Badr Hanan E, Lakha S Fatima, Pennefather Peter
Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, P.O. Box 24923 Safat, Kuwait city, 13110 Kuwait, Phone: (965) 2463 6576, Fax: (965) 2533 8948.
Institute of Medical Science, University of Toronto, Ontario, Canada.
Int J Adolesc Med Health. 2017 Jun 17;31(1):ijamh-2016-0138. doi: 10.1515/ijamh-2016-0138.
The study aimed to assess gender differences among Kuwaiti adolescents in healthy living choices that impact the risk of obesity. A cross-sectional multistage cluster design was employed with a representative sample of 2672 students aged 13-15 years who completed a self-administered Global School-based Student Health (GSHS) survey. The study found that around 48.0% of adolescents were overweight and obese. More boys than girls were obese (28.2% vs. 22.3%, p < 0.0001). However, boys were more likely than girls to report healthy food choices regarding fruit (38.1% vs. 33.2%), and vegetables (21.8% vs. 16.7%). Only 20.7% of adolescents reported physical activity for more than 60 min/day, predominately by boys rather than girls (30.8% vs. 10.5%, respectively, p < 0.0001). Multivariate analysis revealed that male gender, skipping breakfast and physical inactivity were significantly correlated with the risk of overweight and obesity among adolescents. These results suggest that lifestyle education for promoting healthy body masses targeting adolescents should take gender into account.
该研究旨在评估科威特青少年在影响肥胖风险的健康生活选择方面的性别差异。采用横断面多阶段整群设计,对2672名13 - 15岁的学生进行了代表性抽样,这些学生完成了一份自我管理的全球学校学生健康(GSHS)调查。研究发现,约48.0%的青少年超重和肥胖。肥胖的男孩比女孩多(28.2%对22.3%,p < 0.0001)。然而,男孩比女孩更有可能报告在水果(38.1%对33.2%)和蔬菜(21.8%对16.7%)方面选择健康食品。只有20.7%的青少年报告每天进行超过60分钟的体育活动,主要是男孩而非女孩(分别为30.8%对10.5%,p < 0.0001)。多变量分析显示,男性、不吃早餐和缺乏体育活动与青少年超重和肥胖风险显著相关。这些结果表明,针对青少年促进健康体重的生活方式教育应考虑性别因素。