南阳市学龄期儿童营养及运动素质状况调查及其对体格发育的影响

doi:10.11852/zgetbjzz2022-1321

摘要/Abstract

摘要： 目的探讨南阳市学龄期儿童营养及运动素质状况对其体格发育的影响,以期为超重、肥胖儿童的防治提供依据。方法随机分层整群抽取2020年9月该地区各小学学龄期入学学生4 032名,分别测量身高、体重、运动素质(50m跑用时、握力、立定跳远、立体前屈),调查其营养摄入情况,记录统计不同营养水平和运动素质状况中肥胖、超重、营养不良检出率。结果超重、肥胖、低体重的检出率分别为12.28%、7.74%、9.42%,其中男生为13.01%、8.50%、9.47%,女生为11.51%、6.95%、9.38%;所有学生中,运动素质优秀学生的超重、肥胖检出率与运动素质不及格学生比较,明显较低(χ²=216.790、219.578、107.187、102.776,P<0.05);运动素质优秀与不及格学生中营养不良检出率差异无统计学意义(P>0.05);所有学生中,营养过剩学生的超重、肥胖检出率高于营养不足、营养均衡学生,差异有统计学意义(χ²=727.945、918.773,P<0.05);营养不足学生的低体质量检出率高于营养过剩、营养均衡学生,差异有统计学意义(χ²=869.875、933.032,P<0.05)。结论适量的营养摄入、运动素质优秀能减少学龄期儿童肥胖、超重、营养不良的发生,保持营养均衡和坚持锻炼身体对学龄期儿童的体格发育、身体健康有积极的意义。

关键词: 学龄期儿童, 营养, 运动素质, 体格, 发育

Abstract: Objective To explore the influence of school-age children's nutrition and exercise quality on their physical development. Methods A total of 4 032 primary school students were selected into this study by random stratified sampling method in September 2020. Their height, body quality, exercise quality (50m running time, grip strength, standing long jump, stereo forward flexion) were measured, and nutrition intake was assessed, the detection rates of obesity, overweight and malnutrition were analyzed in different nutrition level and sports quality. Results The detection rates of overweight, obesity and low body weight were 12.28%, 7.74%, and 9.42%, respectively, which were 13.01%, 8.50% and 9.47% in boys and 11.51%, 6.95% and 9.38% in girls. Among all the students, the detection rates of overweight and obesity among students with outstanding exercise quality were significantly lower than those in students with poor exercise quality (χ²=216.790, 219.578, 107.187, 102.776, P<0.05). There was no significant difference in the detection rate of malnutrition between students with excellent exercise quality and poor exercise quality (P>0.05). Among all the students, compared with the detection rates of overweight and obesity in students with overnutrition were significantly higher than those in students with inadequate nutrition and balanced nutrition (χ²=727.945, 918.773, P<0.05). The detection rate of low body weight in students with malnutrition was significantly lower than that in students with overnutrition and balanced nutrition (χ²=869.875, 933.032, P<0.05). Conclusion Adequate nutrition intake and high exercise quality can reduce the occurrence of obesity, overweight and malnutrition in school-age children, and maintaining a balanced nutrition and persistent exercise can have a positive significance to the physical development and health of school-age children.

Key words: school-age children, nutrition, exercise quality, physique, development

中图分类号:

R153.2
R179

董正航, 李洋洋, 黄芳, 高亚楠. 南阳市学龄期儿童营养及运动素质状况调查及其对体格发育的影响[J]. 中国儿童保健杂志, 2023, 31(5): 551-554.

DONG Zhenghang, LI Yangyang, HUANG Fang, GAO Yanan. Investigation on the effect of nutrition and exercise quality of school-age children on physical development in Nanyang[J]. Chinese Journal of Child Health Care, 2023, 31(5): 551-554.

