Abstract：Objective To investigate the status of overweight and obesity and associated factors among primary and middle school students in Huzhou City, Zhejiang Province, so as to provide insights into formulating the prevention and control strategies for overweight and obesity in students. Methods Primary and middle school students from 5 counties (cities, districts) of Huzhou City were selected by using stratified cluster random sampling method from September to November, 2023. The general information, dietary habits and exercise behaviors were collected using the Student Health Status and Influencing Factors Questionnaire. Height and weight were measured, and body mass index was used to analyze overweight and obesity in primary and middle school students. A multivariable logistic regression model was used to analyze the influencing factors of overweight and obesity. Results A total of 7 573 students were surveyed, including 3 791 males (50.06%) and 3 782 females (49.94%). There were 2 754 primary school students (36.37%), 2 744 junior high school students (36.23%) and 2 075 senior high school students (27.40%). There were 2 166 students with overweight and obesity (28.60%), 1 186 students with overweight (15.66%), and 980 students with obesity (12.94%). Multivariable logistic regression analysis showed that gender (female, OR=0.546, 95%CI: 0.493-0.604), frequency of sweetened beverage consumption (once and more per day, OR=1.349, 95%CI: 1.102-1.650), and frequency of milk and milk products consumption (less than once per day, OR=0.742, 95%CI: 0.577-0.954) were the influencing factors for overweight and obesity in primary and middle school students. Conclusion The prevalence of overweight and obesity among primary and middle school students in Huzhou City is 28.60%, and is associated with gender, frequency of sweetened beverages and milk and milk products consumption.
梁茵茵, 袁瑞, 朱幸, 付云. 湖州市中小学生超重肥胖状况调查[J]. 预防医学, 2024, 36(10): 847-850.
LIANG Yinyin, YUAN Rui, ZHU Xing, FU Yun. Overweight and obesity among primary and middle school students in Huzhou City. Preventive Medicine, 2024, 36(10): 847-850.
[1] 董彦会,陈力,刘婕妤,等.1985—2019年中国7~18岁儿童青少年超重与肥胖的流行趋势及预测研究[J].中华预防医学杂志,2023,57(4):461-469. [2] OSES M,MARGARETO SANCHEZ J,PORTILLO M P,et al.Circulating miRNAs as biomarkers of obesity and obesity-associated comorbidities in children and adolescents:a systematic review[J/OL].Nutrients,2019,11(12)[2024-08-13].https://doi.org/10.3390/nu11122890. [3] 赵栋,黄李春,苏丹婷,等.浙江省农村学生营养改善计划地区中小学生肥胖类型与血脂的关系[J].中国学校卫生,2024,45(3):414-418. [4] FLORES-DORANTES M T,DIAZ-LOPEZ Y E,GUTIERREZ-AGUILAR R.Environment and gene association with obesity and their impact on neurodegenerative and neurodevelopmental diseases[J/OL].Front Neurosci,2020,14[2024-08-13].https://doi.org/10.3389/fnins.2020.00863. [5] 黄董伊,洪晓敏,蒋琦,等.广东省儿童青少年不同时间段睡眠不足与超重肥胖的关系研究[J].华南预防医学,2024,50(2):104-108,114. [6] 中华人民共和国卫生部.学生健康检查技术规范:GB/T 26343—2010[S].北京:中国标准出版社,2010. [7] 中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S].北京:中国标准出版社,2018. [8] 赵栋,顾炜,苏丹婷,等.2021年浙江省中小学生超重与肥胖现状及影响因素分析[J].中国公共卫生,2024,40(2):181-185. [9] 中华人民共和国国家卫生健康委疾病预防控制局.中国居民营养与慢性病状况报告(2020年)[M].北京:人民卫生出版社,2020. [10] 李国星,杨翠平,温守营,等.濮阳市中小学生超重肥胖现况及影响因素分析[J].实用预防医学,2024,31(4):432-435. [11] 修丽,王志强,张昱堃,等.安徽省中小学生含糖饮料摄入情况及与超重肥胖的关联[J].中国学校卫生,2022,43(11):1729-1732. [12] 和红,张琳梓,王攀,等.青少年自我评价体重对心理健康的影响——基于CEPS 2014—2015年的实证分析[J].中国卫生政策研究,2022,15(6):30-38. [13] 高雷,孟佳,李娟娟,等.浙江省7~22岁学生超重肥胖现况调查[J].预防医学,2021,33(12):1215-1219. [14] MALIK V S,HU F B.The role of sugar-sweetened beverages in the global epidemics of obesity and chronic diseases[J].Nat Rev Endocrinol,2022,18(4):205-218. [15] HU H,SONG J,MACGREGOR G A,et al.Consumption of soft drinks and overweight and obesity among adolescents in 107 countries and regions[J/OL].JAMA Netw Open,2023,6(7)[2024-08-13].https://doi.org/10.1001/jamanetworkopen.2023.25158. [16] 黄钦海,余石群,陈小敏,等.云浮市中小学生营养不良状况调查[J].预防医学,2024,36(5):402-406. [17] MALIK V S,POPKIN B M,BRAY G A,et al.Sugar-sweetened beverages,obesity,type 2 diabetes mellitus,and cardiovascular disease risk[J].Circulation,2010,121(11):1356-1364. [18] 林元杰,徐新茂,李禾婷,等.儿童含糖饮料消费行为与肥胖相关研究进展[J].现代预防医学,2023,50(20):3712-3718. [19] 陈燕容,刘言,薛红妹,等.钙、奶及奶制品摄入量与超重肥胖的关系[J].卫生研究,2016,45(3):402-408. [20] 赵艳,胡幼芳,杨梓,等.江苏省2~6岁儿童奶及奶制品摄入与体格生长指标的关系研究[J].中国妇幼保健,2019,34(2):414-417.
