韩国学龄前儿童肥胖和超重的影响因素:基于2013-2014年韩国国家健康与营养检查调查

Inju Hwang, K. Bang
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引用次数: 10

摘要

目的:本研究的目的是评估学龄前儿童肥胖/超重的患病率,并确定相关因素。方法:本研究为横断面研究。数据来自2013-2014年韩国国家健康和营养检查调查的591名学龄前儿童、432名父亲和538名母亲。肥胖/超重的定义是2007年韩国国家增长图表。采用t检验、Rao-Scott χ 2、多因素logistic回归进行分析。结果:学龄前儿童肥胖/超重患病率为14.9%(肥胖,5.4%;超重,9.5%)。患有特应性皮炎、变应性鼻炎或哮喘的学龄前儿童(or =2.78, 95% CI [1.27-6.09], p= 0.011)和每天摄入较多硫胺素(or =1.01, 95% CI [1.00-1.02], p=.001)表现出较高的肥胖/超重发生率。影响学龄前儿童肥胖/超重的唯一父母因素是父母体重指数(father, OR=1.18, 95% CI [1.09-1.28], p<.001;母亲,OR=1.09, 95% CI [1.04-1.15], p<.001)。结论:对于存在肥胖危险因素的儿童,应尽早采取预防措施。本研究的结果可以作为制定有效预防韩国学龄前儿童肥胖的策略的初步数据。
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Factors Affecting Obesity and Overweight in Korean Preschool Children: Based on the Korea National Health and Nutrition Examination Survey 2013-2014
Purpose: The aim of the study was to assess the prevalence of preschooler obesity/overweight and to identify associated factors. Methods: This study was a cross-sectional study. Data for 591 preschoolers, 432 fathers and 538 mothers from the Korea National Health and Nutrition Examination Survey 2013-2014 were included. Obesity/overweight was defined by 2007 Korean National Growth Charts. T-test, Rao-Scott χ²2, multivariate logistic regression was used for the analysis. Results: Prevalence rates for preschooler obesity/overweight were 14.9% (obesity, 5.4%; overweight, 9.5%). The preschoolers with atopic dermatitis or allergic rhinitis or asthma (OR=2.78, 95% CI [1.27-6.09], p=.011) and eating more thiamine per day (OR=1.01, 95% CI [1.00-1.02], p=.001) showed higher obesity/overweight development. The only parental factor affecting preschooler obesity/overweight was parental body mass index (father, OR=1.18, 95% CI [1.09-1.28], p<.001; mother, OR=1.09, 95% CI [1.04-1.15], p<.001). Conclusion: Interventions on preventing preschooler obesity should be introduced much earlier for children with risk factors. Results from this study can be used as preliminary data to develop effective strategies to prevent obesity in Korean preschoolers.
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