本文選題：超重 + 肥胖��； 參考：《復(fù)旦大學(xué)》2012年碩士論文

【摘要】：目的：探討膳食模式和進(jìn)食障礙癥狀之間的關(guān)系及其對學(xué)齡兒童超重肥胖的影響,為預(yù)防肥胖和進(jìn)食障礙的發(fā)生提供參考和依據(jù)。 方法：以1：2配對的方法,采用兒童版進(jìn)食障礙問卷(Eating Disorders Inventory of Children, EDI-C)和3天24小時(shí)膳食回顧問卷對上海某區(qū)6所小學(xué)2-4年級186名超重肥胖兒童以及372名正常體重兒童進(jìn)行了調(diào)查,通過因子分析、1：2配伍Logistic回歸分析等方法評價(jià)不同體重組兒童膳食模式與發(fā)生進(jìn)食障礙的相關(guān)性。 結(jié)果：①根據(jù)進(jìn)食障礙問卷量表評分標(biāo)準(zhǔn),超重肥胖組求瘦傾向(Drive for Thinness, DT)和形體不滿(Body Dissatisfaction, BD)量表以及飲食障礙危險(xiǎn)評分(Eating Disorder Risk Composite, EDRC)超出正常值的人數(shù)比例明顯高于對照組(P0.001)。1：2配伍Logistic回歸分析存在求瘦傾向進(jìn)食障礙癥狀的兒童發(fā)生超重肥胖的風(fēng)險(xiǎn)是無求瘦傾向進(jìn)食障礙癥狀兒童的1.088倍,患形體不滿進(jìn)食障礙癥狀兒童發(fā)生超重肥胖的風(fēng)險(xiǎn)是無形體不滿進(jìn)食障礙癥狀兒童的1.144倍,患飲食障礙的兒童發(fā)生超重肥胖的風(fēng)險(xiǎn)是無飲食障礙兒童的1.075倍(P0.001)；②用因子分析方法在兩組人群中分別得出4種有意義的膳食模式。超重肥胖組的膳食模式累積方差貢獻(xiàn)率為總變異的38.35%,對照組的膳食模式累積方差貢獻(xiàn)率為總變異的33.39%。用回歸法計(jì)算因子得分,發(fā)現(xiàn)同一因子總分分值段人群中,超重肥胖組在DT、BD量表評分超出正常值以及存在飲食障礙危險(xiǎn)的人數(shù)比例上普遍高于對照組(P0.001)；③超重肥胖組兒童中第1種膳食模式——以零食為特征的膳食模式和第4種膳食模式——以高能量食物為特征的膳食模式得分越高,則相關(guān)進(jìn)食障礙量表得分越高。而第3種膳食模式——以高纖類食物為特征的膳食模式得分越高,則貪食(Bulimia, B)量表得分越低；④性別間差異比較發(fā)現(xiàn)女生形體不滿量表平均得分高于男生(P0.05)。 結(jié)論：進(jìn)食障礙中求瘦傾向和形體不滿癥狀與超重肥胖顯著相關(guān)。同一膳食模式因子得分分值段人群中,超重肥胖組出現(xiàn)求瘦傾向和形體不滿癥狀以及存在飲食障礙危險(xiǎn)的人數(shù)比例顯著高于對照組。此外,零食類膳食模式、高能量膳食模式以及高纖類膳食模式可能與超重肥胖兒童的進(jìn)食障礙相關(guān)癥狀的發(fā)生有一定的關(guān)聯(lián),需進(jìn)一步研究加以證實(shí)。
[Abstract]:Objective: to explore the relationship between dietary pattern and eating disorder symptoms and its influence on overweight and obesity in school-age children so as to provide reference for prevention of obesity and eating disorder. Methods: at 1:2, 186 overweight and obese children and 372 normal weight children in 6 primary schools in Shanghai were investigated by using the children's eating disorder questionnaire "eating Disorders Inventory of Children, EDI-C") and the 3-day 24-hour dietary review questionnaire. The correlation between dietary pattern and eating disorder in children with different body weight was evaluated by factor analysis of 1: 2 and Logistic regression analysis. Results according to the scale of eating disorders, The proportion of overweight and obese people who asked for lean propensity drive for Thinness, DT) and body dissatisfied reality (BDD) scale and eating disorder risk score (eating Disorder Risk Composite, EDRC) exceeded the normal value was significantly higher than that in control group (P 0.001). 1: 2 Logistic regression analysis showed that there was a tendency to lean into the body. Children with eating disorders were 1.088 times more likely to be overweight and obese than those without eating disorders. Children with body disgruntled eating disorders were 1.144 times more likely to develop overweight and obesity than those without body dissatisfaction with eating disorders. The risk of overweight and obesity in children with dietary disorders was 1.075 times as high as that in children without eating disorders. Four significant dietary patterns were obtained in the two groups by factor analysis. The contribution rate of cumulative variance of dietary pattern was 38.35% of total variation in overweight group and 33.39% of total variation in control group. The regression method was used to calculate the factor score, and it was found that in the population with the same total score, In overweight and obese group, the proportion of people with abnormal DTBD-scale score and risk of eating disorder was generally higher than that of the control group (P0.001 / 3), the first dietary pattern, which was characterized by snacks, and the proportion of children who were at risk of eating disorders were generally higher than those in the control group (P 0.001 / 3). The fourth dietary pattern, which was characterized by high-energy foods, scored higher. The higher the score of the related eating disorder scale. However, the higher the score of the third dietary pattern, which was characterized by high fiber food, the lower the score of Bulimia (B) scale was, the lower the gender difference was, the higher the average score of female students was compared with that of male students (P 0.05). Conclusion: lean tendency and body dissatisfaction in eating disorders are significantly associated with overweight and obesity. In the group with the same dietary pattern factor score, the proportion of overweight and obese people who had the symptoms of seeking weight and body dissatisfaction and the risk of eating disorders was significantly higher than that of the control group. In addition, the snack diet pattern, high energy diet pattern and high fiber diet pattern may be related to the occurrence of eating disorders in overweight and obese children, which need further study to confirm.
【學(xué)位授予單位】：復(fù)旦大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R151

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相關(guān)期刊論文 前10條

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本文編號：1939144