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    10 November 2014, Volume 22 Issue 11
    Core-pedigree study on abdominal obesity indicators of overweight/obese children in Beijing
    WANG Shuo,MENG Xiang-kun,ZOU Zhi-yong,MA Jun
    2014, 22(11):  1126-1129.  DOI: 10.11852/zgetbjzz2014-22-11-03
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    Objective To explore the relation of overweight/obese children and their parents in different abdominal obesity indicators.
    Association of anthropometrical indices and percent body fat with cardio-metabolic parameters in overweight Chinese children
    LI Jing-jing,WU Xu-long,WANG Ling,YANG Miao,LI Liu-bai
    2014, 22(11):  1130-1133.  DOI: 10.11852/zgetbjzz2014-22-11-04
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    Objective To assess the association between anthropometrical indices and percent body fat (fat%) with cardio-metabolic parameters in overweight Chinese children. Methods One hundred and seventy-four overweight or obese school children (7~16 years old) were recruited in seven Beijing sub-urban primary and secondary schools in 2013.Anthropometrical indices (height,body weight,waist circumference-WC,and hip circumference-HC) were measured and body mass index (BMI),waist-to-hip ratio(WHR),and waist-to-height ratio(WHtR)were calculated.Assessment of cardio-metabolic parameters [blood pressure; plasma glucose (GLU),total cholesterol (TC),triglyceride (TG),high-density lipoprotein cholesterol (HDL-C),and low-density lipoprotein cholesterol (LDL-C)] were carried out with a 12-hour fasting blood sample.Fat% was measured with a bio-impedance body composition analyzer.Partial correlation coefficient-r was used for express the association of anthropometrical indices and fat% to cardio-metabolic parameters after adjusted for age and gender. Results 1)the average fat% in 7~9,10~12,and 13 years old over were all at least 30%,and fat% increased with age increasing(P<0.05); 2)WHtR range was in 0.53~0.56.It was higher in boys than in girls(P<0.05),but there was no significant age difference(P>0.05).3)anthropometrical indices,fat%,and BMI were moderately associated with systolic blood pressure and HDL-C(r0.30-0.50,P<0.05);WC and fat% were associated to almost all metabolic syndrome (MS) components(P<0.05),more than BMI and WHtR. Conclusion Waist circumference and percent body fat(fat%)are superiorly associated with MS components than BMI and WHtR,and they should be among the core indices in obesity research.
    Influence factors study on children's body component analysis of bone age of children aged 3 to 12 years old
    LIU Hua,QIN Ling-zhi,YANG Yan,XIAO Fang,CHEN Zhong
    2014, 22(11):  1134-1136.  DOI: 10.11852/zgetbjzz2014-22-11-05
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    Objective To find the features of children body component aged 3 to 12 years old and to explore the influence of different body component to bone age. Method The cross-sectional study was conducted for the children aged 3 to 12 years old in the outpatient visit of our department and tested by physical exam,body component analysis and bone age evaluation during April 1st in 2012 and December 31th 2013. Results A total of 1 351 children between 3 to 12 years old were selected,748 were male,603 were female and their ratio was 1.24∶1.According to the order of the children in growth retardation,low body weight,overweight and obesity,the incidence were 17.25%,12.95%,11.18% and 7.62%.The bone age in different age group was lower than actual age,and bone development retardation incidence was 4.66%,where as partial retardation incidence was 18.65%.The mal-contents ratio of skeletal muscle,bone mineral matter and mineral salt was 44.19%,37.38% and 37.16%,where as over-contents ratio of fat was 23.24%.The independent variable playing positive roles for the advanced bone development were fat thickness of arms,body fat mass,total body weight and BMI.The factors playing negative roles for the advanced bone development were fat thickness of legs,skeletal muscle mass and bone mineral mass. Conclusion Carrying out rational diet,adequate exercise,avoidance of weight gain(especially fat gain),adequate praeparatum supply of vitamin and mineral matter can defer bone development effectively,and it is possible to procure taller ultimum height.
