Walking Behaviour Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Int J Behav Nutr Phys Act. 2011 Jun 25;8:66. doi: 10.1186/1479-5868-8-66.
BACKGROUND: This study examines associations between pedometer-determined steps/day and parent-reported child's Body Mass Index (BMI) and time typically spent watching television between school and dinner. METHODS: Young people (aged 5-19 years) were recruited through their parents by random digit dialling and mailed a data collection package. Information on height and weight and time spent watching television between school and dinner on a typical school day was collected from parents. In total, 5949 boys and 5709 girls reported daily steps. BMI was categorized as overweight or obese using Cole's cut points. Participants wore pedometers for 7 days and logged daily steps. The odds of being overweight and obese by steps/day and parent-reported time spent television watching were estimated using logistic regression for complex samples. RESULTS: Girls had a lower median steps/day (10682 versus 11059 for boys) and also a narrower variation in steps/day (interquartile range, 4410 versus 5309 for boys). 11% of children aged 5-19 years were classified as obese; 17% of boys and girls were overweight. Both boys and girls watched, on average, < 40 minutes of television between school and dinner on school days. Adjusting for child's age and sex and parental education, the odds of a child being obese decreased by 20% for every extra 3000 steps/day and increased by 21% for every 30 minutes of television watching. There was no association of being overweight with steps/day, however the odds of being overweight increased by 8% for every 30 minutes of additional time spent watching television between school and dinner on a typical school day. DISCUSSION: Television viewing is the more prominent factor in terms of predicting overweight, and it contributes to obesity, but steps/day attenuates the association between television viewing and obesity, and therefore can be considered protective against obesity. In addition to replacing opportunities for active alternative behaviours, exposure to television might also impact body weight by promoting excess energy intake. CONCLUSIONS: In this large nationally representative sample, pedometer-determined steps/day was associated with reduced odds of being obese (but not overweight) whereas each parent-reported hour spent watching television between school and dinner increased the odds of both overweight and obesity.
背景:本研究旨在探讨计步器记录的步数/天与父母报告的儿童体重指数(BMI)以及放学后至晚餐期间看电视时间之间的关系。
方法:通过随机数字拨号招募 5-19 岁的年轻人,并向他们的父母邮寄数据收集包。从父母那里收集身高、体重以及典型上学日放学后至晚餐期间看电视的时间等信息。共有 5949 名男孩和 5709 名女孩报告了每天的步数。使用 Cole 的切点将 BMI 分为超重或肥胖。参与者佩戴计步器 7 天,并记录每天的步数。使用复杂样本的逻辑回归估计每天步数和父母报告的看电视时间与超重和肥胖的几率。
结果:女孩的平均步数/天(男孩为 11059 步,女孩为 10682 步)较低,且步数/天的变化幅度也较小(男孩为 5309 步,女孩为 4410 步)。11%的 5-19 岁儿童被归类为肥胖;男孩和女孩的超重率均为 17%。上学日期间,孩子们平均在放学后至晚餐之间观看电视的时间不足 40 分钟。调整儿童年龄、性别和父母教育程度后,每天多走 3000 步,肥胖的几率降低 20%;每天多观看 30 分钟电视,肥胖的几率增加 21%。每天的步数与超重无关,但在典型上学日,每天在放学后至晚餐期间多观看 30 分钟电视,超重的几率增加 8%。
讨论:就预测超重而言,看电视是一个更为突出的因素,它会导致肥胖,但每天的步数会减弱看电视与肥胖之间的关联,因此可以被认为是预防肥胖的因素。除了取代积极的替代行为的机会外,看电视也可能通过促进过多的能量摄入而对体重产生影响。
结论:在这个大型全国代表性样本中,计步器记录的步数/天与肥胖几率降低有关(但与超重无关),而父母报告的放学后至晚餐期间每小时看电视时间增加了超重和肥胖的几率。
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