Dannemann A, Ernert A, Rücker P, Babitsch B, Wiegand S
Interdisziplinäres Sozialpädiatrisches Zentrum der Charité-Kinderklinik, Universitätsmedizin Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 May;54(5):636-41. doi: 10.1007/s00103-011-1258-5.
Obesity and metabolic syndrome are important risk factors for cardiovascular diseases. In this study, the influence of migration background and parental education on the degree of obesity and the presence of the metabolic syndrome (MS) in children and adolescents (N=492) requiring sociopediatric care were investigated. Two regression models were computed with the dependent variables BMI-SDS and MS, respectively. Age, gender, migration background, and parental education were used as independent variables. When controlling for age and gender, higher BMI-SDS were found among Turkish patients (β=0.21; p=0.002) and patients with other migration backgrounds (β=0.11; p=0.085) compared to German patients. The BMI-SDS values were also higher among patients from families with a low parental education level compared to those with a higher education level (β=0.31; p<0.001). The key risk factor for MS is the BMI-SDS (OR: 8.9; p=0.011). No influence could be determined for migration background and parental education, when controlling for age, gender, and BMI-SDS. Obesity therapy should be increasingly tailored to the needs of identified risk groups. This will also allow for a targeted prevention of comorbidities.
肥胖和代谢综合征是心血管疾病的重要危险因素。在本研究中，调查了移民背景和父母教育程度对需要社会儿科护理的儿童和青少年（N = 492）肥胖程度和代谢综合征（MS）存在情况的影响。分别以BMI-SDS和MS作为因变量计算了两个回归模型。年龄、性别、移民背景和父母教育程度用作自变量。在控制年龄和性别后，发现土耳其患者（β = 0.21；p = 0.002）和其他移民背景患者（β = 0.11；p = 0.085）的BMI-SDS高于德国患者。与高学历家庭的患者相比，父母教育水平低的家庭的患者BMI-SDS值也更高（β = 0.31；p < 0.001）。MS的关键危险因素是BMI-SDS（OR：8.9；p = 0.011）。在控制年龄、性别和BMI-SDS后，无法确定移民背景和父母教育程度的影响。肥胖治疗应越来越多地根据已确定的风险群体的需求进行调整。这也将有助于有针对性地预防合并症。
