Department of Agricultural and Consumer Economics, University of Illinois, Urbana, IL, USA.
Obes Rev. 2011 May;12(5):e54-63. doi: 10.1111/j.1467-789X.2010.00813.x. Epub 2010 Nov 3.
Research has established a wide array of genetic and environmental factors that are associated with childhood obesity. The focus of this review is on recent work that has established the relationship between one set of environmental factors, stressors and childhood obesity. These stressors are particularly prevalent for low-income children, a demographic group that has high rates of obesity in the USA and other developed countries. In this review, we begin by summarizing the psychosocial stressors faced by children followed by health outcomes associated with exposure to these stressors documented in the literature. We then summarize 11 articles which examined the connection between psychosocial stressors in the household and obesity and eight articles which examined the connection between individual psychosocial stressors and obesity. Policy recommendations emerging from this research include recognizing reductions in childhood obesity as a potential added benefit of social safety net programmes that reduce financial stress among families. In addition, policies and programmes geared towards childhood obesity prevention should focus on helping children build resources and capacities to teach them how to cope effectively with stressor exposure. We conclude with suggestions for future research.
研究已经确定了一系列与儿童肥胖相关的遗传和环境因素。本综述的重点是最近的工作,这些工作已经确定了一组环境因素(压力源)与儿童肥胖之间的关系。这些压力源在低收入儿童中尤为普遍,这是一个在美国和其他发达国家肥胖率很高的人群。在本综述中,我们首先总结了儿童面临的心理社会压力源,然后总结了文献中记录的与接触这些压力源相关的健康结果。然后,我们总结了 11 篇文章,这些文章探讨了家庭中的心理社会压力源与肥胖之间的关系,以及 8 篇文章探讨了个体心理社会压力源与肥胖之间的关系。这项研究提出的政策建议包括认识到减少儿童肥胖是减少家庭经济压力的社会安全网方案的一个潜在附加好处。此外,针对儿童肥胖预防的政策和方案应侧重于帮助儿童建立资源和能力,教他们如何有效地应对压力源的暴露。最后我们提出了未来研究的建议。