Department of Population Studies and Surveillance, Cancer Care Ontario, 620 University Avenue, Toronto, Ontario, Canada.
J Youth Adolesc. 2011 Mar;40(3):361-72. doi: 10.1007/s10964-009-9491-z. Epub 2009 Dec 16.
Few studies have examined how school characteristics are associated with obesity. The purpose of this study was to examine the student- and school-level characteristics associated with being overweight and obese among 12,049 students in grades 9 and 10 (junior students) attending 76 secondary schools in Ontario, Canada. The sample was 49.2% female and the average age was 14.7 years. Overall, 15.0% of the sample was considered overweight and 6.3% of the sample was considered obese. Multi-level regression analysis revealed significant between-school random variation for the likelihood of a junior student (grade 9 or 10) being overweight or obese. For each 1% increase in the prevalence of obese senior students (grade 11 and 12) at a school, the odds of a junior student at that school being overweight or obese increased significantly. Important student-level characteristics included physical activity, screen time sedentary behaviour (e.g., watching television), participation in varsity sports and gender. Future research should evaluate if the optimal population level impact for school-based obesity prevention programming might be achieved by targeting the schools that are putting students at the greatest risk.
很少有研究探讨学校特征与肥胖之间的关系。本研究的目的是调查加拿大安大略省 76 所中学的 12049 名 9 年级和 10 年级(初中生)学生的个体和学校特征与超重和肥胖的关系。样本中 49.2%为女性,平均年龄为 14.7 岁。总体而言,15.0%的样本被认为超重,6.3%的样本被认为肥胖。多水平回归分析显示,初中生(9 年级或 10 年级)超重或肥胖的可能性存在显著的校际随机变异。在某所学校中,每增加 1%肥胖的 11 年级和 12 年级(高年级)学生的比例,该学校的初中生超重或肥胖的可能性就会显著增加。重要的学生特征包括体育活动、屏幕时间久坐行为(如看电视)、参与大学体育活动和性别。未来的研究应该评估,通过针对风险最高的学校,是否可以实现针对基于学校的肥胖预防计划的最佳人群水平影响。