    Analysis of the differences of anthropometric characteristics among adolescent girls of Han and Hui ethic groups
    YANG Yi-de,MA Rui,SUN Li-li,ZHAO Hai-ping,MA Jun
    2014, 22(11):  1137-1140.  DOI: 10.11852/zgetbjzz2014-22-11-06
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    Deterinnation of osteoclast activity in children with vitamin D deficiency ricket
    TAN Chun-qiu,YANG Shu-fen,REN Li-hong
    2014, 22(11):  1141-1143.  DOI: 10.11852/zgetbjzz2014-22-11-07
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    Objective To investigate osteoclast function levels in children with vitamin D deficiency ricket,and the relationship between the osteoclast function and sex,age. Methods A total of 68 infants and toddlers conformed to the standard were chosen as the case group,and 66 infants and toddlers in good health as the control group.Blood tested 25-hydroxyitamin D[25-(OH)D],tartrate-resistant acid phosphatase isoform 5b (TRACP5b),carboxyterminal cross-linking telopeptide (CTX) levels.Then the datum were analyzed by software SPSS 20.0. Results The levels of serum 25-(OH)D,TRACP5b,CTX concentration for the case group were all lower than the control group and the differences were significant.Between infants and toddlers,the level of serum 25(OH)D for the infants was lower,while the level of TRACP5b and CTX concentration for the toddlers were lower,and the differences were significant.There was no significant difference between different sex in 25-(OH)D,TRACP5b,CTX concentration levels.The serum TRACP5b,CTX had a negative correlation with the serum 25-(OH)D in case group.The correlation between serum TRACP5b and CTX in case group was positive. Conclusions The levels of osteoclast function in vitamin D deficiency ricket children are obviously active;The levels of osteoclast function in infants are more active than the toddlers.There is no big difference for the levels of osteoclast function between different sex in same age group;TRACP5b and CTX are good indexes for evaluating bone resorption.Osteoclast molecule markers will be the promising markers for evaluation of vitamin D deficiency ricket.
    Epidemiological investigation of puberty development among school-aged boys in Chongqing urban
    DOU Yi-rong
    2014, 22(11):  1144-1146.  DOI: 10.11852/zgetbjzz2014-22-11-08
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    Corrlation research of bisphenol A and permature thelarche in infant girls aged 6 months to 2 years old
    ZHANG Xue-lan
    2014, 22(11):  1147-1150.  DOI: 10.11852/zgetbjzz2014-22-11-09
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    Objective To investigate the association between bisphenol A (BPA) and permature thelarche in infant girls aged 6 months to 2 years old. Methods The blood samples were collected from 40 infants aged 6 months to 2 years old with PT and 32 normal femal infants.The concentration of BPA in serum was determine by using HPLC-MS-MS.The concentration of sex hormones follicule-stimulating hormone (FSH),luteinizing hormone (LH),estradiol (E2),prolactin (PRL) in serum were detected by chemiluminescence method at the same time.The difference between the two groups and the correlation between BPA and sex hormones were analysed. Results The relevance ratio and concentration of BPA in PT group were higher than those of the control group (P<0.01).The concentrations of FSH,PRL in the two groups had no statistically significant differences (P>0.05).The concentrations of E2 in PT group was higher than that of the control group (P<0.05).The concentrations of LH of PT group was higher than that of the control group (P<0.01).There were no correlation between the concentrations of BPA and FSH,PRL(P>0.05).There were correlations between the concentrations of BPA and LH,E2(P<0.01). Conclusions 6 months ~2 years old infant girls are under the existence of BPA exposure.BPA exposure is likely one of the causes of PT for 6 months ~2 years old infant girls.BPA exposure maybe affect the secretions of LH and E2.
    Clinical intervention for children with eating behavior problems in the child health care outpatient
    HUA Li,CHEN Min,HAO Yan,YE Tian-hui,ZHANG Ai,JIN Xing-ming
    2014, 22(11):  1151-1153.  DOI: 10.11852/zgetbjzz2014-22-11-10
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    Objective To give clinical intervention to children with eating behavior problems aged 2 to 5 years old in Tongji child health care outpatient. Methods According to the time they came to the outpatient,the children were divided into the intervention group and the contrast group at random.The intervention group were given individual intervention,while the contrast group received regular feeding guidance. Results The incidence of 6 eating behavior problems from high to low was as follows122 cases with bad eating habits (55.45%),95 cases with bad appetite but energetic (47.03%),93 cases had special preferences for some food (46.04%),71 cases were over cared by their parents (35.15%),20 cases were afraid of eating (9.9%),16 cases with potential diseases (7.9%).There was significant differences in both two groups compared before and after intervention(P<0.01).The increase of score of eating behavior problems in intervention group was higher than that of contrast group.There were significant differences(P<0.01). Conclusion Home-based individual clinical intervention can effectively improve the children's eating behavior aged 2 to 5 years old.
