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[8至9岁学童超重和肥胖的相关因素。西班牙巴塞罗那]

[Factors Associated with Overweight and Obesity in Schoolchildren from 8 to 9 Years Old. Barcelona, Spain].

作者信息

Sánchez-Martínez Francesca, Torres Capcha Peter, Serral Cano Gemma, Valmayor Safont Sara, Castell Abat Conxa, Ariza Cardenal Carles

机构信息

Agència de Salut Pública de Barcelona (ASPB). Barcelona. España.

CIBER de Epidemiología y Salud Pública (CIBERESP). Madrid. España.

出版信息

Rev Esp Salud Publica. 2016 Dec 2;90:e1-e11.

Abstract

OBJECTIVE

Childhood overweight and obesity have increased progressively in the last decades, especially in countries of Southern Europe. The aim of this study was to identify the prevalence of overweight, obesity and its determinants in schoolchildren between 8-9 years old from Barcelona.

METHODS

Cross-sectional study of a representative sample of 3,262 schoolchildren in 2011. Body Mass Index (BMI) was calculated following the criteria established by the World Health Organization (z-scores). Variables on eating behaviour, physical activity and use of new technologies were studied through 2 questionnaires. Logistic regression models were adjusted, obtaining adjusted odds ratio and their confidence intervals (95%).

RESULTS

The prevalence of overweight was 24.0% and 12.7% for obesity. Obesity was significantly higher in boys than in girls (14.8% vs 10.8%.). No statistically significant differences were observed in the compliance of recommendations of physical activity practice and use of new technologies according to BMI. Factors associated with obesity in boys were to attend a school located in a neighbourhood of disadvantaged socio-economic status [ORa=1.88 (1.35-2.63)], to belong to an immigrant family [ORa=1.57 (1.12-2.20)], to do not eat at school [ORa=1.76 (1.20-2.59)] and to have some meal alone [ORa=1.95 (1.27-3.00)]. In girls associated factors were to belong to a single-parent family [ORa=1.58 (1.06-2.34)] and to an immigrant family [ORa=1.53 (1.07-2.18)].

CONCLUSIONS

The prevalence of childhood obesity in Barcelona is high. It is more common in boys, being the social determinants most relevant associated factors.

摘要

目的

在过去几十年中,儿童超重和肥胖现象呈逐渐上升趋势,尤其是在南欧国家。本研究旨在确定巴塞罗那8至9岁学童中超重、肥胖的患病率及其决定因素。

方法

2011年对3262名学童的代表性样本进行横断面研究。根据世界卫生组织制定的标准(z评分)计算体重指数(BMI)。通过两份问卷研究饮食行为、身体活动和新技术使用方面的变量。调整逻辑回归模型,得出调整后的优势比及其置信区间(95%)。

结果

超重患病率为24.0%,肥胖患病率为12.7%。男孩的肥胖率显著高于女孩(14.8%对10.8%)。根据BMI,在身体活动实践建议和新技术使用的依从性方面未观察到统计学上的显著差异。与男孩肥胖相关的因素包括就读于社会经济地位不利社区的学校[调整后优势比(ORa)=1.88(1.35 - 2.63)]、属于移民家庭[ORa=1.57(1.12 - 2.20)]、不在学校用餐[ORa=1.76(1.20 - 2.59)]以及独自用餐[ORa=1.95(1.27 - 3.00)]。与女孩肥胖相关的因素包括属于单亲家庭[ORa=1.58(1.06 - 2.34)]和移民家庭[ORa=1.53(1.07 - 2.18)]。

结论

巴塞罗那儿童肥胖患病率较高。在男孩中更为常见,社会决定因素是最相关的关联因素。

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