journal1 ›› 2020, Vol. 28 ›› Issue (10): 1169-1172.DOI: 10.11852/zgetbjzz2019-1303

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

LU Xin-yuan1, WANG Ji-wei1, CHE Bei-bei1, YAN Rui1, ZHANG Ya-xuan1, LI Xin-lei2, LIU Qian2, LYU Bing-hui1, WU Peng1, YU Jin-ming1   

  1. 1 School of Public Health,Fudan University,Key Laboratory of Health Technology Assessment of Ministry of Health,Collaborative Innovation Center of Social Risks Governance in Health,Shanghai 200032,China;
    2 Shanghai Jiexi Biotechnology Co.Ltd.,Shanghai 200131,China
  • Received:2019-09-30 Revised:2020-01-05 Online:2020-10-10 Published:2020-10-10
  • Contact: YU Jin-ming,


路新源1, 王继伟1, 车贝贝1, 闫芮1, 张雅宣1, 李鑫磊2, 刘茜2, 吕冰慧1, 吴芃1, 余金明1   

  1. 1 复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心,上海 200032;
    2 上海解兮生物科技有限公司,上海 200131
  • 通讯作者: 余金明,
  • 作者简介:路新源(1994-),男,山东人,硕士研究生在读,主要从事健康教育研究。

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:χ2WAZ=25.192,χ2WHZ=25.368,girls:χ2WAZ=24.378,χ2WHZ=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χ2WAZ=25.192、χ2WHZ=25.368;女童χ2WAZ=24.378,χ2WHZ=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

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