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一个成长曲线模型来估计父母的BMI对印尼儿童成长模式的纵向影响
Yoseph Leonardo Samodra1, Ying-Chih Chuang1
1School of Public Health, Taipei Medical University, New Taipei City, Taiwan.
Journal of developmental origins of health and disease
|September 26, 2024
概括
父母的身体质量指数 (BMI) 显著影响孩子的BMI轨迹. 父亲的BMI Z-score对女儿的BMI的影响更大,而母亲的BMI Z-score对儿子的BMI的影响更大.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 人类成长和发展 人类成长和发展
背景情况:
- 儿童肥胖是一个日益严重的全球性问题,印度尼西亚正在经历显著的增长.
- 父母的体重指数 (BMI) 是儿童肥胖的一个公认的决定因素.
- 儿童时期父母的BMI对后代成人BMI轨迹的长期影响仍然不清楚.
研究的目的:
- 为了检查父母的BMI Z-分数对印尼学龄儿童的BMI轨迹的影响.
- 研究父母BMI对儿童BMI发育的潜在性别特异性影响.
- 了解父母的体重状况如何影响孩子的BMI随着时间的推移而变化.
主要方法:
- 分析了来自印度尼西亚家庭生活调查 (波段2-5,1997-2015) 的纵向数据.
- 该研究包括5至12岁的儿童在第二波中,具有可用的身高和体重数据.
- 采用两级增长曲线模型来分析BMI Z-score轨迹,以计算个人内嵌的时间.
主要成果:
- 父亲的BMI Z-score对女儿的BMI Z-score (β=0.31) 的影响比母亲的BMI Z-score (β=0.17) 的影响更大.
- 母亲的BMI Z-score与男性儿童的BMI Z-score (β=0.22) 相比,与父亲的BMI Z-score (β=0.19) 相比,母亲的BMI Z-score显示出更强的正相关性.
- 在男性中观察到父亲的BMI Z-score和时间之间的显著相互作用,这表明那些父亲的BMI Z-score较高的人对BMI Z-score随着时间的推移而增加的BMI Z-score的影响更强.
结论:
- 父母的BMI值在整个发育过程中显著塑造了儿童的BMI轨迹.
- 确定了特定于性别的父母BMI对后代BMI轨迹的影响.
- 这些发现强调了父母体重状况在长期儿童体重管理中的关键作用.
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