Gnavi R, Spagnoli T D, Galotto C, Pugliese E, Carta A, Cesari L
Regione Piemonte-ASL 5, Servizio di Epidemiologia, Grugliasco (TO), Italy.
Eur J Epidemiol. 2000;16(9):797-803. doi: 10.1023/a:1007645703292.
The aim of this study was to determine whether socio-economical status (SES) is associated with overweight and obesity in prepuberal children. In an area of North-Western Italy a sample of 1420 children, aged 10-11 years, had his/her height and weight recorded, (overweight and obesity were defined, respectively, as relative body weight > or = 120% and > or = 140%), and parents were requested to compile a questionnaire exploring some demographic and social conditions. 23% of the sample resulted overweight or obese. Prevalence rate ratios (PRR) of overweight and obesity (together) were calculated, adjusting for parents' age, parents' area of birth, and school district. PRR for mother's lowest educational level compared to the highest was 1.59 (95% CI: 1.19-2.13), while for father's education was 1.21 (0.90-1.63). PRRs for 'unemployed' or 'manual' mother compared to 'upper non manual' were respectively 1.83 (1.20-2.79) and 2.20 (1.31-3.68), while for 'unemployed' or 'manual' father were 2.63 (1.97-2.63), and 1.63 (1.27-2.09). The cultural resources of the mother, and the economical resources of the family seem to influence the prevalence of weight gain in prepuberal children. This should be taken into account when planning programs for the prevention or reduction of obesity in children.
本研究的目的是确定社会经济地位（SES）是否与青春期前儿童的超重和肥胖有关。在意大利西北部的一个地区，对1420名10至11岁的儿童进行了身高和体重记录（超重和肥胖分别定义为相对体重≥120%和≥140%），并要求家长填写一份问卷，以了解一些人口统计学和社会状况。23%的样本超重或肥胖。计算了超重和肥胖（合并）的患病率比值比（PRR），并对父母年龄、父母出生地和学区进行了调整。母亲最低教育水平与最高教育水平相比的PRR为1.59（95%CI：1.19 - 2.13），而父亲教育水平的PRR为1.21（0.90 - 1.63）。“失业”或“体力劳动者”母亲与“非体力劳动者上层”母亲相比的PRR分别为1.83（1.20 - 2.79）和2.20（1.31 - 3.68），而“失业”或“体力劳动者”父亲的PRR分别为2.63（1.97 - 2.63）和1.63（1.27 - 2.09）。母亲的文化资源和家庭的经济资源似乎会影响青春期前儿童体重增加的患病率。在规划儿童肥胖预防或减少计划时应考虑到这一点。
