Burke Valerie, Beilin Lawrie J, Durkin Kevin, Stritzke Werner G K, Houghton Stephen, Cameron Charmaine A
University of Western Australia, School of Medicine & Pharmacology, Royal Perth Hospital Unit.
Int J Pediatr Obes. 2006;1(4):248-55. doi: 10.1080/17477160600984975.
PURPOSE: To examine sedentary behaviours (including television viewing, playing computer games and computer use), diet, exercise and fitness in relation to overweight/obesity in Australian adolescents. METHODS: Questionnaires elicited food frequency data, time spent in TV-viewing, using computers, other sedentary occupations and physical activity recall. Weight, height and fitness (laps completed in the Leger test) were measured. RESULTS: Among 281 boys and 321 girls, mean age 12 years (SD 0.9), 56 boys (20.0%) and 70 girls (23.3%) were overweight/obese. Greater fitness was associated with decreased risk of overweight/obesity in boys (Odds ratio [OR] 0.74; 95% CI 0.55, 0.99) and girls (OR 0.93; 95% CI 0.91, 0.99). TV-viewing predicted increased risk in boys (OR 1.04; 95% CI 1.01, 1.06) and decreased risk in girls (OR 0.99; 95% CI 0.96, 0.99). Computer use, video games, and other sedentary behaviours were not significantly related to risk of overweight/obesity. Vegetable intake was associated with lower risk in boys (OR 0.98; 95% CI 0.97, 0.99); greater risk was associated with lower fat intake in boys and girls, lower consumption of energy-dense snacks in boys (OR 0.74; 95% CI 0.62, 0.88) and greater intake of vegetables in girls (OR 1.02; 95% CI 1.00, 1.03), suggesting dieting or knowledge of favourable dietary choices in overweight/obese children. CONCLUSIONS: Among these adolescents, fitness was negatively related to risk for overweight/obesity in boys and girls. TV-viewing was a positive predictor in boys and a negative predictor in girls but the effect size was small; other sedentary behaviours did not predict risk.
目的:研究澳大利亚青少年的久坐行为(包括看电视、玩电脑游戏和使用电脑)、饮食、运动及健康状况与超重/肥胖的关系。 方法:通过问卷调查获取食物频率数据、看电视时间、使用电脑时间、其他久坐活动时间及体力活动回忆情况。测量体重、身高及健康状况(莱杰测试完成的圈数)。 结果:在281名男孩和321名女孩中,平均年龄12岁(标准差0.9),56名男孩(20.0%)和70名女孩(23.3%)超重/肥胖。较高的健康水平与男孩(优势比[OR]0.74;95%置信区间0.55,0.99)和女孩(OR 0.93;95%置信区间0.91,0.99)超重/肥胖风险降低相关。看电视预示男孩超重/肥胖风险增加(OR 1.04;95%置信区间1.01,1.06),女孩风险降低(OR 0.99;95%置信区间0.96,0.99)。使用电脑、玩电子游戏及其他久坐行为与超重/肥胖风险无显著关联。蔬菜摄入量与男孩较低风险相关(OR 0.98;95%置信区间0.97,0.99);男孩和女孩脂肪摄入量较低、男孩能量密集型零食摄入量较低(OR 0.74;95%置信区间0.62,0.88)以及女孩蔬菜摄入量较高(OR 1.02;95%置信区间1.00,1.03)与较高风险相关,提示超重/肥胖儿童存在节食或知晓有利饮食选择的情况。 结论:在这些青少年中,健康水平与男孩和女孩超重/肥胖风险呈负相关。看电视是男孩超重/肥胖风险的正向预测因素,女孩的负向预测因素,但效应量较小;其他久坐行为不能预测风险。
Int J Pediatr Obes. 2006
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