Garn S M, Sullivan T V, Hawthorne V M
Center for Human Growth and Development, University of Michigan, Ann Arbor 48109-0406.
Int J Obes. 1991 Feb;15(2):105-10.
As shown in more than 8000 proband-parent pairs derived from a total-community sample and followed in longitudinal fashion, the 5-year incidence of obesity (new cases per 5-year period) approximates 8 percent for the juvenile-onset, adolescent-onset and adult-onset obese alike. Parents of juvenile-onset (ages 5-9), adolescent-onset (10-19) and adult-onset obese (20-39) tend to be of above-average fatness level, +0.25Z scores, overall, regardless of the age at onset of obesity in their progeny. Except for the parents of the juvenile-onset obese, educational level of the parents tends to be below average for the sample as a whole. These new data acquired in longitudinal context and explored in retrospective-prospective fashion do not substantiate the notion that different onset ages of obesity indicate separate etiologies and different family constellations.
在从整个社区样本中选取并进行纵向跟踪的8000多个先证者-父母对中,青少年期发病、青春期发病和成年期发病的肥胖者,其5年肥胖发病率(每5年的新发病例数)均约为8%。总体而言,青少年期发病(5至9岁)、青春期发病(10至19岁)和成年期发病的肥胖者(20至39岁)的父母往往脂肪水平高于平均水平,Z值为+0.25,无论其后代肥胖发病年龄如何。除青少年期发病的肥胖者的父母外,总体样本中父母的教育水平往往低于平均水平。这些在纵向背景下获得并以前瞻性-回顾性方式进行探索的新数据,并未证实肥胖发病年龄不同表明病因不同和家庭构成不同这一观点。