Matthiessen Jeppe, Stockmarr Anders, Fagt Sisse, Knudsen Vibeke Kildegaard, Biltoft-Jensen Anja
Division of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark.
Acta Paediatr. 2014 Oct;103(10):1083-8. doi: 10.1111/apa.12722. Epub 2014 Jul 7.
Little is known about whether the socio-economic status of parents is linked to their children becoming overweight. This study examined the association between parents' educational level and overweight Danish children in a nationally representative sample.
Body mass index was calculated for a random sample of 512 children aged from four to 14 from the Danish National Survey of Diet and Physical Activity 2005-2008. Their parents provided weight and height data during an interview, together with details of their own educational level. Children were classified as overweight/obese in accordance with the International Obesity Task Force. Frequency estimates of prevalence and logistic regression models were used to correlate childhood overweight/obesity with the mothers' and fathers' educational levels as the main outcome measures.
Danish mothers tended to be more highly educated than fathers and their educational level was inversely associated with their child being overweight, especially if it was a boy. However, the highest educational level of the parents was the only significant educational variable, suggesting that education was associated with overweight children irrespective of the gender of the parent.
Public health initiatives should target parents with low educational levels to prevent, and reduce, social inequality in overweight children.
关于父母的社会经济地位是否与孩子超重有关，目前所知甚少。本研究在全国代表性样本中调查了丹麦超重儿童父母的教育水平与超重之间的关联。
从2005 - 2008年丹麦饮食与身体活动全国调查中随机抽取512名4至14岁儿童，计算其体重指数。他们的父母在访谈中提供了体重和身高数据，以及自身教育水平的详细信息。根据国际肥胖特别工作组的标准，将儿童分类为超重/肥胖。使用患病率的频率估计和逻辑回归模型，将儿童超重/肥胖与父母的教育水平作为主要结局指标进行关联分析。
丹麦母亲的受教育程度往往高于父亲，其教育水平与孩子超重呈负相关，尤其是男孩。然而，父母的最高教育水平是唯一显著的教育变量，这表明无论父母性别如何，教育与超重儿童都有关联。
公共卫生倡议应针对教育水平低的父母，以预防和减少超重儿童中的社会不平等现象。
