青少年肥胖轨迹：探索从产前到童年经历的影响
Trajectory of Adolescent Obesity: Exploring the Impact of Prenatal to Childhood Experiences.
作者信息
Huang David Y C, Lanza H Isabella, Anglin M Douglas
机构信息
Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 11075 Santa Monica Blvd., Suite 200, Los Angeles, CA 90025, USA.
出版信息
J Child Fam Stud. 2014 Aug 1;23(6):1090-1101. doi: 10.1007/s10826-013-9766-6.
This study examined longitudinal associations of prenatal exposures as well as childhood familial experiences with obesity status from ages 10 to 18. Hierarchical generalized linear modeling (HGLM) was applied to examine 5,156 adolescents from the child sample of the 1979 National Longitudinal Survey of Youth (NLSY79). Higher maternal weight, maternal smoking during pregnancy, lower maternal education, and lack of infant breastfeeding were contributors to elevated adolescent obesity risk in early adolescence. However, maternal age, high birth weight of child, and maternal annual income exhibited long-lasting impact on obesity risk over time throughout adolescence. Additionally, childhood familial experiences were significantly related to risk of adolescent obesity. Appropriate use of family rules in the home and parental engagement in children's daily activities lowered adolescent obesity risk, but excessive television viewing heightened adolescent obesity risk. Implementation of consistent family rules and parental engagement may benefit adolescents at risk for obesity.
本研究考察了产前暴露以及儿童期家庭经历与10至18岁肥胖状况之间的纵向关联。采用分层广义线性模型（HGLM）对1979年全国青年纵向调查（NLSY79）儿童样本中的5156名青少年进行了研究。母亲体重较高、孕期吸烟、母亲教育程度较低以及婴儿未进行母乳喂养是青春期早期青少年肥胖风险升高的因素。然而，母亲年龄、儿童出生体重高以及母亲年收入在整个青春期对肥胖风险都有长期影响。此外，儿童期家庭经历与青少年肥胖风险显著相关。在家中适当运用家庭规则以及父母参与孩子的日常活动可降低青少年肥胖风险，但过多看电视会增加青少年肥胖风险。实施一致的家庭规则和父母参与可能对有肥胖风险的青少年有益。
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