| Simple obesity is a chronic disease which is closely related to lifestyle, characterized by over-nutrition,lack of movement,behavior deviation of features,body fat generally hyperplasia,the accumulation.Obesity has become the first 50 years most public problems which are faced by every country in 21C because of its popularity and rapid growth in the world.Some researches show that if childhood obesity is not intervened,there will be 75%to 80%children obesity grow to be adults obesity,thereby increasing the incidence and mortality of serried of chronic non-communicable diseases in adult period. Looking for the fertilizer factors which caused children obesity is the key to solve the problem.Children simple obesity is a chronic disease which is caused by lots of factors(genetic,environmental and social factors).rhe genetic variation is a very slow process,and therefore the change of environment and lifestyle is the only viable factors to prevent childhood obesity.The traditional upbringing concept in China is that most children are looked after by their parents or elders,adults' diet behavior and lifestyles subtle impact on children and once children' s behavior and approaches formed,it would be difficult to change.With the development of society,the raise of economic level, boarding schools are favored by the parents as a new educational and teaching model.It will be important to study boarding schools how to make arrangements for children' s learning,sports,dining,rest breaks reasonably to make the children develop good diet behavior and living habits to stay away from nutritional diseases——obesity. The objective of this study:Understanding the epidemiological characteristics of children simple obesity in Tongliao a boarding school, analysis of its risk factors may exist from eating habits,family education,child birth,as well as the areas of genetic,to search the boarding schools of children simple obesity effective intervention strategy,for the boarding schools provide a theoretical basis of establishing of the health education objectives and development of health promotion education programs.The methods of this study:The study first uses Cross-Sectional Study,by Tongliao a boarding school all 6~12 year-old children for the census target, screened overweight and simple obese children;Second,using Case-Control Study,by the overweight and Simple obese children screened as the cases group, according to 1:1 match approach,the same grade,the same gender,the same age as the match conditions for children of the cases group matched the control. It investigated and measures the epidemiological characteristics and risk factors of children simple obesity in Tongliao a board school by using a self-designed "children's questionnaire of healthy conditions and diet behavior"The results of this study:1.In Tongliao a boarding school,the children simple obesity prevalence rate is 13.9%,the children simple obesity prevalence rate between 6 to 9 years of age increases with age and then decline with 10~12 years,the Mongolian children simple obesity prevalence rate is 13.7%, the Han children simple obesity prevalence rate is 14.0%,there is not significant difference between Mongolian and Han children(x~2=0.005,P=0.944), the boys simple obesity prevalence rate is 14.5%,the girls simple obesity prevalence rate is 12.7%,there is no statistical difference in boys and girls prevalence rate of obesity(x~2=0.331,P=0.565);2.Children simple obesity of the boarding school,there are some correlation in children birth weight and birth patterns,feeding patterns,breakfast number of times,supper amount,whether exercises(P=0.03,0.011,0.002,0.004,0.003,0.016),and that is: children whose birth weight greater than 4.0 kilograms,born caesarean section,feeded by Dai Rupin,breakfast number of less,with supper larger amount,the reduction of exercise time in each days were associated with simple obesity. The factors of analysis:national,parental education,family economic situation,whether or not eat before going to sleep,daily sleeping time and other factors were not associated with children simple obesity in the boarding school;3.To matching conditions Logistic factor analyze risk factors of children simple obesity in Tongliao a boarding school,the study results show that:there is statistical association in feeding patterns,supper amount and children simple obesity in TongLiao a boarding school,and that is:Dai Rupin feeding of children has the obese risk approximately for breast-feeding children's 2times(OR=1.944);Mixed feeding of children has the obese risk approximately for breast-feeding children's 2times(OR=1.666);Supper amount cuts down a grade every time,children simple obesity occurrence rate is 0.9times of the first one grades(OR=0.909).4.Suggested:①The boarding school should increase the breakfast color and pattern varieties to enhance the children to use the breakfast sense organ;②To reduce the children supper amount correspondingly;③To increase suitably the exercise amount of children's physical education;④Pays great attention to the class recess and the extracurricular time outdoor activity.,The importance discovers of the study:1.Children simple obesity correlated with the children birth factors,and that is:birth weight greater than 4.0 kilograms,born caesarean section,Dai Rupin feeding instead of breast feeding correlated with children simple obesity(specially feeding patterns is one of two risk factors),Such factors are beyond the control of the school,explains that the birth correlation factors of children simple obesity and the boarding school administration have no correlation;2.Less breakfast,supper larger amount,the reduction of exercise time in each days are the hazardous factors of the children simple obesity,this is closely linked with the school administration,this discovery might provide the science basis for the boarding school to formulate reasonable,effective children having dine system and administration system.The important meanings of this study:1.It is necessary to build "interference standards" which is suitable to their own actual situation according to their own special culture and resources and to combine with other regions,so that children simple obesity can be more effective to reduce;2. There is not statistical difference between Mongolian and Han children,which shows that integrated mutually for long term inter-ethic,which is the most solid protection for building a harmonious society. |