Hirschler Valeria, Buzzano Karina, Erviti Anabella, Ismael Noemi, Silva Silvina, Dalamon Ricardo
Nutrition and Diabetes Department, Hospital Durand, Buenos Aires, Argentina.
BMC Pediatr. 2009 Feb 24;9:17. doi: 10.1186/1471-2431-9-17.
There is growing interest in understanding the role that lifestyle behaviors play in relation to children's weight status. The objective of the study was to determine the association between children s BMI and dietary practices and maternal BMI.
330 students (168M) aged 8.9 + 2 y from 4 suburban Buenos Aires elementary schools, and their mothers aged 36.2 + 7 y were examined between April and September 2007. Mothers were asked about their children s lifestyle. Data included parental education levels socioeconomic status, mothers and children s BMI, and Tanner stage.
All families were in the low socio-economic class. 79% of parents had an elementary education or less. 61 (18.5%) of children were obese (OB) (BMI>95%ile per CDC norms), and 53 (16.1%) overweight (OW) (BMI>85<95%ile). 103 (31.2%) of mothers were OB (BMI>30 kg/m2), and 102 (30.9%) OW (BMI>25<30). 63% the children were pre-pubertal. 40% had a TV set in their bedroom. 13% of the children skipped breakfast and only 38% watched TV <or=2 hours daily, as recommended. Multiple logistic regression analysis showed a positive association between children s OW/OB and drinking sweetened beverages (OR = 1.24; 95% CI, 1.02-1.52), TV viewing (OR = 1.30; 95% CI,1.05-1.62), and maternal BMI (OR: 1.07; 95% CI,1.02-1.12), and a negative association with eating breakfast (OR = 0.43; 95% CI, 0.19-0.97) adjusted for fruit and vegetables consumption, milk consumption, maternal educational level and socioeconomic class.
Our results suggest that TV viewing, drinking sweet beverages, skipping breakfast, and maternal BMI are important predictive variables for childhood OW/OB.
人们越来越关注了解生活方式行为在儿童体重状况方面所起的作用。本研究的目的是确定儿童体重指数（BMI）与饮食习惯及母亲BMI之间的关联。
2007年4月至9月期间，对来自布宜诺斯艾利斯郊区4所小学的330名8.9±2岁的学生（168名男性）及其36.2±7岁的母亲进行了检查。询问母亲们关于其孩子的生活方式。数据包括父母的教育水平、社会经济地位、母亲和孩子的BMI以及坦纳分期。
所有家庭都属于低社会经济阶层。79%的父母接受过小学及以下教育。61名（18.5%）儿童肥胖（BMI超过疾病控制与预防中心（CDC）标准的第95百分位数），53名（16.1%）超重（BMI在第85至95百分位数之间）。103名（31.2%）母亲肥胖（BMI>30kg/m²），102名（30.9%）超重（BMI在25至30之间）。63%的儿童处于青春期前。40%的儿童卧室里有电视机。13%的儿童不吃早餐，只有38%的儿童每天看电视时间≤2小时，符合推荐标准。多因素逻辑回归分析显示，儿童超重/肥胖与饮用甜味饮料（比值比（OR）=1.24；95%置信区间（CI），1.02 - 1.52）、看电视（OR = 1.30；95%CI，1.05 - 1.62）以及母亲BMI（OR：1.07；95%CI，1.02 - 1.12）呈正相关，与吃早餐呈负相关（OR = 0.43；95%CI，0.19 - 0.97），对水果和蔬菜摄入量、牛奶摄入量、母亲教育水平和社会经济阶层进行了校正。
我们的研究结果表明，看电视、饮用甜味饮料、不吃早餐以及母亲BMI是儿童超重/肥胖的重要预测变量。
