Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal.
Research Centre for Anthropology and Health, Coimbra, Portugal.
Am J Hum Biol. 2020 Mar;32(2):e23322. doi: 10.1002/ajhb.23322. Epub 2019 Sep 9.
This study aims to analyze gender-specific associations between sports activity outside of school and obesity, observing to what extent the local built environment contributes to the patterns found.
A total of 2253 children aged 6.0-11.0 years were assessed: 49.3% girls and 50.7% boys. Children's weight and height were measured, age and sex-specific BMI cut-off points were used to define normal vs overweight/obesity. Children's organized sports (OS) activity was assessed by questionnaire, and local facilities for children's engagement in OS were analyzed. Logistic regression models were computed, adjusted for confounding variables.
Results showed greater overweight and obesity (25.1% vs 20.1%) and lower OS engagement (66.5% vs 73.8%) in girls as well as greater impact of OS engagement on weight status in girls (OR for having a normal weight = 1.434 in girls vs 1.043 in boys). Additionally, opportunities to engage in OS were scarce for girls.
The gender gap in children's weight status and OS engagement might be enhanced by an environmental mismatch that undermines girls' opportunities to play sports. There should be more opportunities for girls to engage in their favorite sports as a means to tackle the obesity epidemic and to promote gender equality.
本研究旨在分析校外体育活动与肥胖之间的性别特异性关联,并观察当地建成环境在多大程度上促成了所发现的模式。
共评估了 2253 名 6.0-11.0 岁的儿童:49.3%为女孩,50.7%为男孩。测量了儿童的体重和身高,使用年龄和性别特异性 BMI 切点来定义正常体重与超重/肥胖。通过问卷评估儿童的有组织体育(OS)活动,并分析儿童参与 OS 的当地设施。计算了调整混杂变量的逻辑回归模型。
结果显示,女孩的超重和肥胖率(25.1%对 20.1%)更高,OS 参与率(66.5%对 73.8%)更低,并且 OS 参与对女孩体重状况的影响更大(体重正常的 OR=1.434 对男孩的 1.043)。此外,女孩参与 OS 的机会较少。
儿童体重状况和 OS 参与方面的性别差距可能因环境不匹配而加剧,这种不匹配削弱了女孩参与体育运动的机会。应该为女孩提供更多参与她们喜爱的运动的机会,以解决肥胖问题并促进性别平等。