    Infant neurological international battery motor development evaluation of 393 positional plagiocephaly infants
    ZHAO Xue-qing,ZHANG Yu-ping,LIAO Wei,WANG Li-yan,WU Zhi-feng,ZHAO Cong-min
    2014, 22(11):  1154-1156.  DOI: 10.11852/zgetbjzz2014-22-11-11
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    Objective To learn the level of motor development in positional plagiocephaly(PP) infants. Method Using Infant Neurological International Battery (INFANIB),level of motor development was evaluated in 393 PP and 390 normal infants during 0~18 months. Results Compared with normal infants,the infants with PP aged at 0~3.9 months had lower scores in spasticity,head and trunk,legs,french angles scales and the total score(P<0.05);4~18 months infants with PP had lower scores in spasticity,head and trunk,vestibular function,legs,french angles scales and the total score,which had significantly statistic differences(P<0.05).And in PP group,the more serious head deformation was,the lower total scores presented.There were statistic differences among mild,moderate and severe degree(P<0.05). Conclusions Compared with the normal group,PP infants have worse motor development level.The more serious PP is,the worse motor development level exists.These remind us that PP should be detected,follow-up visited and intervened early.PP may be risk signal of delayed motor development.
    Effect of dietary n-3 polyunsaturated fatty acids on the gut microbiota in diet-induced obese mice
    QI Ke-min
    2014, 22(11):  1157-1160.  DOI: 10.11852/zgetbjzz2014-22-11-12
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    Objective To investigate the effects of n-3 polyunsaturated fatty acids (n-3 PUFAs) on the gut microbiota in diet-induced obese (DIO) mice. Methods Thirty 3~4-week-old male C57BL/6J mice were randomly divided into 3 groups and fed 4 months with two different high-fat diets (34.9% of fat providing 40% of total energy)- the high-fat diet (lard oil and sunflower oil) and the fish oil high-fat diet (lard oil and fish oil),and a low-fat diet (4.3% of fat from lard oil and sunflower oil,providing 10% of total energy).The stool bacteria were examined by 16s DNA real-time PCR,and the mRNA expression levels of IL-1β,IL-6,IL-10,TNF-α and MCP-1 in the colon were determined by reverse transcription real-time PCR. Results As compared to the lean mice,the obese mice induced by the high-fat diet had more Firmicutes and Lactobacillus,and less bacteroidetes,actinobacteria,proteobacteria and bifidobacterium in stool.Comparing differences between the two groups of obese mice,higher abundance of stool bifidobacterium and lower lactobacillus were found in mice with the fish oil high-fat diet.Analysis for mRNA expressions of inflammatory factors in the colon showed that IL-1β,IL-6,TNF-α and MCP-1 were all increased in the high-fat diet induced mice compared to the mice fed low-fat diet,and fish oil n-3 PUFAs reduced expressions of colon IL-1β and TNF-α. Conclusion Fish oil n-3 PUFAs may have beneficial effects on gut microbiota and related colon inflammation in DIO mice.
    Effects of overfeeding during lactation on organ development of offspring mice
    GUAN Huai,FENG He-xi
    2014, 22(11):  1161-1164.  DOI: 10.11852/zgetbjzz2014-22-11-13
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    Objective To investigate the effects of overfeeding during lactation on organ development of offspring mice. Methods A total of 20 Kunming pregnant mice were randomly divided into two groups,control and study group,which were treated with same condition during pregnancy.After delivery,all mothers reared their pups freely.At postnatal day 3,the litters of each group were culled to keep litter size at 4 pups/litter in study group and 10~12 pups/litter in control group.After weaning,all pups were fed with standard lab diet.Physical development of offspring was monitored from birth to postnatal 6 weeks.Organ coefficients of offspring major organs were determined and the morphology of them was observed through HE staining under microscope at age of 6 weeks. Results 1)Physical developmentat age of 3 and 6 weeks,the bodyweight of pups of study group were significantly higher than those of control group (P<0.05).2)Organ coefficientthe organ coefficients of heart,liver and spleen were significantly higher in offspring of study group than those in control group (P<0.05).3)Morphologyunder microscope,compared with offspring of control group,atrial and ventricular walls of heart were thicker,liver cells presented slight edema,and boundary of white pulp,red pulp and marginal zone in spleen was obscure in offspring of study group. Conclusions Overfeeding during lactation results in obesity during childhood and young adulthood,as well as morphological changes of some organs in offspring.These morphological abnormities might be the anatomical basis of influence of overfeeding during lactation on later disease.The profound mechanisms are worthy of further study.