参考文献

[1] 陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志,2017,21(9):866-869,878.
ChenYS,Zhang YM, Kong ZX, et al.The prevalence of overweight and obesity in children and adolescents in China[J]. Chin J Dis Control Prevent,2017,21(9):866-869,878.(in Chinese)
[2] 贾欣颖, 周贵明. 单纯性肥胖儿童心功能的超声多模态分析研究进展[J]. 中国慢性病预防与控制, 2019, 27(3):233-236.
Jia XY, Zhou GM. Progress in ultrasound multimodal analysis of cardiac function in children with simple obesity[J].Chin J Prevent Control Chronic Dis, 2019, 27(3):233-236.(in Chinese)
[3] Black MM, Lutter CK, Trude ACB. All children surviving and thriving:Re-envisioning UNICEF's conceptual framework of malnutrition[J]. The Lancet Global Health, 2020, 8(6):e766-e767.
[4] 严海燕,李小芹,王瑞锋.学龄前儿童营养不良的危险因素及营养指导应用效果[J].安徽医学,2022,43(3):322-325.
Yan HY, Li XX, Wang RF. Risk factors of malnutrition in preschool children and the application effect of nutrition guidance[J].Anhui Med J,2022,43(3):322-325.(in Chinese)
[5] 虞燕.沈阳皇姑学龄儿童营养调查对比分析[J].中国儿童保健杂志,2018,26(9):1032-1034.
Yu Y. Comparative analysis of the nutrition survey of school-aged children in ShenyangHuanggu[J].Chin J Child Health Care,2018,26(9):1032-1034.(in Chinese)
[6] 程宇, 孙要武, 钞虹. 学龄儿童行为问题与营养素摄入状况相关性分析[J]. 中国学校卫生,2018,39(6):832-835.
Cheng Y, Sun YW, Chao H. Correlation between behavioral problems and nutrient intake in school-age children[J].Chin J School Health,2018,39(6):832-835.(in Chinese)
[7] 宋逸,雷园婷,胡佩瑾,等.2014年全国汉族中小学生身体素质现况分析[J].北京大学学报(医学版),2018,50(3):436-442.
Song Y,Lei YT,Hu PJ,et al.Situation analysis of physical fitness among Chin Han students in 2014[J]. J Peking Univ(Health Sci),2018,50(3):436-442.(in Chinese)
[8] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
The Chinese Working Group on Obesity. Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents[J]. Chin J Epidemiol,2004,25(2):97-102.(in Chinese)
[9] Onis M, Onyango AW, Borghi E, et al.Development of a WHO growth reference for school-aged children and adolescents[J]. Bull WHO, 2007, 85 (9) :660-667.
[10] 张静,张娟,杨婕,王艳,等.江苏省儿童青少年超重肥胖现状及影响因素分析[J].中国学校卫生,2019,40(5):778-780.
Zhang J, Zhang J, Yang J, et al. Analysis of the status quo and influencing factors of overweight and obesity in children and adolescents in Jiangsu Province[J].Chin J School Health,2019,40(5):778-780.(in Chinese)
[11] 翟玲玲, 白英龙, 魏薇,等. 沈阳市2010年与2014年儿童青少年肥胖、超重和营养不良的流行情况比较[C]// 2018环境与健康学术会议--精准环境健康:跨学科合作的挑战论文汇编.
[12] 崔盈, 赵金玲, 程灶火,等. 单纯性肥胖儿童心理行为问题,自我意识及家庭因素研究[J]. 中华行为医学与脑科学杂志, 2018, 27(11):988-992.
Cui Y,Zhao JL, Cheng ZH, et al.Behavioral problems,self-awareness and family factors in children with simple obese[J]. Chin J Behav Med Brain Sci, 2018, 27(11):988-992.(in Chinese)
[13] 董彦会, 杨招庚, 阳益德,等. 2014年中国7~18岁汉族学生营养不良与血压的关联研究[J]. 中华预防医学杂志,2018,52(8):791-797.
Dong YH, Yang ZG, Yang YD, et al. The association between the malnutrition and blood pressure in Chinese Han students aged 7-18 years in 2014[J]. Chin J Prevent Med,2018,52(8):791-797.(in Chinese)
[14] 房红芸,翟屹,赵丽云, 等. 中国6~17岁儿童青少年超重肥胖流行特征[J]. 中华流行病学杂志,2018,39(6):724-727.
Fang HY,Qu Y, Zhao LY, et al. Epidemiological characteristics of overweight and obesity in Chinese children and adolescents aged 6-17 years[J]. Chin J Epidemiol,2018,39(6):724-727.
[15] 李杏粉,骆翠媚,谢春华,等.2019—2020年中山市学龄前儿童营养摄入情况调查及营养不良危险因素分析[J].中国医药科学,2022,12(18):123-126.
Li XF,Luo CM, Xie CH,et al. An investigation on nutrient intake of preschool children in Zhongshan City from 2019 to 2020 and analysis of risk factors for malnutrition[J].China Med Pharmacy,2022,12(18):123-126.(in Chinese)
[16] 闫晓晋, 罗冬梅, 张京舒, 等. 2010年与2014年中国学生校内体育锻炼状况比较及影响因素分析[J]. 中华流行病学杂志, 2020, 41(3):373-378.
Yan XJ,Luo DM, Zhang JS,et al. Comparison of status of physical activity time at school and influencing factors in students in China, 2010 and 2014[J]. Chin J Epidemiol, 2020, 41(3):373-378.(in Chinese)
[17] 吴晓晨,洪华英,李珍,等.学龄前儿童营养状况与监护人自评儿童体型和儿童饮食行为关系[J].中国公共卫生,2018,34(8):1087-1091.
Wu XC, Hong HY, Li Z,et al. Relationship between actual nutrition status and eating behaviors and guardian-evaluated nutrition status in preschool children[J]. Chin J Public Health,2018,34(8):1087-1091.(in Chinese)