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与儿童肥胖相关的近端和远端因素:一个探索性的结构方程模型
Joseph A Skelton1, Erinn T Rhodes2, Sarah E Hampl3
1Department of Pediatrics Wake Forest University School of Medicine Winston-Salem North Carolina USA.
Obesity science & practice
|March 2, 2026
概括
儿童肥胖是由健康行为等近距离因素驱动的,一些远距离因素间接影响体重. 结构方程建模 (SEM) 有助于理解这些复杂的关系,以便针对性干预.
科学领域:
- 儿科肥胖症研究的研究.
- 公共卫生 公共卫生
- 行为科学是一种行为科学.
背景情况:
- 儿童肥胖症涉及体重,健康行为和环境因素之间的复杂相互作用.
- 结构方程建模 (SEM) 是分析这些复杂关系的宝贵工具.
研究的目的:
- 利用SEM来绘制各种病因集群对儿童肥胖的影响.
- 了解儿科体重状况中的近位和远位变量的相互作用.
主要方法:
- 从一个多站点儿科体重管理研究的基线数据的二次分析.
- 在生态模型中使用SEM来评估对体重状况 (%95BMI) 的影响.
- 包括375个儿童-父母二位数与归算数据.
主要成果:
- 邻近因素 (孩子的压力,流动性,父母的BMI) 显著预测了体重状况 (%95BMI).
- 远距离家族层面的因素通过近距离因素间接地影响了体重状况.
- 邻里贫困 (区域贫困指数) 直接影响了体重状况和家庭因素.
结论:
- 邻近因素是儿童肥胖的主要驱动因素,除了邻里贫困.
- 远端因素通过影响近端因素来间接地发挥影响.
- 对于调查儿童肥胖的贡献者和确定干预目标,SEM是有效的.
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