    Analysis on the correlation of body image dissatisfaction and body shape parameters among children and adolescents
    FU Lian-guo,WANG Hai-jun,LI Xiao-hui,YANG Yi-de,SUN Li-li,MA Jun
    2014, 22(11):  1174-1177.  DOI: 10.11852/zgetbjzz2014-22-11-17
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    Objective To analyze the correlation of body image dissatisfaction and body shape parameters,and to provide the basis for guideing children and adolescents to get correct body image. Methods Students were selected using stratified cluster sampling method,and measured height,weight,waist circumference (WC),hip circumference (HC),and skinfold thichness,and surveyed body image by Ma body figural shape.The correlation of body image dissatisfaction and body shape parameters was analyzed using simple level and multiple level methods. Results Prevalence rate of body image dissatisfaction was 77.1% [23.1% students expected to be fat (EBF),54.0% students expected to thin (EBT)] and prevalence of body image distortion was 44.9%;The rate of EBF in males was higher than in females (χ2=4.989,P=0.026),however,the rate of EBT in females was higher than in males (χ2=5.970,P=0.015).In males and females,height,weight,WC,HC,skinfold thickness,body mass index (BMI),waist-height ratio (WHtR),and hip comunference-to-height ratio (HHR) were higher in EBT than body image satisfaction (P all <0.05); In males,all above variables were higher in body image satisfaction than EBF(P all <0.05; Excepting for height and WHR,others were higher in body image satisfaction than EBF In females(P all <0.01).Differences of above variables between EBT or EBF and body image satisfaction were higher in males than females,in middle school students than primary school students. Conclusion There are the correlations between height,weight,WC,HC,WHtR,HHR and body image,and are different between males and females or middle and priamary school students.
    Nut consumption and its association with child obesity in Chinese school children
    WANG Ling,LI Jing-jing,YANG Miao,WU Xu-long,LI Liu-bai,MA Jun
    2014, 22(11):  1178-1181.  DOI: 10.11852/zgetbjzz2014-22-11-18
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    Objective To explore nut intake status and its association with overweight and obesity in school-aged children in China,and to provide evidence basis for developing healthy eating strategies. Methods Nineteen schools (included primary schools,middle schools and high schools) were cluster sampled from Beijing,Hunan and Ningxia urban and rural areas.A self-filled structured questionnaire was used to collect data on nut intake frequencies and portion.The children's data of height and weight were also collected.Body composition in a sub-sample of overweight and obese children (n=193) was measured with a Bio-impedance body composition analyzer (MC-980MA,TANITA,Made in Guangdong,China). Results A total of 4 164 children in grade 5th to 12th participated in the investigation (36.3% were overweight or obese).The average age of the participants were (13.2±2.4) years,average body mass index (BMI)(21.0±4.5) kg/m2,and the percent body fat% in overweight and obese children(35.2±7.8)%.About 29.7%,35.5%,11.0% and 23.7% of the children consumed nuts 0 hand/week,1~3 hands/week,4~6 hands/week and more than one hands/day(d) in the previous week of the data collection respectively and the prevalence of overweight and obesity among them was 39.3%,35.0%,36.3% and 35.0%,respectively.There were significant differences in the prevalence of overweight and obesity among 0 hand/week and other groups (P<0.05).The risk of becoming overweight and obesity was 0.75 times (OR=0.75;95%CI0.61~0.92)compared with those who didn't consume nuts after adjusted for region,gender,grade,parents'education level and family social economic status(SES). Conclusion Consumption of nuts is a potential protection factor for child obesity prevention.
