江苏省昆山市学龄前儿童体质健康水平干预效果评价
Evaluation of impact on physical health intervention in preschool children in Kunshan,Jiangsu
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摘要: 目的 评价江苏省昆山市学龄前儿童体质健康水平干预的效果,促进幼儿的体质发展。方法 通过分层整群抽样的方法,选取昆山市10家幼儿园3~6岁学龄前儿童作为研究对象,将其整群分为干预组和对照组。干预组接受体质健康干预,对照组进行常规儿童保健,对其体质健康水平进行初测(干预前)和复测(干预后)。结果 共纳入研究对象1 840例,其中干预组764例,对照组1 076例。干预组复测的体质综合评分(28.56±4.15)分,高于对照组复测的体质综合评分(25.25±4.45)分,差异有统计学意义(t=17.66,P<0.005);干预组复测的体质水平综合评级为优秀的204人,占26.70%,远高于对照组的优秀率(68人,占6.32%);干预组复测的体质水平综合评级为不合格的70人,占9.16%,远低于对照组的不合格率(300人,占27.88%),差异均有统计学意义(χ2=252.18,均P<0.005)。单项指标得分的差值分析显示,干预后双脚连续跳增幅最多,其次是走平衡木;10米折返跑增幅最少。结论 本研究实施的体质健康水平干预措施对3~6岁学龄前儿童体质改善有明显的促进作用。今后应加强学龄前儿童体质健康重要性的宣教,合理安排学龄前儿童在校期间的体育课程,更多地引导其进行体育锻炼,以促进儿童体质健康水平的提高。Abstract: ObjectiveTo evaluate the impact of physical health intervention in preschool children in Kunshan City so as to promote their physical development.MethodsStratified cluster sampling was used to recruit preschoolers aged 3-6 years old in 10 kindergartens as study subjects. They were divided into intervention group and control group. The intervention group received physical health intervention and the control group received routine health care. They were measured pre-and post-intervention.ResultsA total of 1 840 subjects was recruited in this study, including 764 in the intervention group and 1 076 in the control group. After the intervention, the physical fitness score of the intervention group(28. 56 ±4. 15) was higher than that of the control group(25. 25 ±4. 45)(t=17. 66,P<0. 005). The number of excellence in preschool children's physical fitness in the intervention group was 269, accounting for 26. 70%, which was much higher than that in the control group(68, accounting for 6. 32%). 70 children were rated as unqualified in the intervention group, accounting for 9. 16%, which was far lower than that in the control group(300, accounting for 27. 88%)(χ2= 252. 18, allP< 0. 005). Analysis of the changes of individual indicator score showed that continuous two feet jumping increased the most, followed by the balance beam walking, and ten meters round trip running increased the least.ConclusionAdvocacy of the importance of children' s physical health should be strengthened. In addition, rational arrangement of children' s physical courses in school and guiding children to take much physical exercise should be reinforced in order to improve children' s physical fitness.