Child and Adolescent Health Research Unit, School of Medicine, Medical and Biological Sciences Building, University of St Andrews, St Andrews, Fife, Scotland, United Kingdom; Health Education and Promotion, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus (Tarragona), Spain; Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Hospital Universitari Sant Joan, Facultat de Medicina i Ciències de la Salut Universitat Rovira i Virgili, Reus (Tarragona), Spain.
Child and Adolescent Health Research Unit, School of Medicine, Medical and Biological Sciences Building, University of St Andrews, St Andrews, Fife, Scotland, United Kingdom.
Nutrition. 2018 Sep;53:54-58. doi: 10.1016/j.nut.2018.01.003. Epub 2018 Feb 12.
The aims of the present manuscript are to analyse self-reported data on weight, including the missing data, from the 2014 Scottish Health Behaviour in School-Aged Children (HBSC) Study, and to investigate whether behavioural factors related with overweight and obesity, namely dietary habits, physical activity and sedentary behaviour, are associated with weight non-response.
RESEARCH METHODS & PROCEDURES: 10839 11-, 13- and 15-year-olds participated in the cross-national 2014 Scottish HBSC Study. Weight missing data was evaluated using Little's Missing Completely at Random (MCAR) test. Afterwards, a fitted multivariate logistic regression model was used to determine all possible multivariate associations between weight response and each of the behavioural factors related with obesity.
58.9% of self-reported weight was missing, not at random (MCAR p < 0.001). Weight was self-reported less frequently by girls (19.2%) than by boys (21.9%). Participants who reported low physical activity (OR 1.2, p < 0.001), low vegetable consumption (OR 1.24, p < 0.001) and high computer gaming on weekdays (OR 1.18, p = 0.003) were more likely to not report their weight.
There are groups of young people in Scotland who are less likely to report their weight. Their weight status may be of the greatest concern because of their poorer health profile, based on key behaviours associated with their non-response. Furthermore, knowing the value of a healthy weight and reinforcing healthy lifestyle messages may help raise youth awareness of how diet, physical activity and sedentary behaviours can influence weight.
本研究旨在分析 2014 年苏格兰青少年健康行为纵向研究(HBSC)中自我报告的体重数据,包括缺失数据,并探讨与超重和肥胖相关的行为因素,即饮食习惯、身体活动和久坐行为,与体重无应答是否相关。
共有 10839 名 11、13 和 15 岁的青少年参与了这项跨国 2014 年苏格兰 HBSC 研究。使用 Little 的完全随机缺失(MCAR)检验评估体重缺失数据。之后,使用拟合的多变量逻辑回归模型确定体重应答与肥胖相关的每个行为因素之间的所有可能的多变量关联。
58.9%的自我报告体重数据缺失,且是非随机缺失(MCAR p<0.001)。女生(19.2%)自我报告体重的比例低于男生(21.9%)。报告低身体活动(OR 1.2,p<0.001)、低蔬菜摄入量(OR 1.24,p<0.001)和工作日高电脑游戏时间(OR 1.18,p=0.003)的参与者更有可能不报告其体重。
在苏格兰,有一些年轻人不太可能报告自己的体重。由于他们的健康状况较差,与体重无应答相关的关键行为有关,因此他们的体重状况可能更为令人担忧。此外,了解健康体重的价值和强化健康生活方式信息可能有助于提高年轻人对饮食、身体活动和久坐行为如何影响体重的认识。