本文選題：嬰幼兒 + 體重�。� 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過對太原市城區(qū)嬰幼兒進行橫斷面的體格發(fā)育調(diào)查,了解這一地區(qū)嬰幼兒群體目前的體格發(fā)育狀況和營養(yǎng)狀況,并為該市進一步促進和完善嬰幼兒營養(yǎng)及保健工作提供參考依據(jù)。方法:采用隨機整群抽樣法在太原市六大城區(qū)各抽取1~2所兒童保健站,選擇其系統(tǒng)管理的0~3歲兒童進行橫斷面的調(diào)查,根據(jù)納入排除標準篩選后納入本次調(diào)查的共有8361例兒童。收集每位兒童最近一次來兒童保健部門進行定期體檢時的月齡、性別及測量的體重和身長(身高)指標值,建立數(shù)據(jù)庫,統(tǒng)計不同城區(qū)不同年齡組不同性別兒童的體格指標值,通過與國家標準和WHO兒童生長發(fā)育標準比較,進而了解太原市城區(qū)嬰幼兒的體格發(fā)育水平和體格發(fā)育的等級分布情況;以WHO標準為參考采用Z評分法評價太原市城區(qū)嬰幼兒的營養(yǎng)健康狀況,評價指標包括低體重率、生長遲緩率、消瘦率、超重與肥胖率。結(jié)果:1.本次調(diào)查的有效人數(shù)為8361例,男4333例,女4028例,男女比例1.07:1。2.各年齡組男童平均體重、平均身長均大于同年齡組女童水平,各組性別差異均有統(tǒng)計學(xué)意義(P0.05)。3.各年齡組男童平均體重、平均身長均高于國家標準,差異均有統(tǒng)計學(xué)意義(P0.05),體重平均超出0.40kg,身長平均超1.1cm;各年齡組女童平均體重、平均身長亦均高于國家標準,差異均有統(tǒng)計學(xué)意義(P0.05),體重平均超出0.38kg,身長平均超1.2cm。4.兒童體格發(fā)育等級分布情況:體重處于下等、中下等、中-、中+、中上等、上等所占的百分比依次為0.79%、7.76%、64.85%、64.85%、19.00%、7.59%,身長所占百分比依次為:0.76%、4.60%、65.48%、22.25%、6.90%。5.各年齡組男童、女童平均體重、平均身長均超過同年齡同性別WHO兒童生長標準。6.總的低體重率、生長遲緩率、消瘦率、超重率、肥胖率分別為0.18%、0.50%、1.57%、3.92%、0.97%。男童超重率和肥胖率高于女童(P0.05),其余指標性別差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.太原市城區(qū)嬰幼兒體格發(fā)育水平略高于國家標準(2009年版),明顯超過WHO標準(2006年版),整體體格發(fā)育水平偏中上,應(yīng)用國家標準或WHO標準對該地區(qū)嬰幼兒進行生長發(fā)育評估或生長監(jiān)測時可能會有偏差,可能會過高地估計個體兒童的發(fā)育狀態(tài)。2.太原市城區(qū)嬰幼兒營養(yǎng)不良發(fā)生率低,超重與肥胖問題尚不嚴重,營養(yǎng)狀況相對較好,相對來說,.該地區(qū)兒童目前主要的營養(yǎng)問題是超重和肥胖,提示我們在今后的嬰幼兒營養(yǎng)及保健工作中,不僅要重視營養(yǎng)促進,更應(yīng)對嬰幼兒超重和肥胖問題給予足夠的關(guān)注。
[Abstract]:Objective: to investigate the physical development and nutritional status of infants and young children in Taiyuan city. It also provides reference for the further promotion and improvement of infant nutrition and health care in the city. Methods: the random cluster sampling method was used to select 1 or 2 children health stations in each of the six major urban areas of Taiyuan. A cross-sectional survey was conducted among the children aged 0 to 3 years old who were systematically managed in Taiyuan. 8361 children were selected according to the exclusion criteria to be included in the survey. To collect the monthly age, gender, weight and body length (height) index values of each child at the time of the last regular physical examination in the child health care department, and to establish a database to calculate the physical index values of children of different age groups and different genders in different urban areas, By comparing with the national standards and WHO standards, the physical development level and grade distribution of infants and infants in Taiyuan city were studied. The nutrition and health status of infants in Taiyuan city was evaluated by Z score method with reference to WHO standard. The evaluation indexes included low body weight rate, growth retardation rate, wasting rate, overweight and obesity rate. The result is 1: 1. The effective number was 8361, with 4333 males and 4028 females, with a ratio of 1. 07 to 1. 2. The average body weight and average body length of boys in each age group were higher than those of girls of the same age group. The average body weight and average body length of boys in all age groups were higher than that of the national standard, the differences were statistically significant, the average body weight exceeded 0.40 kg, the average body length exceeded 1.1 cm, and the average body weight and average length of girls in all age groups were also higher than the national standard. The difference was statistically significant (P 0.05). The average body weight exceeded 0.38 kg, and the average body length exceeded 1.2 cm. 4. The distribution of children's physical development grade: the percentage of body weight in the lower, middle, upper and upper class was 0.79 and 7.766.85 respectively, and the percentage was 64.85 and 19.00 and 7.59.The percentage of body length was 0.766.604.606.906.90.5. The average body weight and average body length of boys and girls in all age groups were higher than that of WHO children of the same age and gender. The total low body weight rate, growth retardation rate, weight loss rate, overweight rate and obesity rate were 0.18 and 0.50 respectively. The prevalence of overweight and obesity in boys was higher than that in girls (P 0.05). Conclusion 1. The physical development level of infants in Taiyuan City is slightly higher than that of the national standard (2009 edition), which obviously exceeds the WHO standard (2006 edition), and the overall physical development level is higher than that of the national standard. The application of national standard or WHO standard to the growth and development evaluation or growth monitoring of infants in this area may have a deviation and may overestimate the developmental status of individual children. The incidence of infant malnutrition is low, the problem of overweight and obesity is not serious, and the nutritional status is relatively good. The main nutritional problems of children in this area are overweight and obesity, which suggests that we should not only pay attention to nutrition promotion in future infant nutrition and health care, but also pay enough attention to overweight and obesity of infants and young children.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R174

【參考文獻】

相關(guān)期刊論文 前10條

1 朱敏;何海燕;曹臻;陶李;王守桂;;蕪湖市城區(qū)學(xué)齡前兒童生長發(fā)育與營養(yǎng)狀況分析[J];中國婦幼保健;2016年21期

2 吳維學(xué);羅慶;李超;;4525名5歲以下兒童營養(yǎng)與健康狀況研究[J];中國婦幼保健;2015年26期

3 甘銀艷;郭超男;;中國0～5歲兒童營養(yǎng)不良的現(xiàn)狀、影響因素與干預(yù)策略[J];中國婦幼衛(wèi)生雜志;2015年04期

4 侯江婷;鄧紅巖;鄒秋艷;蔡婧曄;徐勇;;張家港市0～24月齡嬰幼兒生長發(fā)育調(diào)查[J];江蘇預(yù)防醫(yī)學(xué);2015年03期

5 吳玲;王舒s，

本文編號：1914402