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检索条件"任意字段=中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会"

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我国0~19岁儿童青少年伤害发生率系统评价

我国0~19岁儿童青少年伤害发生率系统评价

引用

中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者：王莉李美莉郑建中山西医科大学公共卫生学院太原030001

目的:采用系统评价的方法了解中国儿童青少年伤害发生率,为制定合理的卫生资源政策及相应的伤害预防和控制措施提供科学依据. 方法:系统检索中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、维普信息资源系统(VIP)及PubMe... 详细信息

目的:采用系统评价的方法了解中国儿童青少年伤害发生率,为制定合理的卫生资源政策及相应的伤害预防和控制措施提供科学依据. 方法:系统检索中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、维普信息资源系统(VIP)及PubMed、OVID、ScienceDirect外文数据库,收集2002-2012年收录的有关中国儿童青少年伤害发生率的文献,按照纳入/排除标准筛选文献,并提取相关信息.采用Meta分析方法合并估计伤害发生率,按照性别、城/乡、地区分布和伤害诊断标准进行亚组分析,对结果进行敏感性分析和发表偏倚的评价. 结果:共筛伤害发生率文献71篇.儿童青少年伤害人数发生率的合并值为18.94％(95％CI:15.73％～22.64％)、人次发生率为24.29％(95％CI:17.32％～32.95％).亚组分析显示:男童伤害发生率20.40％(95％CI:16.43％～25.05％)高于女童15.26％(95％CI:11.92％～19.32％),差异有统计学意义(x2=539.46,P＜0.05);农村伤害发生率19.54％(95％CI:12.95％～28.38％)高于城市16.80％(95％CI:12.72％～21.86％),差异有统计学意义(x2=1888.63,P＜0.05);1996版判定伤害发生率19.85％(95％CI:16.87％～23.20％)高于2004版10.01％(95％CI:6.25％～15.64％),差异有统计学意义(x2=8280.58,P＜0.05);东部、中部、西部地区伤害发生率分别是13.53％(95％CI:10.94％～16.61％)、26.28％(95％CI:16.97％～38.35％)、29.02％(95％CI:22.66％～36.31％),西部地区高于东、中部地区,差异有统计学意义(x2=3657.75,P＜0.05).男童伤害人次发生率29.02％(95％CI:23.58％～35.15％)高于女童20.49％(95％C1:15.95％～25.93％),差异有统计学意义(x2=849.09,P＜0.05);农村伤害人次发生率22.61％(95％CI:11.57％～39.49％)高于城市17.49％(95％CI:11.73％～25.29％),差异有统计学意义(x2=7146.61,P＜0.05);1996版判定伤害人次发生率26.92％(95％CI:18.91％～36.79％)高于2004版6.98％(95％CI:2.70％～16.89％),差异无统计学意义(x2=1.28,P＞0.05);东部、中部、西部地区伤害人次发生率分别是17.70％(95％CI:10.40％～28.49％)、29.94％(95％CI:22.50％～38.60％)、41.34％(95％CI:31.61％～51.79％),西部地区高于东、中部地区,差异有统计学意义(x2=53077.13,P＜0.05).敏感性分析表明本次Meta分析结果稳定,相对可靠. 结论:目前中国儿童青少年意外伤害发生率处于较高水平,在广泛开展伤害预防和控制的基础上,应将男童、农村及经济不发达的西部地区的儿童青少年作为伤害预防的重点对象.应尽快在全国范围统一伤害诊断标准.

关键词：儿童青少年伤害发生率控制策略卫生资源政策

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儿童体重指数、学习成绩与自尊之间因果关系的分析

儿童体重指数、学习成绩与自尊之间因果关系的分析

引用

中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者：王芳芳 Paul Veugelers 山西医科大学公卫学院儿少卫生学教研室 030001 School of Public Health University of Alberta Canada

目的:研究儿童BMI指数和学习成绩与自尊问卷总分三者之间的因果关系. 方法:通过对2879名10-11岁的加拿大儿童及其父母亲进行每2年一次共追踪4年的问卷调查,获得儿童身高、体重、自尊心、学习成绩及其它相关信息.通过结构方程模型分... 详细信息

