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ASSOCIATION OF ENVIRONMENTAL FACTORS AND ADIPOSITY IN THAI SCHOOL CHILDREN: A STRUCTURAL EQUATION MODELING APPROACH
Environmental factors influence childhood adiposity indirectly through complex mechanisms, not direct associations. This study provides a model to combat rising obesity rates in children.
Area of Science:
- Pediatric Nutrition
- Obesity Research
- Environmental Health
Background:
- Childhood obesity is a growing global health concern.
- Understanding the environmental determinants of adiposity is crucial for effective interventions.
- Previous research has explored various factors, but complex interrelationships require further investigation.
Purpose of the Study:
- To examine the associations between environmental factors and adiposity indicators in Thai children.
- To elucidate the indirect pathways through which socio-economic status, health, physical activity, and diet influence adiposity.
- To develop a working model for combating childhood obesity.
Main Methods:
- Structural Equation Modeling (SEM) was employed.
- Data from 1,161 Thai children (aged 7.0-12.9 years) from the Southeast Asian Nutritional Survey were analyzed.
- Information on socio-economic status, health, physical activity, and dietary intake was collected via questionnaires and 24-hour dietary recalls.
Main Results:
- Socio-economic status, health status, physical activity, and nutrient intake were not directly associated with adiposity.
- The relationship between these factors and adiposity was mediated by environmental influences.
- SEM analysis revealed complex indirect pathways contributing to higher body fat.
Conclusions:
- Environmental factors play a critical indirect role in childhood adiposity.
- The study provides insights into the mechanisms underlying obesity development.
- The proposed model can inform strategies to address the increasing prevalence of childhood obesity.
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