions from January 2019 to December 2022 in Baoding city were selected as the research objects, and they were divided into 12 age groups of 0 month (at birth), 1 month, 3 months, 6 months, 8 months, 12 months, 18 months, 2 years, 2.5 years, 3 years, 4 years and 5 years. Height and weight were measured, and compared with the results of "A national survey on physical growth and development of children under seven years of age in nine cities of China in 2015" (hereinafter referred to as "nine cities of China"), to evaluate the growth retardation rate, underweight rate, overweight rate and obesity rate of children. Chinese preschoolers' eating behavior questionnaire (CPEBQ) was used to evaluate the eating behaviors of obese and overweight children aged 3-5 years who were matched 1∶1 with normal children.Statistical method performed by t-test. Result In all groups aged 0-5 years, the height and weight of boys were higher than that of girls except the height of 6 months, 2 years and 3 years, and the weight of 12 months,2.5 years and 4 years, and the differences were statistically significant (all P<0.05). The weight and height of boys and girls aged 0-5 years in Baoding city were consistent with the standard of "nine cities of China", and the growth trend was consistent. Among the 4 319 children aged 0-5 years, 59 (1.37%) children were growth retardation, 49 (1.13%) children were underweight, 287 (6.64%) children were overweight, and 164 (3.80%)
children were obesity, overweight and obesity were found in all age groups. The CPEBQ scores of overweight and obese children aged 3-5 years were lower than those of normal children in picky eating, bad eating habits, oversatiety response and external eating, and higher than those of normal children in food response and active eating, and the differences were statistically significant (all P<0.05). Conclusion The physical development of children aged 0-5 years in Baoding city is good, the proportion of malnutrition is low, but the rate of overweight and obesity is high, which is related to the poor diet behavior of children, and should be paid more attention.
Key words:  Children    Growth and development    Nutritional status    Obesity    Eating behavior
收稿日期:  2023-11-12                     发布日期:  2025-01-26     
基金资助: 河北省卫生健康委2021 年医学科学研究课题计划(20210351)
通讯作者:  范松丽    E-mail:  Email:yaoxuejing2202@163.com
引用本文:    
杜立燕 孟凡学 范松丽 张英奎 高静. 保定市城区0~5 岁儿童体格发育、营养状况调查及超重、肥胖儿童饮食行为状况分析[J]. 发育医学电子杂志, 2025, 13(1): 33-39.
Du Liyan, Meng Fanxue, Fan Songli, et al. Investigation of physical development and nutritional status of children aged 0-5 years and eating behavior analysis of overweight and obese children in Baoding city. Journal of Developmental Medicine(Electronic Version), 2025, 13(1): 33-39.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2025.01.005  或          http://www.fyyxzz.com/CN/Y2025/V13/I1/33
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