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1.
Fudan University Journal of Medical Sciences ; (6): 626-632,643, 2017.
Article in Chinese | WPRIM | ID: wpr-659507

ABSTRACT

Objective To investigate the relationship between eating habits and childhood obesity by the method of cross-sectional survey in order to provide scientific basis for the prevention and intervention of childhood obesity.Methods We enrolled first-year students in Minhang District of Shanghai who participated in physical examination in 2014.Information was obtained from standardized face to face interviews of their parents or guardians with detailed questions on demographic characteristics,dietary habit,food preference,physical activity,sleep time and so on.Odds ratio (OR) and 95% CI were calculated by unconditional Logistic regression models.Results Finally,5 752 students were enrolled in the study.The rate of obesity was 15.16% (boys:18.35%;girls:11.83%) and the rate of over weight was 14.31% (boys.:15.15%;girls:13.43%).Meat-based diet (OR=1.58,95% CI:1.32-1.91),skipping breakfast (OR =1.87,95% CI:1.01-3.46),eating too much caffeine-containing food (OR =1.66,95% CI:1.09-2.51) and eating fast (OR:3.32-14.95) were associated with an increased risk of childhood obesity.Plant-based diet (OR =0.51,95% CI:0.35-0.74) and choosy in food (OR:0.38-0.64) were associated with a decreased risk of childhood obesity.Besides,we found that children who preferred meat (OR =2.11,95%CI:1.42-3.14) and cured food (OR =1.42,95% CI:1.05-1.92) had a higher risk of obesity.Conclusions Our results support the association between eating habits and childhood obesity.

2.
Fudan University Journal of Medical Sciences ; (6): 633-638, 2017.
Article in Chinese | WPRIM | ID: wpr-659505

ABSTRACT

Objective To analyze the epidemic features of anemia among students aged 6-11 years old in Minghang District,to provide basis for the control and prevention strategies of anemia among school students.Methods Surveillance on hemoglobin concentration was conducted among 42 872 students aged from 6 to 11 years old between 2012 and 2015.All data analyses were completed by SPSS 18.0 statistical software.Results The prevalence rate of anemia among school students 6-11 years old was 5.05% (95%CI:4.84-5.26).The prevalence rate of anemia among girls was 5.28%,which was significantly higher than that 4.84% among boys (x2 =4.24,P =0.037).Six-year-old boys and girls were most susceptible to anemia.Compared to students in Hope Schools,public school students are more vulnerable to anemia (boys:OR =2.37,95 % CI:2.03-2.76;girls:OR =2.08,95 % CI:1.74 -2.49).Overweight and obese students had a lower risk of anemia than average students (boys:OR =0.65,95 % CI:0.55-0.76;girls:OR =0.75,95 % CI:0.61-0.92).The three-year cumulative incidence of anemia was 12.80% (95 %CI:12.49-13.12).The cumulative incidence among girls was 14.52%,which was significantly higher than that of 11.28% among boys (x2 =100.26,P<0.001).Six-year-old boys have the highest three-year cumulative risk among all students,while 10-11-year-old girls have the highest three-year cumulative incidence.The risk of anemia in Hope School was found highest in all schools (boys:RR =1.93,95%CI:1.72-2.16;girls:RR =1.20,95 %CI:1.04-1.39).Overweight and obesity were considered protective factors to anemia (boys:RR =0.75,95%CI:0.67-0.84;girls:RR =0.77,95%CI:0.68-0.88).The primary and recurrent detection rates of anemia were 14.58% and 2.54%.The anemia among students was mainly detected during the first examination despite the differences in ages,schools and nutrition conditions (P < 0.05).Conclusions The prevalence of anemia among primary school students in Minhang District is at a mild level.Control measures should be adopted,including monitoring of hemoglobin in all school children and adolescents,taking individual intervention measures based on results,promoting the health education for adolescent girls and parents of school children,and paying special attention to Hope School and students with recurrent and continuous anemia.

3.
Fudan University Journal of Medical Sciences ; (6): 621-625, 2017.
Article in Chinese | WPRIM | ID: wpr-659331

ABSTRACT

Objective To analyze malnutrition epidemiologic trend among students aged 6-18 years from 2010 to 2016 in Minhang district of Shanghai,and to provide reference for malnutrition prevention and treatment.Methods Physical examination data from healthy monitoring schools in Minhang District from 2010 to 2016 were used to screened out the malnutrition of students aged 6-18 years via National standard 2014 and analyzed the different type of malnutrition in different population.Results During the period of 2010 to 2016,malnutrition rate of students demonstrated a fluctuated trend.Malnutrition rate in 2010 was 4.0% and 4.4% in 2016.The major type of malnutrition is wasting with a proportion more than 88% during these years.Rate of wasting increased from 3.5% to 7.8% in boys aged 13-18 years old and from 1.3% to 3.9% in girls aged 13-18 years old.Conclusions The malnutrition of students in Minhang District is under control,while the screening rate of wasting increased in students aged 13-18 years old.Intensified intervention of prevention and treatment should be administrated and integrated with obesity control in Minhang District of Shanghai.

