Growth development and nutritional status of children aged 0-5 years in 4 districts of Shanghai

doi:10.11852/zgetbjzz2019-1303

Abstract

Abstract: Objective To investigate the growth development and nutritional status of children aged 0-5 years in 4 districts of Shanghai,in order to provide scientific basis for children′s health promotion and nutrition improvement in this region. Methods Stratified cluster random sampling was used to selected 12 community health service centers in 4 districts of Shanghai as survey points,0- to 5-year-old children and their guardians who went to the survey points for physical examination from July 2018 to April 2019 were selected as subjects for health check-up and questionnaires.Z-score method recommended by the 2006 WHO was used for evaluation. Results Except for the 36-60 months old group,the length/height and weight of boys in other age groups were larger than those of girls(P＜0.05).There were significant differences on HAZ values among girls of different age groups(χ²=15.166,P=0.004).There were significant differences on WAZ and WHZ values between boys and girls in different age groups(boys:χ²_WAZ=25.192,χ²_WHZ=25.368,girls:χ²_WAZ=24.378,χ²_WHZ=24.690,P＜0.001).The detection rates of stunting,underweight,wasting,overweight and obese children were 3.4%,2.0%,2.0%,11.4% and 9.5%,respectively. Conclusions The overall level of growth and development of children aged 0-5 years in 4 districts of Shanghai is averaged,while stunting,underweight and wasting are continuing,overweight and obesity have been the most serious problem.Thus,it is supposed to strengthen children′s health promotion and nutrition improvement.

Key words: nutritional status, growth and development, Z-score, children

摘要： 目的了解上海市4区0~5岁儿童的生长发育水平和营养状况,为本地区儿童健康促进和营养改善工作提供科学依据。方法采用分层整群随机抽样选择上海市4个区的12个社区卫生服务中心作为调查点,以2018年7月-2019年4月前往调查点进行健康体检的0~5岁儿童及其监护人作为调查对象进行健康体检和问卷调查。采用2006年世界卫生组织制定的Z评分法进行评价。结果除36~60月龄组外,其余各月龄组男童身长/高、体重均大于女童(P<0.05);女童HAZ值在各月龄组间比较差异有统计学意义(χ²=15.166,P=0.004),不同月龄组男女童WAZ值及WHZ值差异均有统计学意义(男童χ²_WAZ=25.192、χ²_WHZ=25.368;女童χ²_WAZ=24.378,χ²_WHZ=24.690,P＜0.001)。生长迟缓、低体重、消瘦、超重和肥胖儿童检出率分别为3.4%,2.0%,2.0%,11.4%和9.5%。结论上海市4区0~5岁儿童生长发育总体水平正常,仍存在生长迟缓、低体重和消瘦等营养不良问题,超重和肥胖问题突出,应加强本地区儿童健康促进和营养改善工作。

关键词: 营养状况, 生长发育, Z评分, 儿童

CLC Number:

R179

LU Xin-yuan, WANG Ji-wei, CHE Bei-bei, YAN Rui, ZHANG Ya-xuan, LI Xin-lei, LIU Qian, LYU Bing-hui, WU Peng, YU Jin-ming. Growth development and nutritional status of children aged 0-5 years in 4 districts of Shanghai[J]. journal1, 2020, 28(10): 1169-1172.

路新源, 王继伟, 车贝贝, 闫芮, 张雅宣, 李鑫磊, 刘茜, 吕冰慧, 吴芃, 余金明. 上海市4区0~5岁儿童生长发育水平及营养状况评价[J]. 中国儿童保健杂志, 2020, 28(10): 1169-1172.

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