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采用结构方程模型定义家庭环境中儿童肥胖症和相关行为的复杂性。

Defining the complexity of childhood obesity and related behaviours within the family environment using structural equation modelling.

机构信息

Discipline of Public Health, School of Medicine, Flinders University, Adelaide, South Australia, Australia.

出版信息

Public Health Nutr. 2012 Jan;15(1):48-57. doi: 10.1017/S1368980011001832. Epub 2011 Aug 2.


DOI:10.1017/S1368980011001832
PMID:21806870
Abstract

OBJECTIVE: The present study aimed to define the complexity of the relationships between the family environment, health behaviours and obesity. A conceptual model that quantifies the relationships and interactions between parent factors, family environment, and certain aspects of children's behaviour and weight status is presented. DESIGN: Exploratory structural equation modelling was used to quantitatively model the relationships between parent, child and family environmental factors. SETTING: Adelaide, South Australia. SUBJECTS: Families (n 157) with children aged 5-10 years completed self-reported questionnaires, providing data on parents' knowledge, diet quality and activity habits; child feeding and general parenting styles; and the food and physical activity environments. Outcome variables included children's fruit and vegetable intake, activity and sedentary habits and weight status. RESULTS: The proposed model was an acceptable fit (normed fit index = 0·457; comparative fit index = 0·746; root-mean-squared error associated = 0·044). Parents' BMI (β = 0·32) and nutrition and physical activity knowledge (β = 0·17) had the strongest direct associations with children's BMI Z-score. Parents' dietary intake and energy expenditure behaviours were indirectly associated with children's behaviour through the creation of the home environment. The physical activity and food environments were associated with children's sedentary (β = -0·44) and activity habits (β = 0·29), and fruit and vegetable intake (β = 0·47), respectively. CONCLUSIONS: A conceptual model that quantifies the complex network of family environment factors influencing children's behaviour and weight status is presented. The model provides a basis for future research on larger representative samples with a view to guiding obesity prevention interventions.

摘要

目的:本研究旨在确定家庭环境、健康行为与肥胖之间关系的复杂性。提出了一个概念模型,该模型量化了父母因素、家庭环境以及儿童行为和体重状况某些方面之间的关系和相互作用。

设计:采用探索性结构方程模型对父母、儿童和家庭环境因素之间的关系进行定量建模。

设置:南澳大利亚州阿德莱德。

对象:年龄在 5-10 岁的儿童的家庭(n=157)完成了自我报告问卷,提供了父母知识、饮食质量和活动习惯;儿童喂养和一般育儿风格;以及食物和体育活动环境的数据。结果变量包括儿童的水果和蔬菜摄入量、活动和久坐习惯以及体重状况。

结果:所提出的模型拟合度良好(规范拟合指数=0.457;比较拟合指数=0.746;均方根误差关联=0.044)。父母的 BMI(β=0.32)和营养与体育活动知识(β=0.17)与儿童 BMI Z 评分有最强的直接关联。父母的饮食摄入和能量消耗行为通过创造家庭环境与儿童的行为间接相关。体育活动和食物环境分别与儿童的久坐(β=-0.44)和活动习惯(β=0.29)以及水果和蔬菜摄入量(β=0.47)相关。

结论:提出了一个量化影响儿童行为和体重状况的家庭环境因素复杂网络的概念模型。该模型为未来在更大的代表性样本中进行研究提供了基础,以期指导肥胖预防干预。

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