目的:研究儿童BMI指数和学习成绩与自尊问卷总分三者之间的因果关系. 方法:通过对2879名10-11岁的加拿大儿童及其父母亲进行每2年一次共追踪4年的问卷调查,获得儿童身高、体重、自尊心、学习成绩及其它相关信息.通过结构方程模型分析基线测查时儿童的BMI指数(X1)、学习成绩(X2)、自尊心问卷总分(X3)、性别(X4)、居住地区(X5)、父母受教育程度(X6)、家庭年收入(X7)等7个外源性变量与2年后的BMI指数(Y1)和学习成绩(Y2)、以及4年后的自尊心问卷总分(Y3)等3个内源性变量之间的因果关系. 结果:(1)3个内源性变量之间的因果关系:随着2年后的BMI指数(Y1)每增加1个单位,4年后的自尊问卷总分(Y3)减少0.007个单位,但该直接影响并不显著(β=0.007;95％CI:-0.039,0.025).然而随着2年后的学习成绩(Y2)每增加1个单位,4年后的自尊问卷总分(Y3)显著增加0.476个单位(β=0.476;95％CI:0.342,0.653).(2)7个外源性变量对3个内源性变量的影响:①基线测查时儿童的BMI指数(x1)每增加1个单位,2年后的BMI指数(Y1)显著增加0.586个单位(95％CI:0.552,0.620);且4年后的自尊问卷总分(Y3)显著减少0.060个单位(95％CI:-0.095,-0.024).②基线测查时学习成绩(X2)每增加1个单位,2年后的学习成绩(Y2)显著增加0.619个单位(95％CI:0.589,0.649);且4年后的自尊问卷总分(Y3)显著增加0.221个单位(95％CI:0.085,0.357).总体看,基线测查时的学习成绩(X2)对4年后自尊问卷总分(Y3)产生的总的影响强度为0.516个单位,即0.221个单位的直接影响和0.295个单位的间接影响之合.其电间接影响(0.295=0.619×0.476)来自于基线测查时学习成绩(X2)对2年后学习成绩(Y2)的影响(0.619个单位),以及通过后者(Y2)对4年后自尊问卷总分(Y3)产生的影响(0.467个单位).③基线测查时自尊问卷总分(x3)每增加1个单位,4年后的自尊问卷总分(Y3)显著增加0.397个单位(95％CI:0.359,0.436).④与女生相比,2年后男生的BMI指数显著增加0.204个单位(95％CI:0.002,0.405),但学习成绩显著降低0.186个单位(95％CI:-0.240,-0.132);且4年后自尊问卷总分显著增加1.122个单位(95％CI:0.931,1.313).总体看,性别(X4)对4年后自尊问卷总分(Y3)产生的总的影响强度为1.033个单位,即1.122(直接影响)-0.089(间接影响).提示4年后男生的自尊问卷总分比女生增加了1.033个单位.⑤与市区学生相比,2年后郊区学生学习成绩(Y2)显著降低0.099个单位(95％C1:-0.166,-0.031);且4年后自尊问卷总分显著减少(Y3)0.237个单位(95％CI:-0.001,-0.473).总体看,儿童居住地区(X5)对4年后自尊问卷总分(Y3)产生的总的影响强度为-0.284个单位,即-0.237(直接影响)与-0.047(间接影响)之合.提示与市郊儿童相比,4年后郊区儿童的自尊总分降低了0.284个单位.⑥基线测查时家庭年收入(x7)每增加1个单位,2年后的学习成绩(Y2)显著增加0.078个单位(95％CI:0.045,0.110);且4年后的自尊问卷总分(Y3)显著增加0.288个单位(95％CI:0.173,0.404).总体看,家庭年收入(X7)对4年后自尊问卷总分(Y3)产生的总的影响强度为0.325个单位,包括0.288个单位的直接影响和0.037个单位的间接影响(0.037=0.078×0.476). 结论:儿童BMI指数的增加显著降低4年后自尊问卷的得分;学习成绩的提高显著增加2年及4年后自尊问卷的得分;与女生相比,男生2年后的BMI指数显著增加且学习成绩显著下降,但4年后的自尊问卷得分显著增加;与市区儿童相比,郊区儿童2年后的学习成绩和4年后的自尊问卷得分均显著降低;随着家庭年收入的增加,儿童2年后的学习成绩和4年后的自尊问卷得分显著增加.今后学校相关干预方案的制定不仅应包括对超重与肥胖儿童进行相应的心理健康干预,而且要注重上述性别、地区及儿童家庭经济状况等特点.

关键词：少年儿童体重指数学习成绩自尊心因果关系

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The mediating effects of body dissatisfaction and dietary behavior cognition on correlation between obesity and dietary behavior changes for weight loss in Chinese children

The mediating effects of body dissatisfaction and dietary be...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： Li Ting Wu Lu Sun Lili Yao Rongyi FU Lianguo Ma Jun Department of Preventive Medicine Bengbu Medical College Bengbu 233030 Anhui China Institute of Child and Adolescent Health School of Public Health Peking University Health Science C

Objective The aim of the present study was to analyze the mediating effects of body dissatisfaction and dietary behavior cognition (DBC) on correlation between obesity and dietary behavior changes for weight loss (DBC... 详细信息

关键词： Children and adolescents Obesity Body dissatisfaction Diet behaviors Mediating effects

