McCormack Gavin R, Hawe Penelope, Perry Rosemary, Blackstaffe Anita
Department of Community Health Sciences, Population Health Intervention Research Centre, University of Calgary, Calgary, Alberta.
Paediatr Child Health. 2011 Jan;16(1):19-24. doi: 10.1093/pch/16.1.19.
Results of studies examining associations between socioeconomic status and obesity among children are mixed.
To examine whether physical activity, television viewing, computer use, and fruit, vegetable, soft drink and sweet consumption differed according to familial affluence of children attending schools in disadvantaged communities.
A total of 218 children (seven to 11 years of age) recruited from three Calgary (Alberta) schools located in two adjacent socioeconomically disadvantaged neighbourhoods completed online surveys during the spring of 2005/2006. The number of days per week participating in vigorous physical activity for more than 20 min, and weekly frequency of fruit, vegetable, sweet and soft drink consumption were collected. Time spent watching television and using a computer during a normal school day was also captured. A family affluence scale was used to assess socioeconomic status (number of family holidays in the past year, ownership of motor vehicles and computers, and bedroom sharing). Associations between familial affluence and obesity risk behaviours were estimated using Pearson's correlation and demographic-adjusted logistic regression ORs.
Higher family affluence scale scores were significantly associated with weekly fruit consumption (r=0.14). Children with lower affluence were less likely to participate in vigorous physical activity five days/week or more (OR=0.39), and to use a computer for more than 2 h/day (OR=0.41) than children with higher affluence. Linear trends between familial affluence and the likelihood of participating in physical activity and using a computer were also found. However, no other behaviours were related to affluence.
Increasing opportunities for physical activity and accessibility to healthy food may be important for reducing obesity risk among less affluent children.
关于儿童社会经济地位与肥胖之间关联的研究结果不一。
探讨在处境不利社区上学的儿童中,体育活动、看电视、使用电脑以及水果、蔬菜、软饮料和甜食消费是否因家庭富裕程度而异。
2005/2006年春季,从卡尔加里(艾伯塔省)两个相邻社会经济处境不利社区的三所学校招募了218名7至11岁儿童,他们完成了在线调查。收集了每周进行超过20分钟剧烈体育活动的天数,以及水果、蔬菜、甜食和软饮料的每周消费频率。还记录了正常上学日看电视和使用电脑的时间。使用家庭富裕程度量表评估社会经济地位(过去一年的家庭度假次数、机动车和电脑的拥有情况以及卧室共享情况)。使用Pearson相关性和人口统计学调整后的逻辑回归OR值估计家庭富裕程度与肥胖风险行为之间的关联。
较高的家庭富裕程度量表得分与每周水果消费显著相关(r = 0.14)。与富裕程度较高的儿童相比,富裕程度较低的儿童每周五天或更多天参与剧烈体育活动的可能性较小(OR = 0.39),每天使用电脑超过2小时的可能性较小(OR = 0.41)。还发现了家庭富裕程度与参与体育活动和使用电脑可能性之间的线性趋势。然而,没有其他行为与富裕程度相关。
增加体育活动机会和获取健康食品的便利性对于降低较贫困儿童的肥胖风险可能很重要。