|
追根溯源与应对之策:学龄前儿童肥胖成因及干预措施综述
|
Abstract:
本文聚焦学龄前儿童肥胖问题展开研究。通过文献综述法,系统梳理相关内容。全球及我国学龄前儿童超重肥胖率呈上升态势,此问题已成为公共卫生领域的重大挑战。其成因复杂,涉及饮食、遗传、体育运动、睡眠等多方面因素。本文基于循证医学的三级预防体系作为干预措施,涵盖饮食、运动及健康教育干预,并强调多部门协同机制的重要性。未来研究将注重跨文化比较及干预措施长期效果跟踪,旨在为该领域政策制定与实践提供理论依据。
This study focuses on childhood obesity among preschool children. Through a literature review methodology, we systematically synthesize existing research. Globally and in China, the prevalence of overweight and obesity in preschool children has been rising, posing a significant public health challenge. The etiology of this condition is multifactorial, involving dietary habits, genetic predisposition, physical activity levels, sleep patterns, and other interrelated determinants. Guided by the evidence-based three-tiered prevention framework (primary, secondary, and tertiary prevention), this paper proposes interventions encompassing dietary management, exercise programs, and health education, while emphasizing the critical role of multi-sectoral collaboration. Future research should prioritize cross-cultural comparative studies and longitudinal tracking of intervention effectiveness, aiming to inform policy development and practical implementation in this field.
[1] | 《中国居民营养与慢性病状况报告(2015年)》发布[J]. 中医健康养生, 2015(8): 5. |
[2] | 《中国居民营养与慢性病状况报告(2020年)》发布成年居民超重肥胖超50% [J]. 初中生世界, 2021(14): 61. |
[3] | 徐蕾, 范奕熳. 中医药治疗儿童单纯性肥胖的研究进展[J]. 泰州职业技术学院学报, 2022, 22(6): 66-68. |
[4] | 魏莉, 王志文, 徐丽萍, 陈敏茜. 学龄前儿童肥胖相关行为与父母教养行为的相关性[J]. 中国妇幼保健, 2020, 35(22): 4349-4351. |
[5] | Zafra-Tanaka, J.H., Braverman, A., Anza-Ramirez, C., Ortigoza, A., Lazo, M., Doberti, T., et al. (2023) City Features Related to Obesity in Preschool Children: A Cross-Sectional Analysis of 159 Cities in Six Latin American Countries. The Lancet Regional Health-Americas, 20, Article100458. https://doi.org/10.1016/j.lana.2023.100458 |
[6] | Kwansa, A.L., Akparibo, R., Cecil, J.E., Infield Solar, G. and Caton, S.J. (2022) Risk Factors for Overweight and Obesity within the Home Environment of Preschool Children in Sub-Saharan Africa: A Systematic Review. Nutrients, 14, Article 1706. https://doi.org/10.3390/nu14091706 |
[7] | World Health Organization (2021) Noncommunicable Diseases: Childhood Overweight and Obesity. https://www.who.int/dietphysicalactivity/childhood/en/ |
[8] | 潘雅琪, 杜欢, 林菊清. 儿童肥胖的研究进展[J]. 齐齐哈尔医学院学报, 2025, 46(2): 171-175. |
[9] | 傅君芬, 江帆, 陈洁, 等. 中国儿童肥胖诊断评估与管理专家共识[J]. 中华儿科杂志, 2022, 60(6): 507-515. |
[10] | 沈丽琴, 陈希宁, 李昌吉, 等. 儿童单纯性肥胖症的遗传和环境危险因素分析[J]. 中国学校卫生, 2006, 27(9): 758-759. |
[11] | Hao, X., Lu, J., Yan, S., Tao, F. and Huang, K. (2022) Maternal Pre-Pregnancy Body Mass Index, Gestational Weight Gain and Children’s Cognitive Development: A Birth Cohort Study. Nutrients, 14, Article 4613. https://doi.org/10.3390/nu14214613 |
[12] | 胡宁宁, 王仁媛, 李玉凤, 等. 乌鲁木齐学龄前儿童超重肥胖现状及相关因素分析[J]. 中国学校卫生, 2022, 43(6): 920-924. |
[13] | 谭玲琳, 余峰, 张智若, 等. 上海市闵行区学生体质指数分布情况及肥胖流行现状研究[J]. 中国全科医学, 2020, 23(15): 1936-1941. |
[14] | 吴玉婉, 刘彦鹏, 向蔓, 等. 学龄前儿童饮食行为特征与超重肥胖的关联[J]. 环境与职业医学, 2022, 39(6): 672-678. |
[15] | 刘艳芳. 沈阳市学龄前儿童肥胖情况调查及影响因素分析[J]. 海峡预防医学杂志, 2021, 27(4): 16-18. |
[16] | 刘璐. 蚌埠市学龄前儿童肥胖的现状及影响因素分析[D]: [硕士学位论文]. 济南: 山东大学, 2014. |
[17] | 雷素姣, 王鲁宁, 王金. 杭州市余杭区小儿肥胖现状及相关影响因素分析[J]. 中国妇幼保健, 2020, 35(15): 2810-2812. |
[18] | 刘治祥. 肥胖继发阻塞性睡眠呼吸暂停低通气综合征的研究进展[J]. 中国社区医师, 2023, 39(36): 10-12. |
[19] | 闫淑娟, 卢秀英, 王晓华, 等. 北京市2-6岁肥胖儿童睡眠状况流行病学研究[J]. 中国儿童保健杂志, 2005, 13(5): 403-405. |
[20] | 吴曼. 北京市怀柔区学龄前儿童肥胖影响因素分析[D]: [硕士学位论文]. 北京: 北京协和医学院, 2017. |
[21] | 戴家振, 洪琴, 张春梅, 等. 早期喂养方式对2岁以下婴幼儿肥胖影响的纵向研究[J]. 中国儿童保健杂志, 2011, 19(6): 502-504. |
[22] | Mei, H., Guo, B., Yin, B., Liang, X., Adair, L., Thompson, A., et al. (2015) Interactive Effects of Early Exclusive Breastfeeding and Pre-Pregnancy Maternal Weight Status on Young Children’s BMI—A Chinese Birth Cohort. PLOS ONE, 10, e0144357. https://doi.org/10.1371/journal.pone.0144357 |
[23] | 郑冬梅, 梁学军, 靳景璐, 等. 中国儿童肥胖的评估、治疗和预防指南[J]. 中国妇幼健康研究, 2021, 32(12): 1716-1722. |
[24] | World Health Organization (2019) Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5 Years of Age. World Health Organization. |
[25] | 吴恒莉, 张春荣, 裴宝颜, 等. 学龄前儿童体能运动训练对认知能力的影响[J]. 陕西学前师范学院学报, 2024, 40(4): 79-88. |
[26] | 天津市天津医院公众号. 学龄前儿童膳食指南[J]. 开卷有益(求医问药), 2024(9): 63-64. |