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Apgar score and reduced vision among children aged 3 to 6 years

Apgar score and reduced vision among children aged 3 to 6 ye...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： Chen-Wei Pan Deng-Juan Qian Hui Zhu Jia-Jia Yu Hu Liu School of Public Health.Medical College of Soochow University Suzhou China

Purpose: We aimed to examine the associations of Apgar score at 5 minutes with childhood reduced vision at 3 to 6 years of ***: 5834 preschool children aged 3 to 6 years participated in this school-based eye *** vision was defined as unaided distance vision of 6/12 or worse in the better-seeing *** score at 5 minutes of the participants was retrieved from medical ***: The overall prevalence of reduced vision in this population was 6.63% (95% confidence interval [CI] 5.99%-7.27%).In multivariate analysis, the presence of reduced vision was associated with low Apgar score at 5 minutes at birth (less than 7 vs.7 to 10;odds ratio [OR] =1.66, 95% CI 1.48 to 3.05) after adjusting for age, gender, parental history of myopia, maternal age, gestational age and *** addition, both myopia and amblyopia was associated with Apgar score of less than 7 in multivariate ***: Children with Apgar score at 5 minutes of less than 7 were more likely to have reduced vision at the age of 3 to 6 years.

关键词： Apgar score reduced vision epidemiology children

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HIF3A DNA methylation is associated with childhood obesity and ALT

HIF3A DNA methylation is associated with childhood obesity a...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： Shuo Wang Jieyun Song Yide Yang Yining Zhang Haijun Wang Jun Ma All authors are from the Institute of Child and Adolescent Health School of Public Health Peking University Beijing China

Gene polymorphisms associated so far with BMI can explain only 1.18-1.45% of observed variation in *** studies suggest that epigenetic modifications (DNA methylation) could contribute to explain part of the missing heritability, and two epigenetic genome-wide analysis studies (EWAS) have reported that HIF3A methylation was associated with BMI or BMI *** therefore assessed whether the HIF3A methylation is associated with obesity and other obesity-related phenotypes in Chinese *** subjects included 110 severe obese cases aged 7-17y and 110 normal-weight controls matched by age and gender for measurement of blood DNA methylation levels at the HIF3A gene locus using the Sequenom's MassARRAY *** observed significantly higher methylation levels in obese children than in controls at positions 46801642 and 46801699 in HIF3A gene (P<0.05), and found positive associations between methylation and ALT levels adjusted by gender, age and BMI at the position 46801699 (r=0.200, P =0.016).These results suggest that HIF3A DNA methylation is associated with childhood obesity,and has a BMI-independent association with *** results provide evidence for identifying epigenetic factors of elivated ALT and may be useful for risk assessment and personalized medicine of liver diseases such as NAFLD.

关键词： HIF3A DNA methylation plasma ALT level childhood obesity NAFLD BMI

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Does Local Ambient Temperature Impact Children's Blood Pressure? A Chinese National Survey

Does Local Ambient Temperature Impact Children's Blood Press...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： Qin Li Yuming Guo Dong-Mei Wei Yi Song Jie-Yun Song Jun Ma Hai-Jun Wang Institute of Child and Adolescent Health School of Public Health Peking University Beijing China Division of Epidemiology and Biostatistics School of Public Health University of QueenslandBrisba

Background: Several studies demonstrated a short-term association between ambient temperature and blood ***, few studies have assessed the long-term effect of ambient temperature on children's blood *** present study aimed to investigate the associations between long-term exposure to local ambient temperature and children's blood pressure in *** and Results: We analyzed the systolic (SBP) and diastolic blood pressure (DBP) data of 71,763 children from 2010 Chinese National Survey on Students' Construction and Health (CHNSCH), and local annual average ambient temperature, relative humidity, air pollutants data from China Meteorological Administration and Ministry of Environment Protection of *** used General additive model (GAM) with non-linear function to examine the effects of ambient temperature on children's blood *** results showed that decrease of ambient temperature was negatively associated with increase of both SBP and DBP in Chinese children while adjusting for individual characteristics, socioeconomic conditions, air pollutants and relative *** largest alteration of SBP related to the temperature difference was observed from 20.2℃ to 9.8℃, with 10.7 mmHg (95%CI: 10.66, 11.41) increase in SBP, while the largest alteration of DBP was observed from 24.6℃ to 10.3℃, with 7.8 mmHg (95%CI: 7.50, 8.16) increase in ***, when temperature below 9.8℃ and 10.3℃, SBP and DBP started to decrease, which might been caused by the use of heating system in the extreme cold *** similar association was found in either physically active or inactive ***: Public health policy should be improved for protecting children's cardiovascular health from adverse effects of low *** of heating system in moderate cold area might be a good solution

