关于儿童和青少年肥胖症的社会决定因素的全面审查

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Updated: May 12, 2025

09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

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Deepali K Ernest^1,2, Elizabeth A Onugha^2,3,4, Bipin Singh¹

¹Department of Epidemiology, University of Texas Health Science Center at Houston School of Public Health, Houston, Texas, USA.

International journal of pediatrics

|May 7, 2025

概括

健康的社会决定因素在全球范围内显著影响儿童肥胖. 关键因素包括社会经济地位,邻居,食物获取和移民,需要更多的美国特定数据.

科学领域:

儿科代谢健康儿童代谢健康
公共卫生研究公共卫生研究
全球健康差异全球健康差异

背景情况:

健康的社会决定因素 (SDOH) 是影响全球儿科和青少年代谢健康的关键因素.
儿童肥胖仍然是一个重大的全球卫生挑战,其根本原因复杂.

研究的目的:

系统地审查和识别与儿童肥胖相关的健康关键社会决定因素 (SDOH).
综合全球关于SDOH与0-19岁个体肥胖之间的关系的研究.

主要方法:

在PubMed,Embase和Medline数据库中对2013年至2023年间发表的文章进行了全面的文献搜索.
纳入标准侧重于对世卫组织定义的SDOH和0-19岁儿童肥胖症的初级研究,不包括非英语和评论文章.
一个严格的选过程涉及两个独立的审稿人评估标题,摘要和全文,导致41项研究.

主要成果:

选择的41项研究,主要是横截面的,来自北美,分析了社会经济地位,社区特征,食品环境,医疗保健准入,教育和移民.
肥胖的结果包括一般,严重和腹部肥胖,体重增加和身体质量指数 (BMI) 的变化.
研究中的平均样本大小很大 (43,640名参与者),这表明数据收集强大.

结论:

社会经济地位,邻居环境,食物的可获得性,医疗保健的可获得性,移民状况和文化因素被确定为导致儿童肥胖的重要SDOH.
关于儿童肥胖的SDOH的美国特定数据中存在着一个显著的研究差距,特别是关于种族和民族差异.
进一步的研究对于阐明这些决定因素及其对儿科代谢健康结果的确切影响至关重要.

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