文章摘要
付连国,王海俊,孙丽丽,阳益德,李晓卉,王烁,孟祥坤,王政和,马军.父母对子女体像不满与子女身体形态发育指标的关联分析[J].中华流行病学杂志,2015,36(4):318-322
父母对子女体像不满与子女身体形态发育指标的关联分析
Correlation between parameters on the shape of body and dissatisfaction against it from parents among children and adolescents
收稿日期:2014-11-10  出版日期:2015-04-04
DOI:10.3760/cma.j.issn.0254-6450.2015.04.005
中文关键词: 体像  儿童青少年  身体形态发育  父母
英文关键词: Body image  Children and adolescents  Physical development  Parents
基金项目:卫生部公益性行业科研专项(201202010); 蚌埠医学院校企产学研合作项目(byhx001)
作者单位E-mail
付连国 233030 蚌埠医学院预防医学系  
王海俊 北京大学公共卫生学院/儿童青少年卫生研究所  
孙丽丽 蚌埠医学院人事处  
阳益德 北京大学公共卫生学院/儿童青少年卫生研究所  
李晓卉 北京大学公共卫生学院/儿童青少年卫生研究所  
王烁 北京大学公共卫生学院/儿童青少年卫生研究所  
孟祥坤 北京大学公共卫生学院/儿童青少年卫生研究所  
王政和 北京大学公共卫生学院/儿童青少年卫生研究所  
马军 北京大学公共卫生学院/儿童青少年卫生研究所 majunt@bjmu.edu.cn 
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中文摘要:
      目的 分析父母对子女体像不满与子女身体形态发育指标的相关性。方法 采用分层整群抽样的方法抽取中、小学生及其父/母亲, 测量学生身高、体重、腰围、臀围、皮褶厚度指标, 采用“Ma体形图”测量父母对子女的体像认知, 分单水平和两水平分析父母对子女体像不满与子女身体形态发育指标的相关性。结果 父母对子女体像的总不满率为69.0%(期望变胖率为28.6%, 期望变瘦率为40.4%)。在父母“期望子女变瘦”组中, 男生身高、体重、腰围、臀围、皮褶厚度、BMI 指标分别高于“对子女体像满意”组1.9 cm、11.9 kg、13.2 cm、8.8 cm、32.3 mm、4.7 kg/m2(均P<0.05)。在“对子女体像满意”组中, 男生的上述各项指标分别高于“期望子女变胖”组2.3 cm、7.1 kg、7.2 cm、5.8 cm、14.1 mm、2.3 kg/m2(均P<0.05)。在“期望子女变瘦”组中, 女生体重、腰围、臀围、皮褶厚度、BMI指标分别高于“对子女体像满意”组8.6 kg、9.1 cm、6.6 cm、21.9 mm、3.5 kg/m2(均P<0.01), 而在“对子女体像满意”组中, 女生的各项指标分别高于“期望子女变胖”组5.5 kg、5.9 cm、5.4 cm、10.4 mm、1.8 kg/m2, 身高也高3.6 cm(均P<0.01)。“期望子女变瘦”组与“对子女体像满意”组的身体形态指标相比时, 上述各项指标的差异在男女生中, 小学生均高于中学生, 除身高外男生均高于女生;“对子女体像满意”组与“期望子女变胖”组身体形态的各项指标差异在男生中中学生均高于小学生, 女生中则小学生高于中学生。结论 父母对子女体像不满率较高, 与儿童身体发育横纵向维度指标均有相关性;期望子女变瘦的父母, 可能对低年龄子女的身体发育指标更为关注, 期望子女变胖的父母, 可能对高年龄男生、低年龄女生的身体发育指标更为关注。
英文摘要:
      Objective To analyze the correlation between children and adolescents’ body shape parameters and parent’s dissatisfaction on it. Methods Stratified cluster sampling method was used to select students and their parents, and height, weight, waist circumference(WC), hip circumference(HC), skinfold thichness of the students were measured. Body image from parents was studied through the ‘Ma body figural shape’. Correlation between body shape parameters and dissatisfaction towards them from the parents was analyzed under both simple-and multiple-level methods. Methods The overall prevalence of dissatisfaction on body-shapes from parents was 69.0%, including 28.6% of the parents expecting children to be fat(PEBF) while, 40.4% of the parents expecting their children to be thin (PEBT). In males, parameters as height, weight, WC, HC, skin fold thickness, BMI in PEBT were 1.9 cm, 11.9 kg, 13.2 cm, 8.8 cm, 32.3 mm, 4.7 kg/m2 respectively, all higher than the satisfaction from the parents (PBIS) (all P<0.05), and these parameters were 2.3 cm, 7.1 kg, 7.2 cm, 5.8 cm, 14.1 mm, 2.3 kg/m2 higher in PBIS than that of PEBF, respectively(all P<0.05). In females, parameters as weight, WC, HC, skinfold thickness, BMI in PEBT appeared to be 8.6 kg, 9.1 cm, 6.6 cm, 21.9 mm, 3.5 kg/m2 higher than that of PBIS(all P<0.01), and were 5.5 kg, 5.9 cm, 5.4 cm, 10.4 mm, 1.8 kg/m2 higher in PBIS than that of PEBF, respectively, plus the difference of height was 3.6 cm more (P<0.01). Differences of body shape on parameters between PEBT and PBIS were larger in primary school students than in middle school students. However, the differences of body shape parameters between PBIS and PEBF appeared higher in middle school students than in primary school male students, but were higher in female students in primary than in middle school students. Conclusion The prevalence of body dissatisfaction related to children and adolscents’ body shape parameters from parents was high. Parents in the PEBT group seemed to have paid more attention to children’s body shape parameters at low age. However, parents in PEBF group might have paid more attention to children’s body shape parameters at high age in males or at low age in females.
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