Prevention Research Branch, Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6100 Executive Boulevard, Bethesda MD 20892-7510, USA.
Am J Prev Med. 2010 Mar;38(3):258-67. doi: 10.1016/j.amepre.2009.10.038.
The prevalence and severity of obesity have increased among children and adolescents. Although the medical and psychosocial consequences of youth obesity have been well documented, comparatively less information exists on the association of overweight/obesity with health-risk behaviors, which are considered to be a primary threat to adolescent health.
This study aims to examine the association of overweight and obesity with health-risk behaviors among U.S. youth.
Self-reported height and weight, substance use, violence, and bullying were assessed in a nationally representative sample of students aged 11-17 years (N=7825) who participated in the 2005-2006 Health Behaviors in School-Aged Children survey. Data were analyzed in 2009.
Significant gender and age differences in the relationship of overweight/obesity with risk behaviors were observed. Overweight and obesity were significantly associated with substance use among girls only: Frequent smoking and drinking were associated with overweight and obesity among younger girls, whereas these behaviors were associated with obesity among older girls. Frequent smoking and cannabis use were associated with overweight among younger girls only. Relationships between violent behavior and overweight/obesity were mainly observed among boys: Younger obese boys were more likely to be victims of bullying, whereas older obese boys were more likely to carry weapons compared to boys of normal weight.
Overweight and obese young people are at risk of developing health-compromising behaviors that may compound medical and social problems associated with excess weight.
儿童和青少年的肥胖症患病率和严重程度有所增加。尽管青少年肥胖症的医学和社会心理后果已有充分记录，但关于超重/肥胖与健康风险行为之间的关联的信息相对较少，而健康风险行为被认为是青少年健康的主要威胁。
本研究旨在研究超重和肥胖与美国青少年健康风险行为之间的关系。
在参与了 2005-2006 年《儿童健康行为调查》的 11-17 岁的全国代表性样本学生中，评估了自我报告的身高和体重、物质使用、暴力和欺凌行为。数据于 2009 年进行了分析。
观察到超重/肥胖与风险行为之间存在显著的性别和年龄差异。超重和肥胖与女孩中仅物质使用显著相关：频繁吸烟和饮酒与年龄较小的女孩的超重和肥胖有关，而这些行为与年龄较大的女孩的肥胖有关。频繁吸烟和大麻使用与年龄较小的女孩的超重有关。暴力行为与超重/肥胖之间的关系主要在男孩中观察到：肥胖的年轻男孩更有可能成为欺凌行为的受害者，而肥胖的年长男孩与正常体重的男孩相比更有可能携带武器。
超重和肥胖的年轻人有发展危害健康的行为的风险，这些行为可能会加剧与超重相关的医疗和社会问题。
