Gurzkowska Beata, Kułaga Zbigniew, Litwin Mieczysław, Grajda Aneta, Świąder Anna, Kułaga Katarzyna, Góźdź Magdalena, Wojtyło Małgorzata
Public Health Division, The Children's Memorial Health Institute, al. Dzieci Polskich 20, 04-730, Warsaw, Poland.
Eur J Pediatr. 2014 Jan;173(1):45-52. doi: 10.1007/s00431-013-2109-1. Epub 2013 Aug 6.
The aim of the present paper was to examine the associations between anthropometric parameters, overweight, obesity, and socioeconomic status (SES) of children and adolescents in Poland. Data were collected in the "Elaboration of reference blood pressure ranges for children and adolescents in Poland" OLAF-PL0080 (OLAF) study, a nationally representative survey on growth and blood pressure references for children and adolescents aged 7-18 years. Body height, weight, and waist circumference (WC) were measured, and body mass index (BMI) was calculated. Anthropometric parameters were standardized for age and gender and expressed as z-scores. Statistical analyses were conducted on 10,950 children and adolescents whose parents provided socioeconomic questionnaires. The associations between anthropometric parameters, overweight (including obesity), and SES were analyzed using multiple regression and multiple logistic regression. The height was positively associated with higher levels of maternal education and, in the case of girls, also with paternal education. Higher level of income per capita, but not the highest, was associated with higher weight, BMI, and WC and, in the case of boys, also tall stature. The height, weight, BMI, and waist were significantly inversely associated with number of children in the family. Lower number of children in the family and higher level of income, but not the highest, increased odds of overweight and obesity. In the case of girls, the odds of obesity decreased with paternal higher level of education.
The social position associated with parents' education, better environment, and SES correlate with body height and weight of a child. However, it is associated with higher risk of overweight and abdominal obesity.
本文旨在研究波兰儿童和青少年的人体测量参数、超重、肥胖与社会经济地位(SES)之间的关联。数据收集于“波兰儿童和青少年参考血压范围的制定”OLAF - PL0080(OLAF)研究,这是一项关于7至18岁儿童和青少年生长及血压参考值的全国代表性调查。测量了身高、体重和腰围(WC),并计算了体重指数(BMI)。人体测量参数按年龄和性别进行标准化,并表示为z分数。对10950名其父母提供了社会经济调查问卷的儿童和青少年进行了统计分析。使用多元回归和多元逻辑回归分析了人体测量参数、超重(包括肥胖)与SES之间的关联。身高与母亲受教育程度较高呈正相关,对于女孩来说,还与父亲受教育程度呈正相关。人均收入水平较高(但不是最高)与体重、BMI和WC较高相关,对于男孩来说,还与身材较高相关。身高、体重、BMI和腰围与家庭子女数量呈显著负相关。家庭子女数量较少且收入水平较高(但不是最高)会增加超重和肥胖的几率。对于女孩来说,肥胖几率会随着父亲受教育程度的提高而降低。
与父母教育、更好的环境和SES相关的社会地位与儿童的身高和体重相关。然而,它与超重和腹部肥胖的较高风险相关。