孟加拉国城市学童和青少年超重及肥胖相关危险因素：一项病例对照研究。
Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case-control study.
作者信息
Bhuiyan Mejbah Uddin, Zaman Shahaduz, Ahmed Tahmeed
出版信息
BMC Pediatr. 2013 May 8;13:72. doi: 10.1186/1471-2431-13-72.
BACKGROUND
Childhood obesity has become an emerging urban health problem in urban cities in Bangladesh, particularly in affluent families. Risk factors for obesity in this context have not been explored yet. The objective of this study was to identify the risk factors associated with overweight and obesity among school children and adolescents in Dhaka, Bangladesh.
METHODS
From October through November 2007, we conducted a case-control study among children aged 10-15 years in seven schools in Dhaka. We assessed body mass index (weight in kg/height in sq. meter) to identify the cases (overweight/obese) and controls (healthy/normal weight) following the Centers for Disease Control and Prevention age and sex specific growth chart. We used a structured questionnaire to collect demographic information and respondent's exposure to several risk factors such as daily physical activity at home and in school, hours spent on computer games and television watching, maternal education level and parents' weight and height.
RESULTS
We enrolled 198 children: 99 cases, 99 controls. Multiple logistic regression analysis revealed that having at least one overweight parent (OR = 2.8, p = 0.001) and engaging in sedentary activities for >4 hours a day (OR = 2.0, p = 0.02) were independent risk factors for childhood overweight and/or obesity while exercising ≥ 30 minutes a day at home was a protective factor (OR = 0.4, p = 0.02). There were no significant associations between childhood overweight and sex, maternal education or physical activity at school.
CONCLUSION
Having overweight parents along with limited exercise and high levels of sedentary activities lead to obesity among school children in urban cities in Bangladesh. Public health programs are needed to increase awareness on risk factors for overweight and obesity among children and adolescents in order to reduce the future burden of obesity-associated chronic diseases.
背景
儿童肥胖已成为孟加拉国城市中一个新出现的城市健康问题，尤其是在富裕家庭中。在这种情况下，肥胖的风险因素尚未得到探讨。本研究的目的是确定孟加拉国达卡市学童和青少年中超重和肥胖相关的风险因素。
方法
2007年10月至11月，我们在达卡的七所学校对10至15岁的儿童进行了一项病例对照研究。我们根据疾病控制和预防中心的年龄和性别特定生长图表，评估体重指数（体重以千克为单位/身高以平方米为单位）以确定病例（超重/肥胖）和对照（健康/正常体重）。我们使用结构化问卷收集人口统计学信息以及受访者接触的几个风险因素，如在家和在学校的日常体育活动、花在电脑游戏和看电视上的时间、母亲的教育水平以及父母的体重和身高。
结果
我们招募了198名儿童：99例病例，99例对照。多因素逻辑回归分析显示，至少有一位超重的父母（比值比[OR] = 2.8，p = 0.001）以及每天进行久坐活动超过4小时（OR = 2.0，p = 0.02）是儿童超重和/或肥胖的独立风险因素，而每天在家锻炼≥30分钟是一个保护因素（OR = 0.4，p = 0.02）。儿童超重与性别、母亲教育程度或学校体育活动之间没有显著关联。
结论
父母超重，同时运动有限且久坐活动水平高，导致孟加拉国城市学童肥胖。需要开展公共卫生项目，提高儿童和青少年对超重和肥胖风险因素的认识，以减轻未来肥胖相关慢性病的负担。
Zotero 插件