学龄儿童不健康行为与超重/肥胖的关联
The Relationship between Unhealthy Behaviors and Overweight/Obesity among School-Aged Children
DOI: 10.12677/acm.2025.15102926, PDF,    科研立项经费支持
作者: 胡 新*, 谢果果, 肖 宵#：重庆医科大学公共卫生学院，重庆；唐 江：重庆市璧山区疾病预防控制中心，重庆
关键词: 学龄儿童；身体活动；久坐行为；肥胖；累积效应；School-Aged Children； Physical Activity； Sedentary Behavior； Obesity； Cumulative Risk
摘要: 目的：分析不健康行为与学龄儿童超重与肥胖的关联，并探讨其累积效应。方法：选取2931名6~18岁的学龄儿童作为研究对象，通过问卷调查掌握身体活动、久坐行为(≥6小时/天)、饮食和睡眠情况。采用χ2检验不健康行为在体重正常、超重与肥胖之间的差异，采用多因素logistic回归模型评估不健康行为与超重/肥胖之间的关联。结果：学龄儿童超重、肥胖患病率分别为17.1%、16.4%。低水平身体活动(91.8%)是最普遍的不健康行为。不健康饮食、低水平身体活动、久坐行为与超重/肥胖发生风险呈正相关(均P < 0.05)。与没有不健康行为的个体相比，同时具有4种不健康行为表现为较高的超重(4.55, 95% CI: 1.57~13.19)与肥胖(9.43, 95% CI: 2.81~31.66)风险。结论：不健康行为与学龄儿童超重/肥胖的关联表现出明显的累积效应。
Abstract: Objective: The purpose of this study was to explore the relationship between unhealthy behaviors and overweight/obesity among school-aged children, assessing cumulative effects. Method: We selected 2931 school-aged children aged 6~18 years as study subjects and used questionnaires to assess their physical activity, sedentary behavior (≥6 hours/day), diet, and sleep. We applied χ2 tests to examine differences in unhealthy behaviors among normal-weight, overweight, and obese participants, and used a multivariate logistic regression model to evaluate the associations between unhealthy behaviors and overweight/obesity. Results: The prevalence of overweight and obesity among school-aged children is 17.1% and 16.4%, respectively. Low levels of physical activity (91.8%) are the most common unhealthy behaviors. Unhealthy eating habits, low levels of physical activity, and sedentary behavior are positively correlated with the risk of overweight/obesity (all P < 0.05). Compared to individuals without unhealthy behaviors, those who exhibit all four unhealthy behaviors have a higher risk of being overweight (4.55, 95% CI: 1.57~13.19) and obese (9.43, 95% CI: 2.81~31.66). Conclusion: The association between unhealthy behaviors and overweight/obesity in school-aged children shows a significant cumulative effect.
文章引用：胡新, 谢果果, 唐江, 肖宵. 学龄儿童不健康行为与超重/肥胖的关联[J]. 临床医学进展, 2025, 15(10): 1614-1624. https://doi.org/10.12677/acm.2025.15102926

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