Abstract: Objective To understand the awareness of childhood obesity and its related disease in parents from Gaohang town,Shanghai. Methods A cross-sectional study was performed in five schools in Gaohang town in 2013.Physical examination and liver ultrasoundgraphy were made for 2 047 students entered this study.Furthermore,a self-completed questionnaire was also made in parents. Results The rank of well known diseases related with childhood obesity were non-alcoholic fatty liver disease(NAFLD),high blood pressure,precocious puberty,abnormal blood glucose,obstructive sleep apnea-hypopnea syndrome (OSAHS),joint pain respectively in the views of parents.And the reasons for childhood obesity were unreasonable diet,less exercise,genetic factors,other disease,psychological factors respectively in the view of parents.According to the survey,more than half of 595 overweight children's parents underestimated the children's weight status.Binary Logistic regression analysis showed that parents of overweight children were more prone to underestimate the weight compared with the obese children's parents(OR=5.44,95%CI:3.75~7.90,P<0.001).Likewise,it was similar Results when compared parents whose children without obesity related diseases with parents whose children with obesity related diseases(OR=2.03,95%CI:1.40~2.97,P<0.001).Interestingly,parents without chronic diseases were easier to wrongly estimate their children's weight status compared to parents with chronic diseases(95%CI:1.20~7.90,P=0.004). Conclusions The parents are lack of the knowledge related with childhood obesity.They are prone to underestimate the weight status of the overweight or obese children.

Key words: primary and secondary schools, students&apos, parents, childhood obesity, chronic disease, awareness

摘要： 目的 了解上海市高行镇学生家长对儿童肥胖知识的知晓率,可针对性地进行儿童肥胖防治的普及教育。方法 2013年5月选取上海市浦东新区五所中小学校的学生,进行身高、体重测量及慢病筛查,并要求家长填写调查问卷。2 047名数据填写完整及体格指标测量完整的对象纳入研究。结果 家长对儿童肥胖及其相关慢病知晓度由高到低依次为:非酒精性脂肪肝,高血压,性早熟,血糖异常,呼吸睡眠暂停综合征,最后为骨关节疼痛;家长对导致儿童肥胖的原因的知晓度由高到低依次为:饮食结构不合理,运动量少,遗传因素,疾病及其它,最后为心理因素。超过一半(n=313/595)的超重肥胖儿家长认为其体型正常。Logistic回归分析显示:超重儿家长与肥胖儿家长相比,超重儿家长更易评价其子代体重是正常的(OR=5.44;95%CI:3.75~7.90,P<0.001);子代不患慢病的家长与子代患有慢病的家长相比,更易相信子代体重是正常的(OR=2.03;95%CI:1.40~2.97,P<0.001)。父母不患慢病的家长错分子代体型的可能性是父母至少一方患慢病的家长的1.80倍(95%CI:1.20~7.90,P=0.004)。结论 目前家长对儿童肥胖及其慢病相关知识认识不足,容易低估了超重肥胖儿的体重情况。

关键词: 中小学, 学生家长, 儿童肥胖, 慢病, 知晓度