上海市青浦区小学生超重/肥胖现状及干预效果分析OA
Analysis of the Current Situation and Intervention Effects of Overweight and Obesity Among Primary School Students in Qingpu District of Shanghai
目的 探讨上海市青浦区小学生超重/肥胖的现状及其影响因素,并评价学校—家庭联动体重管理模式在肥胖防控中的效果,为完善青少年肥胖防治策略提供依据.方法 于2023年10月—2024年9月分别对青浦区两所小学三年级的686名学生进行问卷调查和体格检查,分析超重/肥胖的检出率及危险因素,并对两所小学实施干预研究.干预组在常规保健基础上实施为期一年的学校—家庭联动体重管理模式,对照组按常规进行健康教育,通过体格检查及知信行调查比较干预效果.结果 青浦区小学生的超重/肥胖率为30.03%.Logistic回归分析表明,父母超重/肥胖、缺乏运动、喜食油炸食品或甜食、睡眠时间不足是独立危险因素.干预一年后,干预组的超重/肥胖率由29.63%下降至25.64%(P<0.05),而对照组则无显著变化.干预组学生和家长的肥胖相关知信行均显著提升,且优于同期对照组(P<0.05).结论 青浦区小学生的超重/肥胖率较高,相关危险因素集中在家庭遗传、生活方式和睡眠不足.学校—家庭联动模式干预能有效降低小学生肥胖率,并改善家长与学生的健康知信行水平,值得进一步推广应用.
Objective To explore the current situation and influencing factors of overweight and obesity among primary school students in Qingpu District of Shanghai,and evaluate the effectiveness of the school family linkage weight management model in obesity prevention and control,providing a basis for improving adolescent obesity prevention and control strategies.Methods From October 2023 to September 2024,a questionnaire survey and physical examination were conducted on 686 third grade students from two primary schools in Qingpu District to analyze the detection rate and risk factors of overweight and obesity,and intervention studies were conducted on the two primary schools.The intervention group implemented a one-year school family linkage weight management model on the basis of routine health care,while the control group received regular health education.The intervention effect was compared through physical examination and investigation of KAP.Results The overweight and obesity rate among students is 30.03%.Logistic regression analysis showed that parental overweight and obesity,lack of exercise,preference for fried or sweet foods,and insufficient sleep time were independent risk factors.The intervention results showed that after one year of intervention,the overweight and obesity rate in the intervention group significantly decreased from 29.63%to 25.64%(P<0.05),while there was no significant change in the control group.The obesity related knowledge,beliefs,and behaviors of the intervention group students and parents were significantly improved,and were better than those of the control group during the same period(P<0.05).Conclusion The overweight and obesity rate of primary school students in Qingpu District is relatively high,and the related risk factors are concentrated in family genetics,lifestyle,and insufficient sleep.The school family linkage model intervention can effectively reduce the obesity rate of primary school students and improve the health knowledge,attitudes,and behaviors of parents and students,which is worthy of further promotion and application.
周喆;周鸿让;陆琴;朱若灵;戴海辉
上海市青浦区疾病预防控制中心(上海市青浦区卫生健康监督所),上海,201799上海市青浦区疾病预防控制中心(上海市青浦区卫生健康监督所),上海,201799上海市青浦区朱家角镇社区卫生服务中心,上海,201799上海市青浦区疾病预防控制中心(上海市青浦区卫生健康监督所),上海,201799上海市青浦区赵巷镇社区卫生服务中心,上海,201799
小学生超重肥胖影响因素学校—家庭联动体重管理
Primary school studentsOverweightObesityRisk factorSchool-family collaborationWeight management
《健康教育与健康促进》 2026 (2)
129-132,4
1.长三角数字干线青浦区科学技术发展基金项目(QKY2023-44)2.上海市青浦区卫生健康系统第五轮学科带头人(XD2023-35).
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