超重/肥胖对6~12岁儿童执行控制的影响及干预方法

Influence of Overweight/Obesity on Executive Control of Children Aged 6~12 Years and Intervention Methods

摘要: 目的：探究超重/肥胖对6~12岁儿童执行控制的影响，总结干预方法，为临床实践提供理论依据。方法：采用整群随机抽样方法，抽取2020年10月~2021年4月义乌市6~12岁500名儿童为调查对象，详细统计超重儿童、肥胖儿童，其中超重64人，肥胖58人。均使用执行功能行为评定量表(BRIEF)进行评估，对比执行控制评分，分析干预方法。结果：肥胖组儿童、超重组儿童、健康组儿童的BRIEF评分比较，差异P < 0.05，由低到高依次是健康组、超重组、肥胖组。使用多因素回归分析，超重/肥胖与执行控制存在相关性，差异P < 0.05。结论：6~12岁儿童的执行控制能力受到超重/肥胖影响，需重视超重/肥胖干预，积极控制体重，对提高执行控制能力、预防疾病具有重要意义。

Abstract: Objective: To explore the effect of overweight/obesity on executive control in children aged 6~12, summarize the intervention methods, and provide theoretical basis for clinical practice. Methods: 500 children aged 6~12 in Yiwu City from October 2020 to April 2021 were selected by cluster random sampling. The overweight children and obese children were counted in detail, including 64 overweight and 58 obese. All were assessed with the executive function behavior rating scale (BRIEF), compared the executive control scores, and analyzed the intervention methods. Results: The difference of BRIEF scores among obese children, super recombinant children and healthy children was P < 0.05. The order from low to high was healthy group, super recombinant and obese group. Using multivariate regression analysis, there was a correlation between overweight/obesity and executive control (P < 0.05). Conclusion: The executive control ability of children aged 6~12 is affected by overweight/obesity. It is necessary to pay attention to the intervention of over-weight/obesity and actively control their weight, which is of great significance to improve the exec-utive control ability and prevent diseases.