Abstract: Objective To understand the incidence of overweight and obesity among school-age children in Shandong urban areas and identify the influencing factors in order to provide theoretic basis for the prevention and intervention of children overweight and obesity. Method A total of 1 584 pupils in 3 primary schools in Jinan,Zibo,Linyi of Shandong province were selected by using the stratified cluster sampling method for questionnaire survey and physical measurement. Results The rates of overweight and obesity were 13.76% and 13.26%,respectively; and the merge rate was 27.02%.Multi - factor analysis showed that dietary habit factors such as chewing repeatedly,being a picky eater or not,having fruit,sweet drink and breakfast everyday or not,as well as gender,yearling weight and parent BMIs were associated with children overweight and obesity. Conclusions Over a quarter of school-age children in Shandong urban areas were overweight or obese.Children need education and guidance in developing healthy dietary habit and comprehensive measures should be taken in the prevention and intervention of children overweight and obesity.

Key words: overweight, obesity, influencing factors, school-age children

摘要： 目的 了解山东省城市学龄儿童超重、肥胖的流行现状,探讨其影响因素,为预防干预学龄儿童超重、肥胖提供理论依据。方法 采用多阶段随机整群抽样法,抽取山东省济南市、淄博市、临沂市3所小学共1 584名学龄儿童进行问卷调查和体格测量。结果 山东省城市学龄儿童超重检出率13.76%,肥胖检出率13.26%,超重、肥胖合并检出率27.02%;多因素分析结果显示,细嚼慢咽、挑食/偏食与否、是否每天吃水果、喝甜饮、吃早餐等饮食习惯因素,以及性别、周岁体重、父母体质指数等因素是学龄儿童超重、肥胖的可能影响因素。 结论 山东省有超过1/4的城市学龄儿童超重、肥胖。建议教育并引导儿童培养合理的饮食习惯,采取综合措施对学龄儿童超重、肥胖进行干预。

关键词: 超重, 肥胖, 影响因素, 学龄儿童