Tanasescu M, Ferris A M, Himmelgreen D A, Rodriguez N, Pérez-Escamilla R
Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269, USA.
J Nutr. 2000 Jul;130(7):1734-42. doi: 10.1093/jn/130.7.1734.
The purpose of this case-control study was to identify predictors of obesity among Puerto Rican children from Hartford, CT. The study included 53 prepubertal children, 31 girls and 22 boys, between 7 and 10 y of age. Children were classified as obese [n = 29, body mass index (BMI) >/= 85th percentile] or controls (n = 24, BMI < 85th percentile). Multivariate logistic regression analyses indicated that frequency of fruit juice consumption [odds ratio (OR), 95% confidence interval (CI); 4.02, 1.48-10.95], hours of daily TV viewing (1.86, 1.02-3.42), maternal BMI (1.39, 1.10-1.77) and lower dairy product intake (0.41, 0.19-0.93) were associated with obesity. Television viewing was correlated (P < 0.05) with lower physical activity in girls, and with higher snacking frequency and sweets consumption in boys. Obese children were more likely than controls to have higher systolic and diastolic blood pressures and to have experienced more ear infections and diarrhea during the previous year. Results provide evidence of the multifactorial nature of childhood obesity in this community.
这项病例对照研究的目的是确定康涅狄格州哈特福德市波多黎各儿童肥胖的预测因素。该研究纳入了53名青春期前儿童，年龄在7至10岁之间，其中31名女孩，22名男孩。儿童被分为肥胖组（n = 29，体重指数（BMI）≥第85百分位数）或对照组（n = 24，BMI <第85百分位数）。多因素逻辑回归分析表明，果汁饮用频率[比值比（OR），95%置信区间（CI）；4.02，1.48 - 10.95]、每日看电视时间（1.86，1.02 - 3.42）、母亲的BMI（1.39，1.10 - 1.77）以及较低的乳制品摄入量（0.41，0.19 - 0.93）与肥胖有关。看电视与女孩较低的身体活动量相关（P < 0.05），与男孩较高的吃零食频率和甜食摄入量相关。肥胖儿童比对照组儿童更有可能在前一年收缩压和舒张压更高，并且耳部感染和腹泻的发生率更高。研究结果为该社区儿童肥胖的多因素性质提供了证据。
