Serene Tung E H, Shamarina S, Mohd Nasir M T
Department of Biology, Faculty of Science, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor.
Malays J Nutr. 2011 Aug;17(2):151-62.
A cross-sectional study was conducted to determine the familial and socio-environmental predictors of overweight and obesity among 1430, 9-12 year-old primary school children and their parents in Selangor and Kuala Lumpur.
Body weight and height were measured and body mass index was calculated. Modified Child Feeding (CFQ) and Determinants of Adolescent Social Well-being and Health (DASH) questionnaires were used to measure familial and socio-environmental factors.
A total of 17.9% of the children were overweight while 16.0% were obese. Positive relationships were found between child's BMI and parent's BMI (r = 0.129, p < or = 0.01), concern about child's weight (r = 0.125, p < or = 0.01) and restriction (r = 0.057, p < or = 0.05) to unhealthy foods. However, negative relationships were found between child's BMI with pressure to eat (r = -0.135, p < or = 0.01) and neighbourhood safety perception (r = -0.053, p < or = 0.05). The logistic regression analysis showed that being male (Exp (beta) = 0.538; 95% CI = 0.421-0.687), higher parent's BMI (Exp (beta) = 1.055; 95% CI = 1.028-1.082), higher concern about child's weight (Exp (beta) = 1.082; 95% CI = 1.030-1.127), low pressure to eat (Exp (beta) = 0.857; 95% CI = 0.801-0.916) and low perception of neighbourhood safety (Exp (beta) = 0.951; 95% CI = 0.913-0.990) were significantly associated with increased risk of overweight.
Parents should be the main target for education to modify children's weight status. Further research should be carried out to understand the mechanism of influence of parents and the socio-environment on child's health.
开展了一项横断面研究，以确定雪兰莪州和吉隆坡1430名9至12岁小学生及其父母超重和肥胖的家庭及社会环境预测因素。
测量体重和身高，并计算体重指数。采用改良的儿童喂养问卷（CFQ）和青少年社会幸福感与健康决定因素问卷（DASH）来测量家庭及社会环境因素。
共有17.9%的儿童超重，16.0%的儿童肥胖。发现儿童BMI与父母BMI之间存在正相关（r = 0.129，p≤0.01），对儿童体重的关注（r = 0.125，p≤0.01）以及对不健康食品的限制（r = 0.057，p≤0.05）。然而，儿童BMI与进食压力（r = -0.135，p≤0.01）和邻里安全感知（r = -0.053，p≤0.05）之间存在负相关。逻辑回归分析表明，男性（Exp（β）= 0.538；95%置信区间 = 0.421 - 0.687）、父母较高的BMI（Exp（β）= 1.055；95%置信区间 = 1.028 - 1.082）、对儿童体重较高的关注（Exp（β）= 1.082；95%置信区间 = 因此，父母应成为改变儿童体重状况教育的主要目标。应开展进一步研究，以了解父母和社会环境对儿童健康的影响机制。 1.030 - 1.127）、较低的进食压力（Exp（β）= 0.857；95%置信区间 = 0.801 - 0.916）和较低的邻里安全感知（Exp（β）= 0.951；95%置信区间 = 0.913 - 0.990）与超重风险增加显著相关。
父母应成为改变儿童体重状况教育的主要目标。应开展进一步研究，以了解父母和社会环境对儿童健康的影响机制。