    Relation between nutrition intake and weight growth velocity in the very-low-birth-weight infants during hospitalization
    LIN Jie-bing,ZHU Yan-na,MEI Jia-ping,LI Yan-qi,JING Jin,LI Xiu-hong
    2014, 22(11):  1182-1184.  DOI: 10.11852/zgetbjzz2014-22-11-19
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    Objective To study the relationship between the nutrition intake and weight growth velocity (WGV) of very-low-birth-weight (VLBW) infants during hospitalization. Methods A retrospective investigation was conducted in hospitalized VLBW infants in Shenzhen Women and Children's Hospital from 2011 to 2012,and the clinical characters and nutritional data were collected.The infants were divided into 3 groups according to the WGV,including low WGV group,medial WGV group and high WGV group.Then,the nutritional status were compared among the three groups. Results In the 147 VLBW infants,the medians of WGV and inpatient time were 12.77 g/(kg·d) and 48 days,respectively.Compared with low WGV group,the inpatient time,the time to achieve full enteral nutrition and the time to begin amino acid administration were lower than those in high and medial WGV groups.Dosage of carbohydrates,lipids and protein showed a decreasing trend in day 7,14,21 and 28 after the birth of VLBW infants. Conclusions The WGV of VLBW infants is associated with nutrition intake and inpatient time.Therefore,it is useful for weight gain in VLBW infants by enhancing enteral and parenteral nutrition and reducing the inpatient time.
    Investigation on the nutrition status among children in primary school with their behavior of snacks consumption
    WANG Feng,WU Qiu-yun,SHAO Ji-hong,ZHOU Li,REN Xiang-mei
    2014, 22(11):  1185-1187.  DOI: 10.11852/zgetbjzz2014-22-11-20
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    Objective To investigate the association of snacks consumption with the nutrition status among children in primary school,and to provide basis for their nutrition education. Method A random cluster sample of the children in primary school received the questionnaire survey and physical examination. Results The prevalence of emaciation among children regularly consuming snacks of the "eligible to regular consumption","moderate to consumption" and "restrained to consumption",was 4.2%,2.5%,1.0%,respectively.The prevalence of over-weight in different snacks category groups were 5.6%,9.9%,18.6%,respectively.The prevalence of obesity in different snacks category groups were 5.6%,2.9%,11.8%,respectively.The differences in the check-up rate of emaciation,normal,over-weight and obesity due to different conditions of snack eating behavior were significant(χ2=20.595,P=0.002). Conclusion It is suggested that effective nutrition education activities should be implemented to make the students know more nutritional knowledge and take healthy dietary practices.
    Analysis of 25-hydroxy vitamin D levels in 2 266 cases of children at 0~16 years old in Nanjing area
    MAO Chun-ting,SHI Sheng-yun,ZHANG Yang,SONG Cai-yun,TAO Bei-bei
    2014, 22(11):  1188-1190.  DOI: 10.11852/zgetbjzz2014-22-11-21
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    Objective To investigate the levels and deficiency of 25-hydroxy vitamin D[25-(OH)D] in children at 0~16 years old in Nanjing area. Method Serum levels of 25-(OH)D in 2 266 cases of children at 0~16 years old,detected by enzyme linked immunosorbent assay (ELISA) between April 2012 and March 2013,were statistically analyzed. Results 1) Among 1 204 cases of children in winter and spring,the serum level of 25-(OH)D was (55.1±19.58)nmol/L (male 778,female 426),there had no statistical difference between different gender groups.And there had statistical difference among group lower than 1 year old [(71.7±27.39)nmol/L],group 1~7 years old[(59.6±18.25)nmol/L] and group more than 7 years old[(46.9±14.97)nmol/L].2) Among 1 062 cases of children in summer and autumn,the serum level of[25-(OH)D] was (67.2±46.89) nmol/L ( male 670,female 392 ),there had no statistical difference between different gender groups.And there had statistical difference among group lower than 1 year old [(98.0±39.97)nmol/L],group 1~7 years old [(73.0±61.73)nmol/L] and group more than 7 years old [(55.8±16.75)nmol/L].3)There had statistical difference between different season groups (P<0.01). Conclusion The serum levels of 25-(OH)D of 0~16 years old are sub clinic deficiency except group lower than 1 year old in Summer and Autumn.And the serum levels of 25-(OH)D decrease gradually by the age of children increasing.
