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从婴儿到青春期的超重/肥胖风险因素的年龄特定量化,以及父母教育水平的差异
Claudia Börnhorst1, Wolfgang Ahrens1,2, Stefaan De Henauw3
1Leibniz Institute for Prevention Research and Epidemiology (BIPS), Bremen, Germany.
International journal of public health
|November 30, 2023
概括
儿童体重指数 (BMI) 轨迹受风险因素的影响,社会脆弱性起着关键作用,特别是在9-11岁左右.
科学领域:
- 儿科健康 儿科健康
- 肥胖问题研究研究
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖是一个日益严重的公共卫生问题.
- 了解风险因素及其对身体质量指数 (BMI) 轨迹的影响至关重要.
- 父母的教育水平可能会影响暴露于风险因素和随后的BMI结果.
研究的目的:
- 研究各种风险因素与儿童的BMI之间的年龄相关关系.
- 根据父母的教育程度,研究这些关联是如何不同的.
- 确定儿童BMI发育干预的关键时期.
主要方法:
- 在多中心欧洲队列 (2007-2014) 中,分析了10,310名2至16岁儿童的数据.
- 利用多项式混合效应模型来估计风险因素的轨迹及其与BMI的年龄特定关联.
- 父母教育群体之间的风险因素暴露和BMI关联的比较.
主要成果:
- 在较低的家长教育群体中观察到对不利因素 (例如PC/TV时间) 的更高暴露.
- 风险因素轨迹在9-11岁左右出现了显著变化.
- 家庭肥胖病史,母亲的BMI,妊娠体重增加和出生体重始终与BMI相关;行为因素的关联较小. 社会脆弱性 (父母失业,移民背景) 与低学历群体的BMI较高有关.
结论:
- 父母教育没有显著改变大多数风险因素-BMI关联,除了社会脆弱性.
- 9-11岁的年龄段可能是发展影响BMI的不利行为的一个敏感时期.
- 考虑到社会经济因素和敏感的发展时期,有必要进行有针对性的干预.
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