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多层次考察学校环境中老年人社会模式与年轻学生超重和肥胖之间的关联。

A multi-level examination of the association between older social models in the school environment and overweight and obesity among younger students.

机构信息

Department of Population Studies and Surveillance, Cancer Care Ontario, 620 University Avenue, Toronto, Ontario, Canada.

出版信息

J Youth Adolesc. 2011 Mar;40(3):361-72. doi: 10.1007/s10964-009-9491-z. Epub 2009 Dec 16.

Abstract

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.

摘要

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。

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