    Analysis of the prevalence and risk factors of obesity and hypertension among children and adolescents aged 3~17 years old in Hengli town,Dongguan city
    WU Jian-yun,YANG Qing-dong,SUN Yu-zhen,PENG Gui-cheng,WANG Yi-fang,DENG Zhong-liang,LU Li-zhan,ZHU Hao-yuan,HUANG Ban-ling,LUO Yu-bing,WU Yu-jiao
    2014, 22(11):  1191-1194.  DOI: 10.11852/zgetbjzz2014-22-11-22
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    Objective To investigate the current prevalence and risk factors of obesity and hypertension among children and adolescents in Hengli town,Dongguan city. Methods Using cluster sampling,9 651 children and adolescents aged 3~17 years old in Hengli town,Dongguan city were required to finish a questionnaire survey.Anthropometric measurements including height,weight,waist circumference and blood pressure were performed. Results The detection rates of overweight,obesity and central obesity,which were 12.0%,4.1% and 6.8% respectively,were 8.9% vs 16.2%,5.0% vs 3.1% and 7.2% vs 6.2% respectively when compared between males and females.The difference of sexes was statistically significant (P<0.001).The detection rate of hypertension was 4.4%,which increased with age and was lower in males than in females (3.8% vs 5.1%,P=0.002).Multifactor Logistic regression analysis revealed:previous macrosomia and obese parents were the risk factors of obesity for children aged 3~6 years old,for whom overweight,obesity and central obesity were the risk factors of hypertension.Male,7~12 yearold,previous macrosomia,obese parents,rapidly feeding and inadequate or over sleeping time were the risk factors of obesity for children aged 7~17 years old,for whom female,13~17 yearold,low birth weight,parents with hypertension,overweight and obesity were the risk factors of hypertension. Conclusions The detection rates of overweight,obesity and central obesity in children and adolescents aged 3~17 years old in Hengli town,Dongguan city are lower than those in developed metropolitan city.The detection rates of hypertension are in the range of intermediate level.The risk factors of obesity and hypertension between 3~6 yearold children and 7~17 year old children and adolescents are different in some aspects.
    Analysis of the rural preschool children's dietary behavior problems in Shandong province
    WEI Xuan,YANG Ping,XU Ling-zhong,GAI Ruo-yan,YUAN Yun,ZHAO Xiu-xiu
    2014, 22(11):  1195-1197.  DOI: 10.11852/zgetbjzz2014-22-11-23
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    Objective To explore the rural preschool children's dietary behavior problems and its influence factors in Shandong province.Method The sample was randomly chosen by cluster based sampling method.The data were collected by using self made health survey questionnaire,and statistically analyzed with software of SPSS 16.0. Results The dietary behavior problems prevalence rates in Shandong province:playing while eating (69.25%),eating snacks (57.96%),eating need to coax (51.16%),picky about food (47.07%),anorexia (40.00%),skipping breakfast (22.45%),eating before sleep(16.19%).The children whose parents accepted diet nutrition lecture or voluntary diagnoses and didn't give them health products ate less snacks.The only child,the children's parents didn't pay attention to diet collocation higher family income led to more anorexic.The more expense of raising children,the only child was more likely to pick about food and play while eating.The higher family income was,the more children didn't eat breakfast.The children whose parents accepted diet nutrition lecture or voluntary diagnoses were less likely to eat before sleeping.The only child and younger children with higher family income were more likely to need coax while eating.Conclusions The rural preschool children's dietary behavior problems are serious.Appropriate intervention measures should be taken according to different age and types of dietary behavior problems.
    Epidemiological investigation and analysis of asthma on children aged 0~14 years old in Linqu county
    WU Shao-xia,SHEN Guang-li
    2014, 22(11):  1198-1200.  DOI: 10.11852/zgetbjzz2014-22-11-24
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    Objective To investigate prevalence and risk factors of asthma children aged 0~14 years old in Linqu county,and provide a reliable basis for the prevention and treatment of the disease. Method By using cluster random sampling method,antiepidemic stations,schools,kindergartens were selected for asthma epidemiology survey of 10 000 children aged 0~14 years old in Linqu county. Results A survey of 10 000 children aged 0~14,received 9 765 valid questionnaires,effective rate is 97.65%.152 children with asthma,the prevalence rate was 1.56%;The highest prevalence was preschool children with asthma.Male children prevalence was higher than the female,male and female ratio was 1.50∶1,the difference was significant (χ2=5.648,P<0.05).Family history of allergies or asthma,allergic rhinitis,allergic history,the history of food allergy history,personal history of drug allergy,premature birth,excess weight,use of antibiotics were the risk factor of asthma. Conclusions The prevalence rate of asthma of children aged 0~14 years od in Linqu county in 2012 is increased,compared the national prevalence 10 years ago.The highest prevalence is preschool children with asthma.The incidence of asthma in children is associated with a variety of factors.
