小儿肥胖与围生期保健的关联性探讨

李萍1，符佳2

（1. 陕西省康复医院预防保健科，陕西 西安，710065；2. 西安市儿童医院，陕西 西安，710043）

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摘要：

目的 分析围生期保健对小儿肥胖的影响，为围生期保健、小儿肥胖管理提供依据。方法 选择2015年1月至2016年12月我院儿科门诊、住院部收治的1 876例进行体格检查的小儿为研究对象。将诊断为肥胖的小儿114例纳入肥胖组，其余1762 例小儿纳入对照组，并对其父亲或母亲进行问卷调查，对两组小儿的一般资料、产科因素、围生期保健相关资料进行单因 素与多因素分析。结果 1 876 例小儿中，肥胖发生率为6.08%（114/1876）。肥胖的发生与早产、孕期增重逸15 kg、新生儿期增重过速、巨大儿、产妇参加过孕妇学校、产妇接受过喂养宣教课程有关（P<0.05）。多因素Logistic 分析结果显示，新生儿期增重过速是小儿肥胖的独立危险因素，而早产、产妇参加过孕妇学校、产妇接受过喂养宣教课程是小儿肥胖的保护因素（P<0.05）。结论 需做好围生期产妇的教育、保健知识宣传工作，特别关注新生儿期增重过速者。

关键词：小儿肥胖；围生期保健；卫生研究

中图分类号：R723.14文献标志码：A文章编号：2096-1413(2017)33-0139-02

Study on the association between children``s obesity and perinatal health care
LI Ping 1, FU Jia 2
(1. Department of Preventive Medicine, Shaanxi Kangfu Hospital, Xi``an 710065; 2. Xi``an Children``s Hospital, Xi``an 710043, China)

ABSTRACT: Objective To analyze the influence of perinatal health care on children``s obesity, to provide the basis for the perinatal health care and children``s obesity management. Methods From January 2015 to December 2016, 1 876 children who underwent physical examination in pediatric outpatients and hospitalized in our hospital were selected as the study objects. A total of 114 cases of obese children were classified as the obesity group, the remaining 1 762 children were classified as the control group, and their father or mother were investigated with questionnaires. The general data, obstetric factors and perinatal health care data of the two groups were analyzed by univariate and multivariate analysis. Results Of the 1 876 cases, the incidence rate of obesity was 6.08% (114/1 876). The incidence of children``s obesity was related with preterm birth, weight gain≥15 kg in pregnancy, overspeed weight increment in neonatal, huge children, maternal participating in pregnant women school, maternal receiving feeding and nursing courses (P<0.05). Multivariate Logistic analysis showed that the overspeed weight increment in neonatal was the risk factor of children``s obesity, while the preterm birth, maternal participating in pregnant women school, maternal receiving feeding and nursing courses were the protection factors of children``s obesity (P<0.05). Conclusion The perinatal maternal education, health knowledge publicity work should be done in puerpera, and more attention should be paid to the overweight in newborns.
KEYWORDS: children``s obesity; perinatal health care; health research

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