埃及坦塔市学龄前儿童体重增加相关行为

Haidy Mohamed Sobeeh, S. Shalaby, W. Shehata, M. Alshishtawy
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摘要

背景:肥胖是一种复杂的疾病,其特征是体内储存的脂肪与身高相比过多,脂肪组织功能障碍会导致许多代谢后果。这项工作的目的是研究学龄前儿童影响体重增加的行为,并研究学龄前儿童在鼓励或抑制健康行为方面的行为决定因素。方法:采用“简单随机抽样”方法选取8所学校进行横断面描述性比较研究:(Toosing法):4所学校位于城市地区,4所学校位于农村地区,目标人群为研究开始时在所选8所学校托儿所登记的6岁以下儿童。结果:将儿童分为4组:体重过轻112例,正常411例,超重449例,肥胖198例。剖宫产儿童(25.8%)、1岁断奶儿童(35.4%)、固定时间进食儿童(10%)肥胖、边看电视边进食儿童(52.8%)、边吃快餐儿童(92.6%)、夜间睡眠不足6小时儿童(55.9%)超重。在玩运动方面有非常显著的差异。结论:导致学龄前儿童超重和肥胖风险增加的行为包括偏爱剖腹产、过早断奶、不吃早餐、边看电视边吃东西、吃快餐、睡眠限制或每晚睡眠不足6小时,以及存在睡眠问题。锻炼对控制体重有很大的作用。
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Weight gain-associated behaviours among pre-school children in Tanta City Egypt
Background: Obesity is a complex disease characterized by excess stored body fat compared with height, with adipose tissue dysfunction contributing to many of the metabolic consequences. The aim of this work was to study behaviors of pre-school children that affect weight gain and to study determinants of children’s behaviors as regard encouraging or inhibiting healthy behaviors among pre-school Children. Methods: This cross-sectional descriptive comparative study was carried out on 8 schools chosen by using “Simple Random Sampling”: (Toosing method): four were located in urban areas and the other four were located in rural areas target population were children under 6 years old at the time of beginning the study registered in the selected 8 school nurseries. Results: Children were divided into four groups: 112 were underweight, 411 were normal, 449 were overweight, and 198 were obese. (25.8%) of children delivered by Cesarean section, (35.4%) of children weaned at 1 year old, (10%) of children eating at the fixed time were obese, (52.8%) of children eating while watching TV, (92.6%) of children eating fast foods, (55.9%) of children sleeping less than 6 hours at night were overweight. There was a highly significant difference regarding playing exercise. Conclusions: Behaviors that lead to increased risk of overweight and obesity in preschool children include preferring caesarean section, early weaning, escaping breakfast, eating while watching television, eating fast foods, sleep restriction or sleeping less than six hours at night, and presence of sleeping problems. Exercising has a great effect on controlling weight.
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