Martin Katie S, Ferris Ann M
Center for Public Health and Health Policy, University of Connecticut, East Hartford, CT 06108, USA.
J Nutr Educ Behav. 2007 Jan-Feb;39(1):31-6. doi: 10.1016/j.jneb.2006.08.021.
Examine relationships between adult obesity, childhood overweight, and food insecurity.
Cross-sectional retrospective study.
Community settings in Hartford, Connecticut.
Convenience sample of 200 parents and their 212 children, aged 2-12.
Adult obesity (Body Mass Index [BMI] > 30), childhood overweight (BMI-for-age > 95(th) percentile), and household food security (U.S. Department of Agriculture module).
Chi-square tests between weight status and socioeconomic characteristics. Multinomial regression analyses to determine risk factors for adult obesity and childhood overweight.
Over half of parents (51%) were obese, and almost one-third of children (31.6%) were overweight. Over half of households were food insecure. Food insecure adults were significantly more likely to be obese as those who were food secure (Odds Ratio [OR]=2.45, p = .02). Being a girl and having an obese parent doubled the likelihood of children being overweight (OR=2.56, P = .01; OR=2.32, P = .03). Children with family incomes below 100% of poverty were half as likely to be overweight as those with higher incomes (OR=.47, P = .05). Food insecurity did not increase odds of childhood overweight.
Obesity prevention programs and policies need to address food insecurity and gender as key risk factors.
研究成人肥胖、儿童超重与粮食不安全状况之间的关系。
横断面回顾性研究。
康涅狄格州哈特福德的社区环境。
200名家长及其212名2至12岁儿童的便利样本。
成人肥胖（体重指数[BMI]>30）、儿童超重（年龄别BMI>第95百分位数）和家庭粮食安全状况（美国农业部模块）。
体重状况与社会经济特征之间的卡方检验。多项回归分析以确定成人肥胖和儿童超重的风险因素。
超过半数的家长（51%）肥胖，近三分之一的儿童（31.6%）超重。超过半数的家庭粮食不安全。粮食不安全的成年人肥胖的可能性显著高于粮食安全的成年人（优势比[OR]=2.45，P = .02）。女孩且父母肥胖会使儿童超重的可能性增加一倍（OR=2.56，P = .01；OR=2.32，P = .03）。家庭收入低于贫困线100%的儿童超重的可能性是高收入儿童的一半（OR=.47，P = .05）。粮食不安全并未增加儿童超重的几率。
肥胖预防计划和政策需要将粮食不安全和性别作为关键风险因素加以应对。
