Giammattei Joyce, Blix Glen, Marshak Helen Hopp, Wollitzer Alison Okada, Pettitt David J
Department of Health Promotion and Education, School of Public Health, Loma Linda University, Loma Linda, CA, USA.
Arch Pediatr Adolesc Med. 2003 Sep;157(9):882-6. doi: 10.1001/archpedi.157.9.882.
To determine the prevalence of obesity among sixth- and seventh-grade students in a school-based setting, and to identify lifestyle parameters associated with obesity.
Sixth- and seventh-grade students (n = 385, 186 boys and 199 girls) from 3 schools participated in a school-based screening study, and 319 completed a short questionnaire. Height and weight were measured, and body fat as a percentage of body weight was obtained using a Tanita bioelectrical impedance scale.
Overall, 35.3% of students had a body mass index (BMI; calculated as the weight in kilograms divided by the height in meters squared) at or above the 85th percentile, and half these students (17.4%) had a BMI at or above the 95th percentile. Rates were higher among Latino and lower among Asian than non-Hispanic white students. Significant associations were found between BMI and hours of television watched per evening and daily soft drink consumption. The mean (SE) BMI z score for those watching less than 2 hours per night (0.34 [0.09]) was lower than for those watching 2 or more hours per night (0.82 [0.08]; P<.001). The mean (SE) BMI z score for those consuming less than 3 soft drinks per day (0.51 [0.07]) was lower than for those consuming 3 or more soft drinks per day (1.02 [0.13]; P =.003). Latino students watched more television (2.4 hours per night) than did non-Hispanic white or Asian students (1.3 hours per night; P<.001 for each) and consumed more soft drinks (1.6 per day) than non-Hispanic white students (1.1 per day; P =.004) or Asian students (0.7 per day; P<.001).
Time spent watching television and the number of soft drinks consumed were significantly associated with obesity. Latinos spent more time watching television and consumed more soft drinks than did non-Hispanic white or Asian students. These findings will be beneficial in developing preventive measures for these children.
确定以学校为基础的六年级和七年级学生中肥胖症的患病率,并确定与肥胖相关的生活方式参数。
来自3所学校的六年级和七年级学生(n = 385,186名男生和199名女生)参与了一项以学校为基础的筛查研究,319名学生完成了一份简短问卷。测量身高和体重,并使用Tanita生物电阻抗秤获得体脂占体重的百分比。
总体而言,35.3%的学生体重指数(BMI;计算方法为体重(千克)除以身高(米)的平方)处于或高于第85百分位数,其中一半学生(17.4%)的BMI处于或高于第95百分位数。拉丁裔学生的肥胖率高于非西班牙裔白人学生,亚裔学生的肥胖率低于非西班牙裔白人学生。发现BMI与每晚看电视的时长以及每日软饮料消费量之间存在显著关联。每晚看电视少于2小时的学生的平均(SE)BMI z评分(0.34 [0.09])低于每晚看电视2小时或更长时间的学生(0.82 [0.08];P<.001)。每天饮用少于3瓶软饮料的学生的平均(SE)BMI z评分(0.51 [0.07])低于每天饮用3瓶或更多软饮料的学生(1.02 [0.13];P =.003)。拉丁裔学生每晚看电视的时间(2.4小时)比非西班牙裔白人或亚裔学生(每晚1.3小时;每组P<.001)更多,饮用软饮料的量(每天1.6瓶)比非西班牙裔白人学生(每天1.1瓶;P =.004)或亚裔学生(每天0.7瓶;P<.001)更多。
看电视的时间和软饮料的消费量与肥胖显著相关。拉丁裔学生比非西班牙裔白人或亚裔学生花更多时间看电视,饮用更多软饮料。这些发现将有助于为这些儿童制定预防措施。