    Physical fitness monitoring data analysis and life style survey of Zibo 3~6-year-old children in 2010
    ZHANG Bao-guo,WANG Jing,WANG Xiao-di
    2014, 22(11):  1201-1204.  DOI: 10.11852/zgetbjzz2014-22-11-25
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    Objective To understand the status of physical fitness and life style condition of 3~6-year-old children in Zibo,to promote national fitness campaign of Zibo and to provide a basis for formulating children's sports policy. Methods A total of 704 children aged 3~6-year-old were selected to physical test and questionnaire investigation adopting the principle of random cluster sampling,and their shape indexes,function indexes,quality indexes and lifestyle were analyzed. Results The age differences of Zibo 3~6-year-old children's physique test indexes was significant.The height,sitting height,body weight of 3~6-year-old male children had no significant difference with female children,but the bust was significantly larger than female children,and infant upper arm,shoulder sebaceous thickness of 4 and 5-year-old male chileren were less than the same age female children.For physical quality,the upper and lower extremity strength,speed and agility of male children were better than female children,but the flexibility and balance ability were contrast.Characteristics of Zibo 3~6-year-old children were high and strong,more subcutaneous fat,but physical quality outstanding,better strength,speed,sensitivity and weaker balance ability,general flexibility and coordination.As diet life style,Zibo children needed to reduce the intake of high calorie or low nutrition food. Conclusions The age and gender differences of 3~6-year-old children's physique test indexes are significant in Zibo.Strengthen physical training and improve their life style is an effective way to enhance children's physical fitness.
    Analysis of prevalence of common disease among the Han nationality pupils aged 7~18 years old in Karamay city,2012
    LIU Yang,Zumrat Abdurehim,BI Cun-jian
    2014, 22(11):  1205-1206.  DOI: 10.11852/zgetbjzz2014-22-11-26
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    Objective To understand the prevalence of common disease among the Han nationality pupils aged 7~18 years old in Karamay,and to provide the basis for improvment of the health condition of the region's pupils. Methods The test for 2 500 pupils aged 7 to 18 was in strict accordance with the requirements of 2010 National Student Physical Health Survey,including height,weight,vision,dental caries and other indicators,and the test results were analyzed statistically. Results In 2012,the prevalence of low vision among the Han nationality pupils in Karamay city was 50.72%;The prevalence of dental caries was 33.92%; obesity rate was 11.04%; malnutrition was 5.24%.Grade,gender,urban-rural differences were statistically significant (P<0.01). Conclusion The prevalence rate of common disease among the Han nationality pupils in karamay is not optimistic,family,school,community should strengthen prevention and control of common diseases.
    Investigation and analysis of eating problems among 7months~4 years old children and behavior of their caregivers in Suzhou
    WU Ying,WU Qing-bin,LU Hai-ping,CHEN Yan,JIN Xing-ming
    2014, 22(11):  1210-1212.  DOI: 10.11852/zgetbjzz2014-22-11-28
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    Objective To investigate the prevalence of eating problems and family feeding status among 7 months~4 years children in Suzhou. Methods Cross-sectional survey was conducted.Data included children's socio-demographic,eationg behavior and their caregiver's information. Results 42% of children identified as eating behavior problems,including 26% of children's "strong preference for a certain food".Permissive parenting ("allows children to choose food" 38.5%);Authoritarian parenting ("must eat up all the food 36.5%);Neglectful parenting ("eat with less emotional communication 6.5%),and different parenting styles have different inference on eating behavior. Conclusions The prevalence of eating problems among 7months~4 years children in Suzhou is high.The intervention of children's eating behavior will be used in the future.
    Related factors of the degree of anemia in preterm infants
    HUO Le-ying,HUANG Hui-wen
    2014, 22(11):  1213-1214.  DOI: 10.11852/zgetbjzz2014-22-11-29
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    Objective To investigate the related factors affecting the degree of anemia of preterm infants. Methods The clinical data of 167 preterm infants within 24 hours after birth admitted to the department of neonatology in Zhuhai Women and Children's Hospital from June 2012 to June 2013 were collected.The preterm infants were classified into two groupsmild to moderate anemia group and severe anemia group.All clinical data were analyzed by single factor analysis and Logistic regression. Results The birth weight,gestational age of the severe anemia group were significantly lower than the mild to moderate anemia group,the difference was statistically significant (P<0.01).The length of hospital stay,iatrogenic blood loss were obviously higher than the mild to moderate anemia group,the difference was statistically significant (P<0.01).The birth weight and the length of hospital stay were risk factors of severe anemia. Conclusions The degree of anemia is associated with the birth weight,gestation age,length of hospital stay and iatrogenic blood loss.The birth weight and the length of hospital stay are independent risk factors of severe anemia in preterm infants.
