Fuemmeler Bernard F, Stroo Marissa, Lee Chien-Ti, Bazemore Sharnail, Blocker Brooke, Østbye Truls
Department of Community and Family Medicine, Duke University Medical Center,
Department of Community and Family Medicine, Duke University Medical Center.
J Pediatr Psychol. 2015 Aug;40(7):649-56. doi: 10.1093/jpepsy/jsv023. Epub 2015 Mar 21.
Investigate racial differences in a range of obesity-related socio-behavioral risk factors in children born of obese mothers.
142 Black and 151 White 2-year-old children and their parents were surveyed on their physical activity environment, food environment, parental role modeling, eating behaviors, feeding practices, child physical activity, dietary intake, and eating behaviors; body mass index (BMI) for parents and children (BMI z-score) were calculated.
In bivariate analyses, Black families reported significantly more risk factors for early-childhood obesity than White families, including greater availability of soda, more television viewing, and poorer dietary intake. In multivariate analyses adjusting for maternal and socioeconomic factors, the differences between Black and White families on factors including television watching and dietary intake remained significant.
These data show a greater number of risk factors for obesity among Black children and their families compared with White children even after adjustment for maternal BMI and socioeconomic status.
调查肥胖母亲所生孩子在一系列与肥胖相关的社会行为风险因素方面的种族差异。
对142名黑人及151名白人2岁儿童及其父母进行了调查，内容包括他们的身体活动环境、食物环境、父母的行为示范、饮食行为、喂养方式、儿童身体活动、饮食摄入量以及饮食行为；计算了父母和孩子的体重指数（BMI）（BMI z评分）。
在双变量分析中，黑人家庭报告的幼儿肥胖风险因素明显多于白人家庭，包括苏打水供应更多、看电视时间更长以及饮食摄入量更差。在对母亲和社会经济因素进行调整的多变量分析中，黑人和白人家庭在看电视和饮食摄入量等因素上的差异仍然显著。
这些数据表明，即使在对母亲BMI和社会经济地位进行调整后，与白人儿童相比，黑人儿童及其家庭中肥胖的风险因素更多。
