Andriani Helen, Liao Chu-Yung, Kuo Hsien-Wen
International Health Program, National Yang-Ming University, Taipei, Taiwan.
Department of Early Childhood Educare, College of Health, Chung Chou University of Science and Technology, Changhua, Taiwan.
BMC Public Health. 2015 Jul 12;15:645. doi: 10.1186/s12889-015-2005-x.
Parents are the key agents of behavioural changes in their children. This fact is as an important aspect of obesity treatment and prevention. The present study aims to evaluate the influence of parents who have gained or lost weight on their children's weights and to examine parental and child patterns of weight changes from a baseline over a 14-year duration.
We performed a secondary analysis on the Indonesia Family Life Survey (IFLS), an ongoing national prospective longitudinal cohort study in Indonesia. Height and weight measurements, information regarding parental education, maternal employment, household income, and residence were collected from children under five years old (n = 3,147) and their parents in 1993. Data were taken from the same individuals at different points in time, in 1997, 2000, and 2007.
During each transition, the children of parents who gained weight had a significantly weights than did children of parents who lost weight. A mother's positive weight change increased the chance of her pre-schooler's or school-aged child's positive weight change. However we found no such association between a father's positive weight change and his child's positive weight change.
Parental weight change is an independent predictor of child weight change. Positive weight change in the mother had a more dominant influence than did the father's positive weight change. Future family-based obesity prevention and treatment programs should consider how best to include and engage mothers as a catalyst for the reduction of obesity-related risk factors in the long term.
父母是其子女行为改变的关键因素。这一事实是肥胖症治疗和预防的一个重要方面。本研究旨在评估体重增加或减少的父母对其子女体重的影响，并研究从基线开始长达14年期间父母和子女的体重变化模式。
我们对印度尼西亚家庭生活调查（IFLS）进行了二次分析，这是印度尼西亚一项正在进行的全国前瞻性纵向队列研究。1993年收集了五岁以下儿童（n = 3147）及其父母的身高和体重测量数据、有关父母教育程度、母亲就业情况、家庭收入和居住地的信息。数据取自1997年、2000年和2007年不同时间点的同一批个体。
在每次转变期间，体重增加的父母的子女的体重显著高于体重减轻的父母的子女。母亲体重的正向变化增加了其学龄前儿童或学龄儿童体重正向变化的可能性。然而，我们发现父亲体重的正向变化与其子女体重的正向变化之间不存在这种关联。
父母体重变化是儿童体重变化的一个独立预测因素。母亲体重的正向变化比父亲体重的正向变化影响更大。未来基于家庭的肥胖症预防和治疗项目应考虑如何最好地纳入母亲并让她们参与进来，作为长期减少肥胖相关风险因素的催化剂。
