Lissau-Lund-Sørensen I, Sørensen T I
Department of Pediatrics, Rigshospitalet, University of Copenhagen, Denmark.
Int J Obes Relat Metab Disord. 1992 Mar;16(3):169-75.
The purpose of the study was to assess prospectively the influence of social factors in childhood on risk of overweight in young adulthood, while taking into account degree of fatness in childhood. A random selection of children 9-10 years of age attending the third school grade in Copenhagen schools in 1974 was performed. Parental school education, householder's occupational status, and quality of dwellings in the rearing area were recorded. Ten years later a follow-up was carried out, and 756 (86%) of the 881 eligible individuals participated. The effect of the social factors on the risk of overweight in adulthood was analysed by logistic regression analysis, including gender and degree of fatness in childhood as covariates. The relationship between the traditional socio-demographic factors (parental education and occupational) and risk of overweight in young adulthood was insignificant, when controlling for degree of fatness in childhood and gender. However, the risk of overweight was highly increased for individuals reared in an area with poor quality of dwellings compared to those from a good area (P less than 0.001), even when controlling for the effect of parental education and occupation (P less than 0.001). In conclusion, rearing area had a much stronger influence on risk of overweight in young adulthood than parental education and occupation.
本研究的目的是前瞻性地评估童年时期的社会因素对青年期超重风险的影响，同时考虑童年时期的肥胖程度。1974年，从哥本哈根学校三年级就读的9至10岁儿童中进行了随机抽样。记录了父母的学校教育程度、户主的职业状况以及养育地区的住房质量。十年后进行了随访，881名符合条件的个体中有756名（86%）参与。通过逻辑回归分析社会因素对成年期超重风险的影响，将性别和童年时期的肥胖程度作为协变量。在控制童年时期的肥胖程度和性别后，传统社会人口学因素（父母教育程度和职业）与青年期超重风险之间的关系不显著。然而，与来自优质地区的个体相比，在住房质量差的地区长大的个体超重风险大幅增加（P小于0.001），即使在控制了父母教育程度和职业的影响后也是如此（P小于0.001）。总之，养育地区对青年期超重风险的影响比父母教育程度和职业更强。
