Oulu Health Centre, Oulu, Finland.
Oulu Health Centre, Oulu, Finland.
Obes Res Clin Pract. 2009 May;3(2):I-II. doi: 10.1016/j.orcp.2009.01.003.
To evaluate the associates of obesity and overweight in 7-year-old children.
Cross-sectional study.
855 children out of all 1278 school beginners in the city of Oulu, Northern Finland.
A questionnaire to be filled in by parents was delivered by the school nurses to 1278 children. The child's eating habits, dietary intake and physical activity patterns were enquired about. There were also questions about the household and parents' level of education and physical activity. Overweight and obesity were defined by BMI according to internationally accepted criteria. The χ(2) test was used to evaluate the significance of the differences between normal and overweight children. Multivariate logistic regression model was used to find the most predictive variables associated with overweight and obesity. The final models are reported using odds ratios (ORs) and their 95% confidence intervals (CI).
The number of responders was 855 (66.9%). The prevalence of overweight was 16.7% and that of obesity 4.9%. Fifty-seven percent of the parents who had an overweight or obese child 7-year-old did not recognise their child's overweight. The factors associated with obesity were: mother's obesity (OR 13.04, CI 2.81-60.53), low physical activity (OR 10.95, CI 3.28-36.50), skipping breakfast (OR 10.12, CI 1.81-56.63), habitual overeating (OR 9.35, CI 2.58-33.82), father's overweight (OR 5.89, CI 1.23-28.10) and mother's age over 40 years (OR 2.91, CI 1.09-7.80).
This cross-sectional study promotes the importance of child's eating behaviour and family's eating patterns. Parents should be helped to recognise their child's overweight, and educational strategies should be targeted at both children and their parents. Avoiding inactivity is essential in preventing obesity in children.
评估 7 岁儿童肥胖和超重的相关因素。
横断面研究。
芬兰北部奥卢市的 1278 名入学新生中的 855 名儿童。
学校护士向 1278 名儿童发放了家长填写的问卷，询问了儿童的饮食习惯、饮食摄入和体育活动模式。还询问了家庭和父母的教育水平和体育活动情况。超重和肥胖按照国际公认的标准用 BMI 定义。采用 χ(2)检验评估正常体重儿童和超重儿童之间差异的显著性。采用多变量 logistic 回归模型寻找与超重和肥胖相关的最具预测性的变量。使用比值比（OR）及其 95%置信区间（CI）报告最终模型。
应答者人数为 855 人（66.9%）。超重率为 16.7%，肥胖率为 4.9%。57%的超重或肥胖儿童的家长没有意识到自己孩子超重。与肥胖相关的因素有：母亲肥胖（OR 13.04，CI 2.81-60.53）、低体力活动（OR 10.95，CI 3.28-36.50）、不吃早餐（OR 10.12，CI 1.81-56.63）、习惯性暴饮暴食（OR 9.35，CI 2.58-33.82）、父亲超重（OR 5.89，CI 1.23-28.10）和母亲年龄超过 40 岁（OR 2.91，CI 1.09-7.80）。
本横断面研究强调了儿童饮食行为和家庭饮食模式的重要性。应帮助家长认识到自己孩子的超重问题，并针对儿童及其家长制定教育策略。避免不活动对于预防儿童肥胖至关重要。
