Survey On Nutritional And Healthy Status And Analysis Of Influence Factors In Kindergarten Children Of Qiandeng Town, Kunshan City, China

【Objective】To observe the trends of children nutritional and healthy status and its influence factor analysis in Qiandeng Town, Kunshan city, and to compare the differences between public and private kindergartens. To Survey children’s nutrition status and weekend activity, and discover the main problems of children in this Town.The data will be used to protect the normal growth, and develop prevention measurements, change the unreasonable nutrition.【 Methods 】 The survey data was collected from check-up for “International Children’s Day” in Qiandeng Town. The items included malnutrition, obesity, anemia,dental caries and abnormal vision. The time course from 2011~2014 was analyzed for these physical examination items and further compared them between public and private kindergartens. The method of random cluster sampling was used to select the public and private kindergartens. Using questionnaires, dietary nutrition and other lifestyle were examine. Chi-square test was used for statistical analysis.【Results】(1) During 2011~2014, there were a total of 9957 children with age range for 3 ~ 6years old. 9906 children(99.48%) accepted check-up tested. During 4 years, children’s physical development and nutritional status gradually improved, and there was an upward trend of qualification rates in height and weight(P < 0. 01); Malnutrition rate also declined(P < 0. 01). However, obesity rate increased with the time.(P < 0.01)(2)Nemia prevalence decrease from 3.05% in 2011 to 0.24% in 2014, with a trend by year. However, there is an upward trend in the prevalence of caries and abnormal vision, from 23.64% to 41.96% in caries and from 4.22% to 13.85% in abnormal vision(P < 0.001).( 3) Among 2910 children who performed check-up, 2124 children were in public kindergartens and 776 were in private one. The survey results show that level of weight and height above medium were significantly higher in the public kindergarten than private kindergarten children(P < 0. 01).; The rate of children stunting, angular detection in public kindergarten were 0.66%, 0.42%, respectively, witch significantly lower than that in private kindergarten children(2.19%, 1.68%, P < 0. 01). Obesity rate was significantly higher in Public kindergarten than in private kindergarten(6.56% vs.4.51%, P < 0. 01).(4) There was no significant difference of anemia prevalence in public and private kindergarten children in 2014(0.19% vs. 0.39%). Dental caries incidence was significant higher in private kindergarten children than that in public school(45.36% vs.40.72%, P<0.05), and the incidence of abnormal vision is significantly lower in private kindergarten than that in public kindergarten(9.66% vs. 15.37%, P<0.05).(5) A total of 509 children finished questionnaire and validated number was 456(96.6%). 230 children were in public kindergartens and 226 were in private one. Dietary pattern was relatively more reasonable in public kindergarten than in private school.Energy consumption in public kindergarten was 116.1% of the recommended standards,and fat energy accounted for 35.8% of total energy. However, energy consumption in private kindergartens was 88.2% of the recommended standards, and fat accounted for28.6% of total energy. Public kindergarten tended to high heat, high fat, and energy and high quality protein intake was lower in private kindergartens. For micronutrients, the intakes of calcium, zinc, vitamin A, vitamin C intake were not enough in both kinds of kindergartens.(6) The nutrients in breakfast were not enough in most of children. Picky eating and fastfood eating were more popular in public kindergarten than in private kindergarten. At weekend, The ratio of children watching TV less than 30 min was23.4% and 42.3% in public and private kindergarten, respectively. The ratio of children using computer and cellphone more than 30 min was 56.4% and40.7%, respectively.【Conclusion】In recent years, children’s overall physical development was in good condition in Qiandeng Town. Ischemic anaemia was controlled effectively; however, the prevalences of obesity, abnormal vision and dental caries increased with year. Children’s physique growth was better in the public kindergarten than in private one, but the incidence of childhood obesity significantly higher in public kindergartens than in private kindergarten. Energy and macro nutrients intake is adequate, but some nutrients were shortage. The sendentary time for TV and computer was relatively longer in these children.