中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (1): 45-48.DOI: 10.11852/zgetbjzz2023-0368

• 科研论著 • 上一篇    下一篇

新疆农牧区哈萨克族儿童青少年肥胖状况及其与生活方式的关联

刘晶芝1, 李琴秀2, 胡燕燕1, 阿依努尔·买买提3   

  1. 1.新疆工程学院体育教研部,新疆维吾尔自治区 乌鲁木齐 830023;
    2.新疆师范高等专科学校体育学院;
    3.伊犁哈萨克自治州妇幼保健院儿保科
  • 收稿日期:2023-04-16 修回日期:2023-08-15 发布日期:2024-01-04 出版日期:2024-01-10
  • 作者简介:刘晶芝(1986-),男,山东人,副教授,硕士学位,主要研究方向为体育教育训练学与身心健康促进。
  • 基金资助:
    国家社会科学基金“十三五”规划青年课题项目资助(CLA160198)

Obesity status of Kazakh children and adolescents in Xinjiang agricultural and pastoral areas and its correlation with lifestyle

LIU Jingzhi1, LI Qinxiu2, HU Yanyan1, AINUER·Mamat3   

  1. 1. Department of Physical Education and Research, Xinjiang Engineering College, Urumqi,Xinjiang Uighur Autonomous Region 830023, China;
    2. School of Physical Education, Xinjiang Normal College of Higher Education;
    3. Department of Pediatrics, Yili Kazakh Autonomous Prefecture Maternal and Child Health Hospital
  • Received:2023-04-16 Revised:2023-08-15 Online:2024-01-10 Published:2024-01-04

摘要: 目的 了解新疆农牧区哈萨克族儿童青少年肥胖状况及其与生活方式的关联,为农牧区哈萨克族儿童青少年保持良好体型及健康干预提供参考和帮助。方法 2022年4—6月以班级为单位采用分层整群抽样的方法,在新疆伊犁哈萨克自治州、阿勒泰地区农牧区对6 242名10~20岁哈萨克族儿童青少年进行肥胖状况测试及生活方式问卷调查,采用χ2检验、Logistic回归分析的方法对其进行分析。结果 新疆农牧区哈萨克族儿童青少年肥胖检出率为18.71%,其中男生(22.24%)高于女生(15.12%),差异有统计学意义(χ2=52.04,P<0.01)。不同年级、吃水果频次、每天不同看电视时长、感觉未来有希望、是否感到疲惫、孤独、忧伤的学生肥胖率比较,差异有统计学意义(χ2=24.29、4.61、694.51、7.15、10.33、6.51、8.07,P<0.01)。Logistic回归分析显示,女生(OR=0.63,95%CI:0.56~0.69)、感觉未来有希望(OR=0.96,95%CI: 0.94~0.99)是学生肥胖的保护因素(P<0.05);高中及以下年级(高中:OR=1.38,95%CI:1.24~1.57;初中:OR=1.82,95%CI:1.58~2.06;小学:OR=2.67,95%CI: 2.33~2.99)、吃水果≥1次/d(OR=1.07,95%CI: 1.03~1.16)、看电视≥2h/d(OR=1.07,95%CI: 1.02~1.17)、经常疲惫(OR=1.07,95%CI: 1.03~1.12)、经常孤独(OR=1.08,95%CI: 1.02~1.19)、经常忧伤(OR=1.09,95%CI: 1.04~1.14)是肥胖发生的危险因素(P<0.05)。结论 新疆农牧区哈萨克族儿童青少年肥胖率较高且与生活方式存在密切关联,应改善不良生活方式,降低该地区哈萨克族儿童青少年的肥胖率,以促进身心健康发展。

关键词: 哈萨克族, 儿童青少年, 肥胖, 生活方式

Abstract: Objective To understand the obesity status of Kazakh children and adolescents in the agricultural and pastoral areas of Xinjiang and its association with lifestyle, so as to provide reference and help for maintaining good body shape and health intervention for Kazakh children and adolescents in agricultural and pastoral areas. Methods From April to June 2022, 6 242 Kazakh children and adolescents aged 10 - 20 years were tested for obesity and surveyed by lifestyle questionnaires using stratified whole-group sampling in the farming and herding areas of Yili Kazakh Autonomous Prefecture and Altay Region, Xinjiang. χ2 test and Logistic regression analysis were used to analyze data. Results The obesity detection rate of Kazakh children and adolescents in Xinjiang farming and herding areas was 18.71%, with higher rates in boys (22.24%) compared to girls (15.12%), and the difference was statistically significant (χ2 =52.04, P<0.01). Significant differences were observed in the obesity rates based on grade level, fruit consumption frequency, screen time of television, feeling hopeful for the future, fatigue, loneliness, and sadness (χ2 =24.29, 4.61, 694.51, 7.15, 10.33, 6.51, 8.07, P<0.01). Logistic regression analysis showed that female students (OR=0.63, 95%CI: 0.56 - 0.69) and students who felt hopeful about the future (OR=0.96, 95%CI: 0.94 - 0.99) were protective factors against obesity (P<0.05); while high school and lower grades (senior high school OR=1.38, 95%CI: 1.24 - 1.57; junior high school OR=1.82, 95%CI: 1.58 - 2.06; primary school OR=2.67, 95%CI: 2.33 - 2.99), fruit consumption ≥1time/d (OR=1.07, 95%CI: 1.03 - 1.16), watching TV ≥2h/d (OR=1.07, 95%CI: 1.02 - 1.17), frequent feeling of fatigue (OR=1.07, 95%CI: 1.03 - 1.12), loneliness (OR=1.08, 95%CI: 1.02~1.19) and sadness (OR= 1.09, 95%CI: 1.04 - 1.14) of students were risk factors for the development of obesity (P<0.05). Conclusions The obesity rate of Kazakh children and adolescents in the agricultural and pastoral areas of Xinjiang is high and closely associated with lifestyle. Therefore, it is crucial to improve unhealthy lifestyles in order to reduce obesity and promote the physical and mental well-being of this population.

Key words: Kazakh, children and adolescents, obesity, lifestyle

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