Greene-Cramer Blanche, Harrell Melissa B, Hoelscher Deanna M, Sharma Shreela, Ranjit Nalini, Gupta Vinay, Nazar Gaurang, Arora Monika
1. School of Public Health, University of Texas, Austin, USA.
2. School of Public Health, University of Texas, Houston, USA.
Glob Health Promot. 2018 Jun;25(2):67-74. doi: 10.1177/1757975916658002. Epub 2016 Jul 28.
Over the past three decades there has been a surge in the prevalence of overweight and obesity worldwide in both adults and children. To date few studies have examined obesity in India and most have only looked at prevalence estimates. While studies in Western countries have identified parent weight status as a predictor of child weight status, there have been no studies examining this association in India. This study examined the relationship between parent weight status and child weight status using an internationally representative growth reference for children and Asian-specific action points for adults. Overall, this study found 29.6% of children and 77.7% of parents in a sample of private schools in Delhi, India were overweight/obese. Parent weight status was found to be associated with child weight status after controlling for child grade and sex. However, while maternal weight status was associated with child weight status (odds ratio=1.51, 95% confidence interval: 1.04-2.20), paternal weight status was not (odds ratio=1.10, 95% confidence interval: 0.81-1.48). The association was greatest between mothers and sons (odds ratio=2.13, 95% confidence interval: 1.39-3.27). These results provide initial evidence that parent weight status is associated with child weight status in Delhi, India. Future research should continue to explore the relationship between parent, particularly maternal, and child weight status to better understand the nature of the relationship and the differences between male and female children. Interventions to address child overweight and obesity in India should include parents as direct targets.
在过去三十年里，全球范围内成人和儿童超重及肥胖的患病率急剧上升。迄今为止，针对印度肥胖问题的研究较少，且大多数研究仅关注患病率估计。虽然西方国家的研究已确定父母体重状况是儿童体重状况的一个预测因素，但印度尚无研究考察这种关联。本研究使用国际上具有代表性的儿童生长参考标准以及针对亚洲人的成人特定行动标准，考察了父母体重状况与儿童体重状况之间的关系。总体而言，本研究发现，在印度德里私立学校的样本中，29.6%的儿童和77.7%的父母超重/肥胖。在控制了儿童年级和性别因素后，发现父母体重状况与儿童体重状况有关联。然而，虽然母亲体重状况与儿童体重状况有关联（优势比=1.51，95%置信区间：1.04 - 2.20），父亲体重状况却并非如此（优势比=1.10，95%置信区间：0.81 - 1.48）。母亲与儿子之间的关联最为显著（优势比=2.13，95%置信区间：1.39 - 3.27）。这些结果提供了初步证据，表明在印度德里，父母体重状况与儿童体重状况有关联。未来的研究应继续探索父母尤其是母亲与儿童体重状况之间的关系，以更好地理解这种关系的本质以及男女儿童之间的差异。印度解决儿童超重和肥胖问题的干预措施应将父母作为直接目标。
