Shamah-Levy Teresa, Cuevas-Nasu Lucia, Méndez-Gómez-Humarán Ignacio, Jimenez-Aguilar Alejandra, Mendoza-Ramirez Alfonso J, Villalpando Salvador
Centro de Investigaciones en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Arch Latinoam Nutr. 2011 Sep;61(3):288-95.
The objective of our study was to evaluate the association between consumption of food during the journey from home to school and back, with overweight and obesity, in a nationwide representative sample of school children. We assessed consumption outside the home in 9537 children, with information on availability and consumption of selected groups of food and beverages. Height, weight, total energy consumption, and sociodemographic variables were also obtained. We developed logistic regression models, and tested interactions with sociodemographic variables. The results of our study show that the prevalence of overweight and obesity was positively associated with dairy consumption in girls (OR:1.70; p = 0.01), as well as fried snacks consumption in school children living in Mexico City (OR: 1.68; p = 0.06). Consumption of fruits and vegetables in medium and high socioeconomic levels was negatively associated with the prevalence of overweight and obesity (OR: 0.54; p = 0.01 and 0.59; p = 0.07, respectively). We concluded that children during their stay away from home have a high availability of energy dense foods, which can influence their consumption and contribute to the development of overweight and obesity, so it is important to investigate this association in prospective studies.
我们研究的目的是在全国具有代表性的学龄儿童样本中,评估往返于家和学校途中的食物消费与超重和肥胖之间的关联。我们对9537名儿童的外出饮食情况进行了评估,获取了有关特定类别食品和饮料的供应情况及消费信息。同时还获取了身高、体重、总能量消耗以及社会人口统计学变量等信息。我们建立了逻辑回归模型,并测试了与社会人口统计学变量的相互作用。我们的研究结果表明,超重和肥胖的患病率与女孩的乳制品消费呈正相关(比值比:1.70;p = 0.01),以及与居住在墨西哥城的学龄儿童的油炸零食消费呈正相关(比值比:1.68;p = 0.06)。中高社会经济水平人群的水果和蔬菜消费与超重和肥胖的患病率呈负相关(分别为比值比:0.54;p = 0.01和0.59;p = 0.07)。我们得出结论,儿童在离家期间有大量高能量密度食物可供选择,这可能会影响他们的消费并导致超重和肥胖的发生,因此在前瞻性研究中调查这种关联很重要。