de Jong Elske, Schokker Dieuwke F, Visscher Tommy L S, Seidell Jacob C, Renders Carry M
Research Centre for the Prevention of Overweight, VU/Windesheim, Postbus 10090, 8000 GB Zwolle, The Netherlands.
Int J Pediatr Obes. 2011 Aug;6(3-4):298-305. doi: 10.3109/17477166.2011.583659. Epub 2011 Jun 27.
To identify neighbourhoods with increased prevalence of overweight children and to examine whether the association between neighbourhood and overweight can be explained by demographic characteristics and energy-related behaviours.
This cross-sectional study was carried out among 4,072 primary schoolchildren in the city of Zwolle, The Netherlands. Data collection consisted of measured height, weight and waist circumference, and a parental questionnaire on socio-demographic characteristics, dietary and (in)activity behaviour of their child. With multivariate logistic regressions, associations between unhealthy behaviours and neighbourhoods (defined by postal code) with high and low prevalence of childhood overweight were investigated.
In three neighbourhoods the prevalence of overweight was significantly higher (16.5% vs. 10.6%, p < 0.05). The odds of living in these neighbourhoods were higher among children watching >2 h television/day (OR: 1.57; 95% CI: 1.15-2.14), not eating breakfast daily (OR: 2.86; 95% CI: 1.93-4.23), drinking >3 glasses/day sugared drinks (OR: 1.23; 95% CI: 1.01-1.50) on weekdays and not participating in organized sports (OR: 1.32; 95% CI: 1.09-1.59). This odds was however lower among children eating <2 fruit/day (OR: 0.83; 95% CI: 0.69-1.00) on weekends. The association between neighbourhood and overweight altered slightly after adjustment for socio-demographic and behavioural characteristics during weekdays (OR: 1.42; 95% CI: 1.05-1.92) and weekends (OR: 1.50; 95% CI; 1.11-2.02).
Three neighbourhoods with higher prevalence of overweight were identified. A small part of the association between overweight and neighbourhood is explained by socio-demographic factors and unhealthy behaviours measured in this study. Neighbourhoods with higher overweight prevalence are a priority setting for targeted interventions to prevent overweight. The association between neighbourhood and overweight needs to be explored further to understand the role the neighbourhood can play in tackling overweight.
识别超重儿童患病率较高的社区，并研究社区与超重之间的关联是否可以通过人口统计学特征和与能量相关的行为来解释。
这项横断面研究在荷兰兹沃勒市的4072名小学生中进行。数据收集包括测量身高、体重和腰围，以及一份关于其孩子社会人口学特征、饮食和（不）活动行为的家长问卷。通过多变量逻辑回归，研究了不健康行为与儿童超重患病率高和低的社区（按邮政编码定义）之间的关联。
在三个社区中，超重患病率显著更高（16.5%对10.6%，p<0.05）。在每天看电视超过2小时的儿童中，居住在这些社区的几率更高（比值比：1.57；95%置信区间：1.15 - 2.14），不每天吃早餐的儿童（比值比：2.86；95%置信区间：1.93 - 4.23），工作日每天喝超过3杯含糖饮料的儿童（比值比：1.23；95%置信区间：1.01 - 1.50）以及不参加有组织体育活动的儿童（比值比：1.32；95%置信区间：1.09 - 1.59）。然而，在周末每天吃水果少于2份的儿童中，这种几率较低（比值比：0.83；95%置信区间：0.69 - 1.00）。在对工作日（比值比：1.42；95%置信区间：1.05 - 1.92）和周末（比值比：1.50；95%置信区间：1.11 - 2.02）的社会人口学和行为特征进行调整后，社区与超重之间的关联略有变化。
确定了三个超重患病率较高的社区。本研究中测量的社会人口学因素和不健康行为解释了超重与社区之间关联的一小部分。超重患病率较高的社区是预防超重的针对性干预措施的优先设定对象。社区与超重之间的关联需要进一步探索，以了解社区在应对超重方面可以发挥的作用。