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The Influence of Secular Trends in Body Height and Weight on the Prevalence of Overweight and Obesity among Chinese Children and adolescents

The Influence of Secular Trends in Body Height and Weight on...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： FU Lian Guo SUN Li Li WU Shao Wei YANG Yi De LI Xiao Hui WANG Zheng He Lu WU WANG Fu Zhi MA Jun Department of Preventive Medicine Bengbu Medical CollegeBengbu 233030 Anhui China Department of Environmental Health Harvard T.H.Chan School of Public Health Boston 02115 Massachu Institute of Child and Adolescent Health School of Public Health Peking University Health Science

Objective To explore the influence of secular trends in body height and weight on the prevalence of overweight and obesity among Chinese children and *** The data were obtained from five cross-sectional Chinese National Surveys on Students' Constitution and ***/obesity were defined as BMI-for-age Z-score of the WHO *** height and weight were respectively standardized based on ones for each sex and age in 1985 (standardized height: SHY;standardized weight: SWY) and for each sex and year at age 7 (standardized height: SHA;standardized weight: SWA) using the Z-score *** The Chinese children's overweight/obesity prevalence was 18.8% among boys, and was 12.4% among girls in 2010, and showed continuously increasing from *** boys and girls with normal weight, SHY and SHA were significantly greater than SWY and SWA, respectively (P< 0.001).Among boys and girls with overweight/obesity, SHY were significantly lower than SWY (P< 0.001), and showed an obvious decreasing trend after age *** were lower than SWA among overweight boys aged 7-8 years and girls aged 7-9 ***/SHW and SHA/SWA among normal weight groups were greater than overweight and obesity groups(P< 0.001).Conclusion The continuous increase of overweight/obesity prevalence among Chinese children may be related to fast increase of body weight before age 9, and lack of secular increase of body height after age 12.

关键词： Obesity Children Secular trends Body height Body weight

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Association of common variants identified by recent genome-wide association studies with obesity in Chinese children: a case control study

Association of common variants identified by recent genome-w...

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中华预防医学会儿少卫生分会换届及第十届全国学术交流会、中国健康促进与教育协会学校分会换届及第五届全国学术交流会

作者： Hai-Jun Wang Anke Hinney Jie-Yun Song André Scherag Xiang-Rui Meng Harald Grallert Thomas Illig Johannes Hebebrand Yan Wang Jun Ma Institute of Child and Adolescent Health Peking University Beijing China Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy Universit(a)tsklinik Clinical Epidemiology Integrated Research and Treatment Center Center for Sepsis Control and Care Research Unit of Molecular Epidemiology Institute of Epidemiology Ⅱ Helmholtz Zentrum München-Germ Research Unit of Molecular Epidemiology Institute of Epidemiology Ⅱ Helmholtz Zentrum München-Germ Division of Maternal and Child Health School of Public Health Peking University Health Science Cen

Background Large-scale genome-wide association studies have identified multiple genetic variants that are associated with elevated body mass index (BMI) or the risk of obesity in Caucasian or Asian *** examined whether these variants are individually associated with obesity in Chinese children, and also assessed their cumulative effects and predictive value for obesity risk in Chinese *** We genotyped 40 single nucleotide polymorphisms (SNPs) and conducted association analyses for 32/40 SNPs with an estimated minor allele frequency >1% in 2 030 unrelated Chinese children,including 607 normal-weight, 718 overweight, and 705 obese individuals from two cross-sectional study *** regression and linear regression under the additive model were used to examine associations, and the area under the receiver operating characteristic curve (AUCROC) was reported as prediction *** We identified obesity association for 6 SNPs near SEC16B, RBJ,, CDKAL1, TFAP2B, MAP2K5 and FTO (odds ratios (Ors) ranged from 1.19 to 1.41, nominal two-sided P-values < 0.05).Association (Bonferroni corrected) of rs543874 near SEC16B and rs2241423 near MAP2K5 had presumably stronger effects on obesity in Chinese children than in Caucasian *** risk alleles were also associated with BMI standard deviation score (BMI-SDS) *** demonstrated the cumulative effects of the 32 SNPs on obesity risk (per risk allele: OR=1.06, 95% CI: 1.03-1.11,P=4.84 ×10-4) and BMI-SDS (β=0.04, 95% CI: 0.02-0.06, P=3.69× 10-7).The difference in AUCROC for a model with covariates (age, age square, sex and study group) and the model including covariates and all 32 SNPs was 2.8% (P=0.0002).Conclusion While six SNPs were individually associated with obesity in Chinese children, the 32 common variants identified by recent GWAS studies had cumulative effects and resulted in a limited increase in the AUCROC predictive value for childhood obesity.

关键词： obesity BMI gene variant children

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