Carriere Caroline, Langevin Coralie, Déti Eduoard Kossi, Barberger-Gateau Pascale, Maurice Sylvie, Thibault Hélène
1Univ. Bordeaux,ISPED,Centre INSERM U897-Epidemiologie-Biostatistique,Bordeaux,France.
2INSERM,ISPED,Centre INSERM U897-Epidemiologie-Biostatistique,146 rue Léo Saignat,F-33076 Bordeaux Cedex,France.
Public Health Nutr. 2015 Jul;18(10):1883-9. doi: 10.1017/S1368980014002195. Epub 2014 Oct 13.
The objective of the present study was to describe changes in overweight and obesity prevalence and eating habits among 7.5-10.5-year-old children in Aquitaine (France) between 2004 and 2008, and to assess how the programme 'Nutrition, Prevention and Health of children and teenagers in Aquitaine' implemented in 2004 may have impacted these changes.
Two cross-sectional studies were conducted in two samples of children: the 'before programme' sample during the school year 2004/2005 and the 'after programme' sample during the school year 2008/2009. Settings Data were collected on gender, age, weight, height, area of residence (rural/urban) and socio-economic status of the school (non-low socio-economic/low socio-economic). Multivariate analyses were used to assess the effect of the regional programme intervention on the evolution of overweight and obesity prevalence and eating habits independently.
The 'before programme' sample included 1836 children from 163 schools during the school year 2004/2005 and the 'after programme' sample included 3483 children from 210 schools during the school year 2008/2009.
After adjustment of the model for age, residential area and socio-economic status of the area of residence, the prevalence of overweight including obesity (OR = 1.05; 95% CI 0.89, 1.23, P = 0.56) and of obesity (OR = 0.99; 95% CI 0.71, 1.39, P = 0.96) was found to have stabilized and eating habits had improved: intake of light afternoon meals had increased (OR = 1.38; 95% CI 1.13, 1.69, P = 0.002) while snacking in the morning (OR = 0.50; 95 % CI 0.45, 0.57, P < 0.001) and nibbling (OR = 0.81; 95% CI 0.70, 0.93, P < 0.001) had decreased.
These results encourage the promotion and implementation of regional and national interventions among children regarding their eating habits in order to stabilize or decrease the prevalence of overweight.
本研究的目的是描述2004年至2008年间法国阿基坦地区7.5至10.5岁儿童超重和肥胖患病率及饮食习惯的变化，并评估2004年实施的“阿基坦儿童和青少年营养、预防与健康”项目对这些变化可能产生的影响。
对两组儿童样本进行了两项横断面研究：2004/2005学年的“项目前”样本和2008/2009学年的“项目后”样本。收集了关于性别、年龄、体重、身高、居住地区（农村/城市）以及学校社会经济地位（非低社会经济地位/低社会经济地位）的数据。采用多变量分析独立评估区域项目干预对超重和肥胖患病率演变及饮食习惯的影响。
“项目前”样本包括2004/2005学年来自163所学校的1836名儿童，“项目后”样本包括2008/2009学年来自210所学校的3483名儿童。
在对年龄、居住地区和居住地区社会经济地位进行模型调整后，发现超重（包括肥胖）患病率（OR = 1.05；95%CI 0.89，1.23，P = 0.56）和肥胖患病率（OR = 0.99；95%CI 0.71，1.39，P = 0.96）已趋于稳定，饮食习惯有所改善：清淡午餐的摄入量增加（OR = 1.38；95%CI 1.13，1.69，P = 0.002），而上午吃零食（OR = 0.50；95%CI 0.45，0.57，P < 0.001）和小口吃零食（OR = 0.81；95%CI 0.70，0.93，P < 0.001）的情况有所减少。
这些结果鼓励在儿童中推广和实施关于饮食习惯的区域和国家干预措施，以稳定或降低超重患病率。
