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Assessment of Child Anthropometry in a Large Epidemiologic Study
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来自优先人口的澳大利亚儿童和青少年体重状况的差异:一项纵向研究
Thomas Lung1,2, Anagha Killedar3, Sarah Taki4,5,6
1Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia. tom.lung@sydney.edu.au.
International journal of obesity (2005)
|February 2, 2024
概括
来自中东,北非,美洲和大洋洲的儿童面临着超重和肥胖的更高风险. 针对性的预防策略对于澳大利亚这些多元文化群体来说至关重要,以解决健康不平等问题.
科学领域:
- 公共卫生和流行病学
- 儿童肥胖研究儿童肥胖研究
- 健康的社会经济决定因素
背景情况:
- 澳大利亚表现出显著的文化和语言多样性,包括原住民和托雷斯海峡岛民.
- 特定的文化和种族群体可能面临超重和肥胖的高风险,加上社会经济劣势.
- 了解这些差异对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 调查澳大利亚儿童和青少年在不同文化和种族群体中体重指数z-score (zBMI) 的变化.
- 检查社会经济地位 (SEP) 对这些不同人群中的zBMI的影响.
- 确定在发育阶段患超重和肥胖的风险较高的特定人口群体.
主要方法:
- 利用了来自澳大利亚儿童纵向研究 (n=9417) 的数据,包括50870个2-19岁的纵向zBMI测量.
- 根据出生国家和家中使用的语言,将儿童分为9个文化和种族群体,其中包括原住民和托雷斯海峡岛民的单独类别.
- 采用多层混合线性回归模型来分析文化/种族群体,SEP和zBMI之间的纵向关联,按发育时期分层 (幼儿,中幼,青春期).
主要成果:
- 来自中东和北非,美洲和大洋洲的儿童群体在所有发育阶段都表现出较高的zBMI,与说英语的参考组相比.
- 来自东亚和东南亚和南亚和中亚的儿童与较低的zBMI有关.
- 观察到明显的社会经济梯度,社会经济劣势的增加与较高的zBMI相关.
结论:
- 在澳大利亚,确定了特定的文化和种族群体在童年和青春期患超重和肥胖的风险增加.
- 强调需要针对风险人群的定制预防计划,以减轻健康不平等.
- 强调文化背景和社会经济地位在塑造儿童体重轨迹的交集.
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