Serral Cano Gemma, Bru Ciges Raquel, Sánchez-Martínez Francesca, Ariza Cardenal Carles
Agència de Salut Pública de Barcelona.
Unitat Docent Clínic-Maternitat. CAP Les Corts. Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE).
Nutr Hosp. 2019 Oct 17;36(5):1043-1048. doi: 10.20960/nh.02205.
Introduction: childhood overweight and obesity have increased progressively in the last decades, especially in countries of Southern Europe. Objective: to analyze the association of overweight and obesity childhood in the city of Barcelona according to socioeconomic variables in schoolchildren in third grade primary school. Methods: transversal study. Study population: third grade primary school students in the city of Barcelona in year 2011 (n = 3,624). Body mass index was studied as the dependent variable, and sex, age, social class, parental status, origin, ownership school, neighborhood socioeconomic status of the school and district were studied as independent. Logistic regression models were analyzed, obtaining odds ratio (OR) with 95% confidence intervals (95% CI). Results: the prevalence of overweight and obesity in childhood were 24.5% and 13.8%, respectively. The variables associated with obesity were: boy (OR = 1.26; 95% CI = 1.02-1.57), low socioeconomic status (OR = 1.60; 95% CI = 1.16-2.20), single-parent family (OR = 1.35; 95% CI = 1.03-1.77), immigrant (OR = 1.68; 95% CI = 1.33-2.13) and living in one of the less favored districts of Barcelona. Conclusions: it is evident that social class, origin, family status and the district of residence play an important role in childhood obesity.
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。目的:根据巴塞罗那市小学三年级学童的社会经济变量分析儿童超重和肥胖的相关性。方法:横断面研究。研究人群:2011年巴塞罗那市小学三年级学生(n = 3624)。将体重指数作为因变量进行研究,将性别、年龄、社会阶层、父母状况、出身、学校所属、学校所在社区的社会经济地位以及行政区作为自变量进行研究。分析逻辑回归模型,得出比值比(OR)及95%置信区间(95%CI)。结果:儿童超重和肥胖的患病率分别为24.5%和13.8%。与肥胖相关的变量有:男孩(OR = 1.26;95%CI = 1.02 - 1.57)、社会经济地位低(OR = 1.60;95%CI = 1.16 - 2.20)、单亲家庭(OR = 1.35;95%CI = 1.03 - 1.77)、移民(OR = 1.68;95%CI = 1.33 - 2.13)以及居住在巴塞罗那较贫困的行政区之一。结论:显然,社会阶层、出身、家庭状况和居住行政区在儿童肥胖中起着重要作用。