    Effect of intervention on 1~4 years old children with eating behavior problems
    PEI Jing-jing,WEI Ya-rong,DING Yang,XU Bing,WANG Ya-jie,JIANG Xin-ye
    2014, 22(11):  1215-1217.  DOI: 10.11852/zgetbjzz2014-22-11-30
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    Objective To evaluate the improvement effect of children who have eating behavior problems after intervention,and to investigate the growth and development of children with eating behavior problems in the same time. Methods Children aged 1~4 years old with eating behavior problems were selected,height,weight and hemoglobin of children were measured.Their caregivers were directed one-to-one by nutrition doctors,and scientific booklets were handed out,the period of intervention was 6 months.The same caregivers were asked to complete the questionnaire about the eating behavior of children before and after intervention,and the effects of intervention were evaluated. Results The ratio of low weight,growth retardation and athrepsy in children with eating behavior problems were 2.55%,12.10%,4.46% respectively;After intervention,the total score was increased 3.46%(P<0.01),the time of eating,language and emotion communication with children at mealtime,children asked to eat up foods,feeding foods when children joylessness,feeding snacks in any time,gallivant at mealtime,doing other things at mealtime,meal place variable,cheating eating with toys were respectively increased 3.88%,5.63%,11.99%,6.32%,5.20%,8.26%,11.05%,9.36%,14.69%(P<0.01),and the eating few,eating slowly,scared eating were respectively increased 6.18%,4.02%,4.28%(P<0.05). Conclusion The feeding concepts and methods of caregivers are improved effectively by synthesis intervention,thus promoting the well eating behaviors were formed.
    Effectiveness of general movement assessment across the continuum of health care systems in Minhang district of Shanghai
    HUANG Jun,LI Yun,XIAO Li-ping,YANG Hong,WANG Jing,ZHANG Ying,SHI Wei,ZHANG Yue
    2014, 22(11):  1218-1220.  DOI: 10.11852/zgetbjzz2014-22-11-31
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    Objective To evaluate the effectiveness of general movements (GMs) assessment through the coordination across the continuum of primary,secondary and tertiary healthcare systems. Method GMs assessment results were obtained by means of Minhang electronic health records (EHR). Results During the past five years,11 710 high risk infants were conduct GMs assessment,and the coverage rate rised up from 19.39% to 80.58%,meanwhile the abnormal rate of writhing and fidgety movements were 0.37% and 0.57% respectively,but there was no significant difference.There was significant difference between suspected rate of writhing and fidgety movements (25.49% vs 2.4%) ,and the rehabilitation intervention rate rised up to 53.26% from 13.04%,but writhing movements of which was lower than that of the fidgety movements. Conclusion Through the coordination across the continuum of primary,secondary and tertiary healthcare systems,infant neurological screening and intervention work during the early age have been improved.
    Prevalence of dental caries among primary and secondary school students in Guangxi province in 2010
    DONG Yong-hui,RUAN Qing,LIU Xuan-hua
    2014, 22(11):  1221-1223.  DOI: 10.11852/zgetbjzz2014-22-11-32
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    Survey on poor vision and the knowledge,attitude and behavior of prevention among 1 796 primary and secondary school students in Shijiazhuang
    CHEN Wei-fang,ZHANG Hai-fang,ZOU Dong-rong,YUE Dong-mei,ZHANG Zhi-hong
    2014, 22(11):  1224-1226.  DOI: 10.11852/zgetbjzz2014-22-11-33
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    Objective To understand the status of poor vision and the knowledge,attitude,behavior (KAP) of prevention among primary and secondary school students,and to provide evidence for the prevention and control myopia.
    Study on the determinants of parental involvement in drawing infant growth curve in Minhang district of Shanghai
    CHEN Min,ZHANG Ying,ZHANG Yue,LI Yun
    2014, 22(11):  1227-1230.  DOI: 10.11852/zgetbjzz2014-22-11-34
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