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父母及一些人口统计学特征对埃及儿童样本中超重/肥胖状况的影响。

Influence of Parental and Some Demographic Characteristics on Overweight/Obesity Status among a Sample of Egyptian Children.

作者信息

Hassan Nayera E, El-Masry Sahar A, Farid Tarek, Khalil Aya

机构信息

Biological Anthropology Department, Cairo, Egypt.

Pediatric Department, Medical Research Division, National Research Centre, Cairo, Egypt (Affiliation ID 60014618).

出版信息

Open Access Maced J Med Sci. 2016 Sep 15;4(3):342-347. doi: 10.3889/oamjms.2016.088. Epub 2016 Aug 27.

Abstract

BACKGROUND

Overweight/obesity is a multi-factorial problem, which results from rapidly changing social, economic, and physical environments that have led to an energy imbalance.

AIM

To identify the association between childhood overweight/obesity and some socio-demographic risk factors, as parental age, body mass index (BMI), education and occupation, family size and residence (urban/rural).

SUBJECTS AND METHODS

Cross-sectional study included 154 children of both sexes; aged 5-18 years; with their parents; one of them was working at the National Research Centre and from their relatives and neighbours. Data was collected about the child birth weight, family size, parental ages, education, occupation and place of residence. Anthropometric measurements including weight, height, and body mass index (BMI) of children and their parents were conducted.

RESULTS

Obesity was detected among 19.5% of children (BMI > 95th percentile), 75.3% of their mothers and 49.6% of their fathers (BMI > 30 Kg/m^2). While overweight was present in 11.0% of the children (BMI > 85th- <95 percentile), 16.9% of their mothers and 36.5% of their fathers (BMI > 25-29.9 Kg/m^2). Child obesity was more prominent in urban than rural areas (21.3% versus 12.5%) and among housewives (22.8%) than among working mothers (16%, p < 0.016). Child overweight was more common in rural than urban areas (12.5% versus 10.7%) and among children with high father education (20%). Child BMI had significant positive correlations only with the child age, parental ages and BMIs, and family size. In spite of that, parental BMIs had significant positive correlations with each other and with family size, and significant negative correlations with maternal education and occupation and paternal education.

CONCLUSION

Childhood obesity and overweight were more prominent in urban than rural areas, among children with non-working housewives mothers and highly educated fathers (college or above). Parental education and occupation had an indirect significant effect on child BMI through their significant effect on parental BMIs.

摘要

背景

超重/肥胖是一个多因素问题,它源于快速变化的社会、经济和自然环境,这些变化导致了能量失衡。

目的

确定儿童超重/肥胖与一些社会人口学风险因素之间的关联,如父母年龄、体重指数(BMI)、教育程度和职业、家庭规模及居住地(城市/农村)。

对象与方法

横断面研究纳入了154名5至18岁的儿童及其父母,其中一位家长在国家研究中心工作,研究对象还包括他们的亲属和邻居。收集了有关儿童出生体重、家庭规模、父母年龄、教育程度、职业和居住地的数据。对儿童及其父母进行了人体测量,包括体重、身高和体重指数(BMI)。

结果

19.5%的儿童(BMI>第95百分位数)、75.3%的母亲和49.6%的父亲(BMI>30kg/m²)被检测出肥胖。11.0%的儿童(BMI>第85至<95百分位数)、16.9%的母亲和36.5%的父亲(BMI>25至29.9kg/m²)超重。儿童肥胖在城市地区比农村地区更显著(21.3%对12.5%),在家庭主妇子女中(22.8%)比在职母亲的子女中(16%,p<0.016)更显著。儿童超重在农村地区比城市地区更常见(12.5%对10.7%),在父亲受教育程度高的儿童中(20%)更常见。儿童BMI仅与儿童年龄、父母年龄和BMI以及家庭规模呈显著正相关。尽管如此,父母的BMI之间以及与家庭规模之间存在显著正相关,与母亲的教育程度和职业以及父亲的教育程度存在显著负相关。

结论

儿童肥胖和超重在城市地区比农村地区更显著,在母亲为家庭主妇且父亲受教育程度高(大专及以上)的儿童中更明显。父母的教育程度和职业通过对父母BMI的显著影响,对儿童BMI有间接的显著影响。

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