Department of Medicine, University of Turku, Turku, Finland
Department of Anesthesiology, Vaasa Central Hospital, Vaasa, Finland.
BMJ Open. 2020 Jan 27;10(1):e033631. doi: 10.1136/bmjopen-2019-033631.
To determine prevalences of underweight and overweight as well as low and high waist-to-height ratio (WHtR) in three prospective follow-ups and to explore tracking of these measures of nutritional status from childhood to adolescence and adulthood. The influence of socioeconomic status, remoteness, maternal body mass index (BMI) and birth weight on weight status was assessed.
Longitudinal birth cohort study of Indigenous Australians.
Data derived from three follow-ups of the Aboriginal Birth Cohort study with mean ages of 11.4, 18.2 and 25.4 years for the participants.
Of the 686 Indigenous babies recruited to the study between 1987 and 1990, 315 had anthropometric measurements for all three follow-ups and were included in this study.
BMI categories (underweight, normal weight, overweight and obesity),WHtR categories (low and high), sex, areal socioeconomic disadvantage as defined by the Indigenous Relative Socioeconomic Outcomes index, urban/remote residence, maternal BMI and birth weight. Logistic regression was used to calculate ORs for belonging to a certain BMI category in adolescence and adulthood according to BMI category in childhood and adolescence.
Underweight was common (38% in childhood and 24% in adulthood) and the prevalence of overweight/obesity increased with age (12% in childhood and 35% in adulthood). Both extremes of weight status as well as low and high WHtR tracked from childhood to adulthood. Underweight was more common and overweight was less common in remote and more disadvantaged areas. Birth weight and maternal BMI were associated with later weight status. There were significant sex differences for prevalences and tracking of WHtR but not for BMI.
Socioeconomic factors, remoteness and gender must be addressed when assessing nutrition-related issues in the Indigenous communities due to the variation in nutritional status and its behaviour over time within the Indigenous population.
在三次前瞻性随访中确定体重不足和超重以及低和高腰高比（WHtR）的患病率，并探讨从儿童期到青春期和成年期这些营养状况测量指标的跟踪情况。评估了社会经济地位、偏远程度、母亲体重指数（BMI）和出生体重对体重状况的影响。
澳大利亚原住民的纵向出生队列研究。
从 Aboriginal Birth Cohort 研究的三次随访中获取数据，参与者的平均年龄分别为 11.4 岁、18.2 岁和 25.4 岁。
1987 年至 1990 年间，该研究招募了 686 名原住民婴儿，其中 315 名婴儿在所有三次随访中都进行了人体测量，并纳入本研究。
BMI 类别（体重不足、正常体重、超重和肥胖）、WHtR 类别（低和高）、性别、原住民相对社会经济成果指数定义的区域社会经济劣势、城市/偏远居住地、母亲 BMI 和出生体重。使用逻辑回归计算根据儿童和青少年时期的 BMI 类别，青少年和成年时属于特定 BMI 类别的 OR。
体重不足很常见（儿童期为 38%，成年期为 24%），超重/肥胖的患病率随着年龄的增长而增加（儿童期为 12%，成年期为 35%）。体重状况的两个极端以及从儿童期到成年期的低和高 WHtR 都有跟踪。偏远和社会经济地位较低的地区体重不足更为常见，超重较少。出生体重和母亲 BMI 与后期体重状况有关。WHtR 的患病率和跟踪存在显著的性别差异，但 BMI 则没有。
由于土著人群的营养状况及其随时间的变化存在差异，在评估土著社区与营养相关的问题时，必须考虑社会经济因素、偏远程度和性别。
Zotero 插件
