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中国循证儿科杂志

中国循证儿科杂志 ›› 2024, Vol. 19 ›› Issue (5): 366-371.DOI: 10.3969/j.issn.1673-5501.2024.05.009

• 论著 • 上一篇    下一篇

广州市儿童青少年健康生活行为指数与体成分的横断面调查

陈淼1,梁晓潼1,程红2,刘军廷2,邓钰莹1,黄子微1,纪吉婷1,龙佳仪1,刘丽1   

  1. 1 广东药科大学公共卫生学院 广州，510310；2 首都儿科研究所流行病学研究室 北京，100020
  • 收稿日期:2024-10-25 修回日期:2024-10-25 出版日期:2024-10-25 发布日期:2024-10-25
  • 通讯作者: 刘丽

Association between healthy lifestyle behavior index and body composition of children and adolescents in Guangzhou:A cross-sectional survey

 

CHEN Miao1, LIANG Xiaotong1, CHENG Hong2, LIU Junting2, DENG Yuying1, HUANG Ziwei1, JI Jiting1, LONG Jiayi1, LIU Li1

 

CHEN Miao1, LIANG Xiaotong1, CHENG Hong2, LIU Junting2, DENG Yuying1, HUANG Ziwei1, JI Jiting1, LONG Jiayi1, LIU Li1

CHEN Miao1, LIANG Xiaotong1, CHENG Hong2, LIU Junting2, DENG Yuying1, HUANG Ziwei1, JI Jiting1, LONG Jiayi1, LIU Li1   

  1. 1 School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China; 2 Department of Epidemiology, Capital Institute of Pediatrics, Beijing 100020, China
  • Received:2024-10-25 Revised:2024-10-25 Online:2024-10-25 Published:2024-10-25
  • Contact: LIU Li

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摘要： 背景：肥胖表型的影响因素尚未完全清楚，现有研究多关注单一生活行为与肥胖表型的关联，缺乏综合分析生活行为对肥胖表型影响的研究。 目的：探讨儿童青少年健康生活行为指数及其等级与肥胖表型的关联，为促进儿童青少年健康成长提供依据。 设计：横断面调查。 方法：对广州市8 222名儿童青少年进行生活行为的问卷调查并构建健康生活行为指数，同时进行身体测量和心血管代谢指标检测。采用多因素Logistics回归分析健康行为指数及其等级与肥胖表型的关联。 主要结局指标：肥胖表型［代谢健康正常体重(MHNW)、代谢异常正常体重(MUNW)、代谢健康超重(MHOW)、代谢异常超重(MUOW)、代谢健康肥胖(MHO)、代谢异常肥胖(MUO)］。 结果：健康生活行为指数增加与MUNW、MHOW和MUO风险降低存在统计学关联（OR分别为0.95、0.91和0.88，P均<0.05）；与行为指数低级相比，高级指数可使MUNW、MHOW和MUO风险分别降低18%、29%和41%（P均<0.05）；与MHO相比，高级指数可使MUO风险降低38%（P<0.05）。健康生活行为指数在男生中与MUNW风险存在负关联(OR=0.93, P<0.05)，在女生中与MHOW风险存在关联(OR=0.88, P<0.05)。按年龄分层后，高级行为指数使12~18岁儿童MUNW的风险降低21%，使6~11岁儿童MHOW的风险降低41%。 结论：健康生活行为指数增加与MUNW、MHOW和MUO风险降低存在关联，并且关联存在性别和年龄差异。

关键词: 儿童青少年, 健康生活行为, 肥胖表型

Abstract: Background: The influencing factors of obesity phenotype were not yet entirely clear. Most existing studies focused on the association between single lifestyle behavior and obesity phenotype but lacking comprehensive investigation of lifestyle behaviors on obesity phenotype. Objective: To explore the association of the healthy lifestyle behavior index and its levels with obesity phenotypes in children and adolescents, and to provide a scientific basis for promoting healthy development of children and adolescents. Design: Crosssectional study. Methods: The questionnaire survey for lifestyle behavior was performed among a total of 8,222 children and adolescents in Guangzhou, and healthy lifestyle behavior index was constructed, and cardiovascular metabolic indexes were tested. The association of the healthy behavior index and its levels with obesity phenotype was analyzed using multivariate logistics regression. Main outcome measures: Obesity phenotypes were classified by combining weight and metabolic status as Metabolically Healthy Normal Weight (MHNW), Metabolically Unhealthy Normal Weight (MUNW), Metabolically Healthy Overweight (MHOW), Metabolically Unhealthy Overweight (MUOW), Metabolically Healthy Obesity (MHO), and Metabolically Unhealthy Obesity (MUO). Results: Each point increase in the lifestyle behavior index was associated with reduced risk of MUNW, MHOW, and MUO (ORs=0.95, 0.91, and 0.88, respectively, all P<0.05). Highlevel behavioral indices reduced the risk of MUNW, MHOW, and MUO by 18%, 29%, and 41%, respectively, compared to a lowlevel index (all P<0.05). Highlevel behavioral indices reduced the risk of MUO by 38% compared to MHO (P<0.05). Increase in healthy lifestyle behavior index was associated with lower risk of MUNW (OR=0.93, P<0.05) in boys and reduced risk of MHOW in girls (OR=0.88, P<0.05). When stratified by age, the highlevel behavioral indices reduced the risk of MUNW by 21% in the age group of 1218 years and MHOW by 41% in the age group of 611 years. Conclusion: The increased healthy lifestyle behavior index is associated with lower risk of MUNW, MHOW, and MUO. Additionally, these associations differ in sex and age.

Key words: Children and adolescents, Lifestyle behaviors, Obesity phenotypes