National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Yangcheng Center for Disease Control and Prevention, Yangcheng 048100, Shanxi, China.
Biomed Environ Sci. 2019 Mar;32(3):162-168. doi: 10.3967/bes2019.023.
Obesity is recognized as a significant risk factor for diabetes and hypertension. The present study aimed to examine the associations between adults'obesity risk and childhood and parental obesity.
A total of 204 children aged 6-17 years were recruited in 2002 with an average follow-up period of 13.2 years. Height and body weight were measured by trained staffs. Overweight and obesity were defined based on the Chinese standard for children and adults. T-test, analysis of variance, and Chi-square analysis were used for single factor analysis. Multiple linear and logistic regression analyses were used to perform multifactor analysis.
The percentage of non-obese children who grew up to be non-obese adults was 62.6%, and that of obese children who grew up to be obese adults was 80.0%. There was a significant association between childhood body mass index (BMI) and adulthood BMI with a β regression coefficient of 3.76 [95% confidence interval (CI): 1.36-6.16], and between childhood obesity and adulthood obesity with an odds ratio of 5.76 (95% CI: 1.37-24.34). There was no statistical difference between parental obesity at baseline and children's adulthood obesity, after adjustment of confounders. Male participants and those aged 10.0-13.0 years had a higher risk of adulthood obesity with odds ratios of 2.50 (95% CI: 1.12-5.26) and 3.62 (95% CI: 1.17-11.24), respectively.
Childhood obesity is an important predictor of adulthood obesity.
肥胖被认为是糖尿病和高血压的重要危险因素。本研究旨在探讨成年人肥胖风险与儿童期和父母肥胖之间的关系。
2002 年共招募了 204 名 6-17 岁的儿童，平均随访时间为 13.2 年。身高和体重由经过培训的工作人员测量。超重和肥胖的定义基于中国儿童和成人标准。采用 t 检验、方差分析和卡方检验进行单因素分析。采用多元线性和逻辑回归分析进行多因素分析。
非肥胖儿童中，成年后保持非肥胖状态的比例为 62.6%，肥胖儿童中，成年后仍肥胖的比例为 80.0%。儿童期体重指数（BMI）与成年 BMI 之间存在显著关联，β回归系数为 3.76[95%置信区间（CI）：1.36-6.16]，儿童肥胖与成年肥胖之间的比值比为 5.76（95%CI：1.37-24.34）。调整混杂因素后，基线时父母肥胖与儿童成年肥胖之间无统计学差异。男性参与者和 10.0-13.0 岁的参与者成年肥胖的风险更高，比值比分别为 2.50（95%CI：1.12-5.26）和 3.62（95%CI：1.17-11.24）。
儿童肥胖是成年肥胖的重要预测因素。