4.
Fudan University Journal of Medical Sciences ; (6): 626-632,643, 2017.
Article in Chinese | WPRIM | ID: wpr-662166

ABSTRACT

Objective To investigate the relationship between eating habits and childhood obesity by the method of cross-sectional survey in order to provide scientific basis for the prevention and intervention of childhood obesity.Methods We enrolled first-year students in Minhang District of Shanghai who participated in physical examination in 2014.Information was obtained from standardized face to face interviews of their parents or guardians with detailed questions on demographic characteristics,dietary habit,food preference,physical activity,sleep time and so on.Odds ratio (OR) and 95% CI were calculated by unconditional Logistic regression models.Results Finally,5 752 students were enrolled in the study.The rate of obesity was 15.16% (boys:18.35%;girls:11.83%) and the rate of over weight was 14.31% (boys.:15.15%;girls:13.43%).Meat-based diet (OR=1.58,95% CI:1.32-1.91),skipping breakfast (OR =1.87,95% CI:1.01-3.46),eating too much caffeine-containing food (OR =1.66,95% CI:1.09-2.51) and eating fast (OR:3.32-14.95) were associated with an increased risk of childhood obesity.Plant-based diet (OR =0.51,95% CI:0.35-0.74) and choosy in food (OR:0.38-0.64) were associated with a decreased risk of childhood obesity.Besides,we found that children who preferred meat (OR =2.11,95%CI:1.42-3.14) and cured food (OR =1.42,95% CI:1.05-1.92) had a higher risk of obesity.Conclusions Our results support the association between eating habits and childhood obesity.

5.
Fudan University Journal of Medical Sciences ; (6): 633-638, 2017.
Article in Chinese | WPRIM | ID: wpr-662165

ABSTRACT

Objective To analyze the epidemic features of anemia among students aged 6-11 years old in Minghang District,to provide basis for the control and prevention strategies of anemia among school students.Methods Surveillance on hemoglobin concentration was conducted among 42 872 students aged from 6 to 11 years old between 2012 and 2015.All data analyses were completed by SPSS 18.0 statistical software.Results The prevalence rate of anemia among school students 6-11 years old was 5.05% (95%CI:4.84-5.26).The prevalence rate of anemia among girls was 5.28%,which was significantly higher than that 4.84% among boys (x2 =4.24,P =0.037).Six-year-old boys and girls were most susceptible to anemia.Compared to students in Hope Schools,public school students are more vulnerable to anemia (boys:OR =2.37,95 % CI:2.03-2.76;girls:OR =2.08,95 % CI:1.74 -2.49).Overweight and obese students had a lower risk of anemia than average students (boys:OR =0.65,95 % CI:0.55-0.76;girls:OR =0.75,95 % CI:0.61-0.92).The three-year cumulative incidence of anemia was 12.80% (95 %CI:12.49-13.12).The cumulative incidence among girls was 14.52%,which was significantly higher than that of 11.28% among boys (x2 =100.26,P<0.001).Six-year-old boys have the highest three-year cumulative risk among all students,while 10-11-year-old girls have the highest three-year cumulative incidence.The risk of anemia in Hope School was found highest in all schools (boys:RR =1.93,95%CI:1.72-2.16;girls:RR =1.20,95 %CI:1.04-1.39).Overweight and obesity were considered protective factors to anemia (boys:RR =0.75,95%CI:0.67-0.84;girls:RR =0.77,95%CI:0.68-0.88).The primary and recurrent detection rates of anemia were 14.58% and 2.54%.The anemia among students was mainly detected during the first examination despite the differences in ages,schools and nutrition conditions (P < 0.05).Conclusions The prevalence of anemia among primary school students in Minhang District is at a mild level.Control measures should be adopted,including monitoring of hemoglobin in all school children and adolescents,taking individual intervention measures based on results,promoting the health education for adolescent girls and parents of school children,and paying special attention to Hope School and students with recurrent and continuous anemia.

6.
Fudan University Journal of Medical Sciences ; (6): 621-625, 2017.
Article in Chinese | WPRIM | ID: wpr-662075

ABSTRACT

Objective To analyze malnutrition epidemiologic trend among students aged 6-18 years from 2010 to 2016 in Minhang district of Shanghai,and to provide reference for malnutrition prevention and treatment.Methods Physical examination data from healthy monitoring schools in Minhang District from 2010 to 2016 were used to screened out the malnutrition of students aged 6-18 years via National standard 2014 and analyzed the different type of malnutrition in different population.Results During the period of 2010 to 2016,malnutrition rate of students demonstrated a fluctuated trend.Malnutrition rate in 2010 was 4.0% and 4.4% in 2016.The major type of malnutrition is wasting with a proportion more than 88% during these years.Rate of wasting increased from 3.5% to 7.8% in boys aged 13-18 years old and from 1.3% to 3.9% in girls aged 13-18 years old.Conclusions The malnutrition of students in Minhang District is under control,while the screening rate of wasting increased in students aged 13-18 years old.Intensified intervention of prevention and treatment should be administrated and integrated with obesity control in Minhang District of Shanghai.

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