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目的系统分析学龄前儿童超重/肥胖影响因素,为超重/肥胖的预防控制决策提供参考依据。方法检索CNKI、VIP和万方科技文献数据库,收集2007年1月至2016年12月有关学龄前儿童超重/肥胖影响因素的文献。根据纳入排除标准筛选文献并对纳入文献进行质量评价、资料提取,采用Stata12.0软件进行Meta分析。结果共纳入25篇文献,研究对象总计48 813例(病例组10 988例,对照组37 825例)。各因素合并OR值及其95%CI分别为:家族史(父母至少一方肥胖)OR=2.820(1.95,4.08);爱吃零食OR=2.22(1.45,3.39);爱吃甜食OR=1.86(1.65,2.09);爱吃油炸OR=1.72(1.43,2.05);爱吃肉类OR=2.09(1.43,3.07);食欲OR=1.90(1.46,2.47);食量OR=5.68(1.70,19.05);进餐速度快OR=4.76(2.56,8.83);运动时间OR=0.79(0.67,0.92);运动少OR=2.16(1.42,3.30)。结论影响学龄前儿童超重/肥胖发生的因素为家族史(父母至少一方肥胖)、爱吃零食、爱吃甜食、爱吃油炸、爱吃肉类、食欲、食量大、进餐速度快、运动时间、运动少,为学龄前儿童生活方式干预提供了科学依据。
Objective To systematically analyze the influencing factors of overweight / obesity in preschool children and provide reference for prevention and control decision-making of overweight / obesity. Methods CNKI, VIP and Wanfang Scientific and Technical Literature Database were searched, and the literature about the influencing factors of overweight / obesity in preschool children from January 2007 to December 2016 was collected. The screening criteria were included according to inclusion criteria and the quality was evaluated. The data were extracted and analyzed by Stata12.0 software. Totally 25 articles were included in the study, totaling 48 813 subjects (10 988 cases in the case group and 37 825 cases in the control group). OR = 2.82 (1.45, 3.39), sweet tooth OR = 1.86 (1.65), OR = 2.820 (1.95,4.08) , 2.09); OR = 1.72 (1.43,2.05); OR = 2.09 (1.43,3.07); OR = 1.90 (1.46,2.47); OR = 5.68 (1.70,19.05); Fast meal OR = 4.76 (2.56,8.83); exercise time OR = 0.79 (0.67,0.92); exercise less OR = 2.16 (1.42,3.30). Conclusions The factors influencing overweight / obesity in preschool children are family history (at least one obesity of parents), snacking, sweet tooth eating, fried eating, meat eating, appetite, large food intake, fast meal, exercise time , Less exercise, for preschool children’s lifestyle intervention provides a scientific basis.