健康干预对儿童肥胖症的效果研究

A Study of the Effect of Health Intervention on Childhood Obesity

摘要: 目的：研究健康教育措施对儿童单纯性肥胖症的干预效果，探讨控制儿童肥胖的有效方式。方法：本院门诊在2018年1月~2019年12月期间就诊单纯性肥胖症患儿80例，同时选取体重正常儿童80名作为对照组，对肥胖患儿采取健康教育，膳食指导和体育锻炼等综合措施对其实施健康干预，并检测干预前后身高、体重、体重指数(BMI)、血清总胆固醇(TCH)、高密度和低密度胆固醇(HDL-C, LDL-C)、甘油三酯(TG)水平。结果：肥胖组儿童干预前体重、BMI值、甘油三酯(TG)、低密度胆固醇(LDL-C)均显著高于对照组(P < 0.05或P < 0.01)；干预后肥胖组体重、BMI、TG低于干预前(P < 0.05)、低密度胆固醇(LDL-C)水平低于干预前(P < 0.O1)，高密度胆固醇(HDL-C)水平高于干预前(P < 0.05)，但显著低于对照组(P < 0.05)。肥胖知识知晓程度、饮食运动情况评分均显著优于干预前(P < 0.05)。结论：健康教育措施对于小儿单纯性肥胖有良好的控制效果，增强了患儿的健康饮食意识，能有效地控制和改善肥胖程度，提高儿童的身心健康水平。

Abstract: Objective: To study the intervention effect of health education measures on children’s simple obe-sity, and to explore effective ways to control children’s obesity. Methods: There were 80 cases of simple obesity in the outpatient department of our hospital from January 2018 to December 2019. At the same time, 80 children with normal weight were selected as the control group, and the obese children were given health education. Dietary guidance, physical exercise and other comprehensive measures were taken to implement health intervention, and the levels of height, weight, body mass index (BMI), serum total cholesterol (TCH), high density and low density cholesterol (HDL-C, LDL-C), triglyceride (TG) were measured before and after the intervention. Results: The weight, BMI, tri-glyceride (TG) and low density cholesterol (LDL-C) in obesity group were significantly higher than those in control group before intervention (P < 0.05 or P < 0.01). After intervention, the body weight, BMI and TG of obesity group were lower than before intervention (P < 0.05), low density cholesterol (LDL-C) level was lower than before intervention (P < 0.O1), high density cholesterol (HDL-C) level was higher than before intervention (P < 0.05), but significantly lower than control group (P < 0.05). The knowledge of obesity and the scores of diet and exercise were significantly better than those before intervention (P < 0.05). Conclusion: Health education measures have good control effect on simple obesity in children, enhance children’s awareness of healthy diet, can effectively control and improve the degree of obesity, improve children’s physical and mental health level.