Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Australia.
Int J Behav Nutr Phys Act. 2010 Mar 23;7:23. doi: 10.1186/1479-5868-7-23.
Socioeconomically disadvantaged mothers are at high risk of obesity, yet the aetiology of obesity in this group remains poorly understood. The aim of this study was to examine the perceived personal, social and physical environmental factors associated with resilience to obesity among mothers from socioeconomically disadvantaged neighbourhoods.
Survey data were provided by a cohort of 1840 women aged 18-46 years with dependent children (aged 0-18 years) from 40 urban and 40 rural socioeconomically disadvantaged neighbourhoods across Victoria, Australia. Mothers responded to a number of questions relating to personal, social and environmental influences on their physical activity and eating habits. Mothers' weight status was classified as healthy weight (BMI: 18.5-24.99), overweight (BMI: 25-29.99) or obese (BMI: 30+).
Mothers' weight status was bivariably associated with factors from all three domains (personal, social and physical environmental). In a multivariable model, mothers' perceived ability to make time for healthy eating (OR = 1.34) and physical activity (OR = 1.11) despite family commitments, and the frequency with which families ate healthy low-fat foods with mothers (OR = 1.28) remained significantly positively associated with healthy weight status. The frequency with which families encouraged eating healthy low-fat foods remained negatively associated (OR = 0.81) with weight status; ie greater encouragement was associated with less healthy weight status.
Drawing on the characteristics of mothers resilient to obesity might assist in developing intervention strategies to help other mothers in socioeconomically disadvantaged neighbourhoods to manage their weight. Such strategies might focus on planning for and prioritising time for healthy eating and physical activity behaviours, and including family members in and encouraging family mealtimes.
社会经济地位较低的母亲肥胖风险较高，但该人群肥胖的病因仍知之甚少。本研究旨在探讨与社会经济地位较低社区的母亲肥胖抵抗力相关的感知个人、社会和物理环境因素。
调查数据来自澳大利亚维多利亚州 40 个城市和 40 个农村社会经济地位较低社区的 1840 名 18-46 岁有子女（0-18 岁）的女性队列。母亲回答了一些与个人、社会和环境对其体育活动和饮食习惯的影响有关的问题。母亲的体重状况分为健康体重（BMI：18.5-24.99）、超重（BMI：25-29.99）或肥胖（BMI：30+）。
母亲的体重状况与三个领域（个人、社会和物理环境）的因素均存在双变量关联。在多变量模型中，尽管有家庭承诺，母亲认为自己有能力为健康饮食（OR=1.34）和体育活动（OR=1.11）腾出时间，以及家庭与母亲一起吃健康低脂食物的频率（OR=1.28）仍与健康体重状况呈显著正相关。家庭鼓励健康低脂饮食的频率与体重状况呈负相关（OR=0.81）；即更多的鼓励与更不健康的体重状况相关。
借鉴对肥胖具有抵抗力的母亲的特征，可能有助于制定干预策略，帮助社会经济地位较低社区的其他母亲管理体重。这些策略可能侧重于规划和优先考虑健康饮食和体育活动行为的时间，并让家庭成员参与并鼓励家庭用餐时间。
