Lamerz A, Kuepper-Nybelen J, Wehle C, Bruning N, Trost-Brinkhues G, Brenner H, Hebebrand J, Herpertz-Dahlmann B
Department of Child and Adolescent Psychiatry, University Hospital Aachen, Neuenhofer Weg 21, Aachen, Germany.
Int J Obes (Lond). 2005 Apr;29(4):373-80. doi: 10.1038/sj.ijo.0802914.
To assess the association between socioeconomic status (SES) and childhood obesity, and which factor in particular stands out in relation to obesity.
When 2020 children attended their obligatory health exam prior to school entry in the City of Aachen, Germany, 1979 parents (97.9%) filled out a questionnaire on their child's weight development and on indicators of their family's SES in a cross-sectional survey. In addition, standardized measures of weight and height were taken. More detailed information on several different SES variables, such as parental education, occupation, income, family constellation, single parenthood, and the location and size of the family residence was obtained by personal interviews in a subsample of all native German speaking children with a BMI > or = 85th percentile, defined as cases (n = 146), and with a BMI between the 40th and 60th percentile, defined as controls (n = 221).
The indicators of parental education were most strongly associated with children's obesity. There was a strong dose-response relationship between a composed index of social class and obesity. Children of the lowest social status had a more than three-fold risk to be obese than children of the highest social status in the screening population (OR: 3.29, CI: 1.92-5.63).
The findings established a strong relationship between parental years of education and childhood obesity. Prevention and treatment programs should endeavor to better target undereducated parents and their young children at high risk.
评估社会经济地位（SES）与儿童肥胖之间的关联，以及与肥胖相关的特别突出的因素。
在德国亚琛市，当2020名儿童在入学前参加义务健康检查时，1979名家长（97.9%）在一项横断面调查中填写了关于其孩子体重发展及家庭SES指标的问卷。此外，还对体重和身高进行了标准化测量。通过对所有母语为德语且BMI≥第85百分位数（定义为病例，n = 146）以及BMI在第40至60百分位数之间（定义为对照，n = 221）的儿童子样本进行个人访谈，获取了关于几个不同SES变量的更详细信息，如父母教育程度、职业、收入、家庭构成、单亲家庭情况以及家庭住所的位置和大小。
父母教育程度指标与儿童肥胖的关联最为紧密。社会阶层综合指数与肥胖之间存在很强的剂量反应关系。在筛查人群中，社会地位最低的儿童肥胖风险是社会地位最高的儿童的三倍多（比值比：3.29，置信区间：1.92 - 5.63）。
研究结果证实了父母受教育年限与儿童肥胖之间存在紧密关系。预防和治疗项目应努力更好地针对受教育程度低且子女肥胖风险高的父母及其年幼子女。
