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1987年至1997年波兰弗罗茨瓦夫14岁男孩的父母教育程度、体重指数与肥胖患病率

Parental education, body mass index and prevalence of obesity among 14-year-old boys between 1987 and 1997 in Wrocław, Poland.

作者信息

Koziel S, Kolodziej H, Ulijaszek S J

机构信息

Institute of Anthropology, Polish Academy of Sciences, Wrocław.

出版信息

Eur J Epidemiol. 2000;16(12):1163-7. doi: 10.1023/a:1010924511774.

Abstract

The main aim of this study was to examine changes in relative weight and prevalence of obesity across a ten-year period among 14-year-old boys according to parental education level. Data from two surveys, carried out in 1987 and 1997, of boys attending the 7th grade of primary schools in Wrocław were used in the analysis. The heights and weights of 3165 boys aged 14 years selected from cohort of 6969 7th and 8th grade boys from all primary schools of the city Wrocław were used. The data of the second sample of 14-year-old boys (n = 1014) were obtained from a health examination study carried out in the Silesian Centre for Preventive Medicine, 'DOLMED', in Wrocław in 1997. All boys attended the 7th grade of 34 randomly selected primary schools from a total of 129 schools in the city of Wrocław. Social status was assessed on the basis of parental education level scored to four categories: university, secondary school, trade school, and elementary school. The prevalence of overweight and obesity was defined as the percentage of children above the 85th and 95th percentiles of the body mass index (BMI), the means of which were 21.27 and 23.75 kg/m2 respectively. Prevalence of overweight among boys is slightly lower in the 1997 sample, whereas the prevalence of obesity shows the opposite trend and is higher by more than one percent in comparison with the 1987 sample. Similar trends of declining medians and increasing variance are observed in all educational groups. The differences in medians between the two samples within educational groups did not achieve statistical significance for the groups with parents with education at elementary level and fathers with university education. There is a trend toward increasing prevalence of obesity across the decade considered, according to father's education level. With respect to mother's education levels, the most dramatic changes in BMI and obesity occurred in the elementary education group, where the percentage of obese subjects increased more than twofold. A significant increase is also observed in the group with parents attaining university education.

摘要

本研究的主要目的是根据父母的教育水平,调查14岁男孩在十年间相对体重的变化以及肥胖患病率。分析使用了1987年和1997年对弗罗茨瓦夫小学七年级男生进行的两项调查数据。从弗罗茨瓦夫市所有小学的6969名七年级和八年级男生队列中选出3165名14岁男生的身高和体重数据。1997年在弗罗茨瓦夫的西里西亚预防医学中心“DOLMED”进行的一项健康检查研究中获得了第二个14岁男生样本(n = 1014)的数据。所有男生均来自弗罗茨瓦夫市129所学校中随机抽取的34所小学的七年级。社会地位根据父母的教育水平分为四类进行评估:大学、中学、职业学校和小学。超重和肥胖的患病率定义为体重指数(BMI)高于第85和第95百分位数的儿童百分比,其均值分别为21.27和23.75 kg/m²。1997年样本中男孩超重的患病率略低,而肥胖患病率则呈现相反趋势,与1987年样本相比高出超过1%。在所有教育组中都观察到中位数下降和方差增加的类似趋势。在父母为小学教育水平组和父亲为大学教育水平组中,两个样本在教育组内的中位数差异未达到统计学意义。根据父亲的教育水平,在所考虑的十年间肥胖患病率有上升趋势。关于母亲的教育水平,BMI和肥胖的最显著变化发生在小学教育组,肥胖受试者的百分比增加了两倍多。在父母达到大学教育水平的组中也观察到显著增加。

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