Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Medical Psychology Unit, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Eur J Pediatr. 2018 May;177(5):753-763. doi: 10.1007/s00431-018-3118-x. Epub 2018 Feb 22.
Overweight and obesity constitute a global epidemic with rates that are increasing rapidly in children. The aim of the present study was to examine ethnic differences in the prevalence of overweight in pre-school children in a multicultural context. Data were collected from a compulsory school entry examination in the Hannover Region, Germany (n = 50,716) from 2010 to 2014. The prevalence of overweight (including pre-obesity and obesity status) and obesity was estimated using a German national reference. The migration status of the children was based on the parent's migration history. Multivariable logistic and hierarchical multinomial regression analyses were performed to identify factors associated with the overweight, pre-obesity, and obesity status. The prevalence of overweight was significantly higher among migrant children (12.7%) than among the non-migrant children (6.9%). After adjusting for socioeconomic and child development variables, migration background was strongly associated with weight status. The Turkish migrant children showed the highest odds of being pre-obesity (OR 2.05, 95%CI 1.7-2.56) and obesity (OR 2.09, 95%CI 1.67-2.77) compared to non-migrant children.
Ethnic and social inequalities exist in childhood overweight among pre-school children in the Hannover Region. Thus, appropriate interventions targeting high-risk migrant groups are needed. What is Known: • The current trend of prevalence rates in Germany for overweight and obesity of pre-school children is becoming stable. • Prevalence of overweight and obesity is clearly higher among migrant children than among non-migrant children. What is New: • This article reveals ethnic variance among different migrant groups. • Turkish migrant children have a higher rate of prevalence even compared to other migrant groups. • Length of child day care attendance fails to exert a strong influence on overweight after adjusting for socio-economic and child development variables.
本研究旨在探讨多元文化背景下，学前儿童超重的流行率在不同种族间存在的差异。
数据来自德国汉诺威地区的一项义务教育入学考试（2010-2014 年），共纳入 50716 名儿童。采用德国国家参考标准评估超重（包括前肥胖和肥胖状态）和肥胖的流行率。儿童的移民状态基于父母的移民史。采用多变量逻辑回归和分层多项回归分析来确定与超重、前肥胖和肥胖状态相关的因素。
移民儿童超重（12.7%）的流行率显著高于非移民儿童（6.9%）。在调整了社会经济和儿童发育变量后，移民背景与体重状况密切相关。与非移民儿童相比，土耳其移民儿童超重（OR=2.05，95%CI 1.7-2.56）和肥胖（OR=2.09，95%CI 1.67-2.77）的几率更高。
在汉诺威地区，学前儿童的超重存在种族和社会不平等。因此，需要针对高风险移民群体采取适当的干预措施。
