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目的:考察超重和肥胖青少年的暴食行为与健康相关生活质量。方法:采用暴食量表(BES)、儿童生存质量测定量表(Peds QLTM4.0)及-般资料调查表对整群抽取的湖南省11~18岁的1284名中小学生(体重正常812人,超重和肥胖472人)进行测评。结果:①暴食行为在体重正常学生中的发生率为0.54%,超重学生中的发生率为10.18%,肥胖学生中的发生率为20.46%;②超重、肥胖学生与体重正常学生在健康相关生活质量各维度差异(肥胖组,超重组,正常组)均有统计学意义(P<0.05);③肥胖组学生中,有暴食行为者在情绪状态、学校功能、心理社会功能以及总分上显著低于无暴食行为者(P<0.05);④在超重学生中,有暴食行为者在情绪状态、社会功能、心理社会功能和总分上显著低于无暴食行为者(P<0.01);⑤暴食行为得分与BMI呈显著正相关(r=0.463,P<0.01),与健康相关生活质量各维度呈显著负相关(r=0.265~0.369,P<0.01)。结论:超重和肥胖、暴食行为和健康相关生活质量三者有密切关系。
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Objective:To explore the status quo of health-related quality of life and Binge eating in overweight and obese adolescents.Methods: Peds QLTM4.0, Binge Eating Scale and General information questionnaire were administered to1284 primary and middle school students(812 normal, 472 overweight and obesity, aged 11~18 years) selected by cluster sampling.Results:①The rate of Binge eating in normal weight Students is 0.54%, the rate in overweight and obesity students are 10.18% and 20.46% respectively;②Overweight, obesity and normal weight students show significant difference(obesityoverweightnormal-weight) on each dimension of the quality of life(P0.05);③the emotional functioning, school functioning, psychosocial functioning and total scores were lower in obesity students with binge eating than obesity students without binge eating(P0.05);④The physical functioning, emotional functioning, social functioning, psychosocial functioning and total scores were lower in overweight students with binge eating than overweight students without binge eating(P0.05);⑤Binge eating scores were positively correlated with BMI(r=0.463, P0.01), and negatively related to health-related quality of life(r=0.265~0.369, P0.01).Conclusion: There is a close relationship among overweight and obesity, binge eating and health-related quality of life.
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