Noonan Rob J
Appetite and Obesity Research Group Department of Psychological Sciences, University of Liverpool, L69 7ZA, UK.
SSM Popul Health. 2020 Jan 11;10:100541. doi: 10.1016/j.ssmph.2020.100541. eCollection 2020 Apr.
This study examined associations between neighbourhood deprivation, school commuting behaviour, a range of unhealthy behaviour indicators and overweight/obesity among 11-year-old English children.
Data are from wave five of the UK Millennium Cohort Study, collected in 2012. Subjects consisted of 7262 (3637 boys) 11-year-old English children. Children were classified as normal weight or overweight/obese. School commute mode (active/passive) and health behaviour indicators were parent-reported. Health behaviour indicator scores below the mean of the lower half of the distribution were classified as unhealthy on this indicator. Neighbourhood deprivation was defined using the 2004 English Indices of Multiple Deprivation. Odds ratios (ORs) for being overweight/obese according to neighbourhood deprivation were estimated. A range of unhealthy behaviour indicators were explored to assess the extent to which they attenuated associations between neighbourhood deprivation and overweight/obesity.
Children living in the most deprived neighbourhoods in England were more likely to be overweight/obese, commute to and from school actively and participate in all unhealthy behaviour indicators compared to children living in the least deprived neighbourhoods. Adjusting for confounders and significant unhealthy behaviour indicators reduced the OR for overweight/obese from 1.81 (95% CI 1.54 to 2.13) to 1.56 (95% CI 1.30 to 1.88) in the highest neighbourhood deprivation group compared to the lowest.
Active school commuting alone is unlikely to be enough to prevent and reduce the prevalence of overweight/obesity in the most deprived English neighbourhoods. Childhood overweight/obesity-related interventions should focus on promoting participation in a range of health behaviours.
本研究调查了英国11岁儿童的邻里贫困、上学通勤行为、一系列不健康行为指标与超重/肥胖之间的关联。
数据来自2012年收集的英国千禧队列研究的第五波。研究对象为7262名（3637名男孩）11岁的英国儿童。儿童被分类为正常体重或超重/肥胖。上学通勤方式（主动/被动）和健康行为指标由家长报告。健康行为指标得分低于分布下半部分的平均值被分类为该指标不健康。邻里贫困使用2004年英国多重贫困指数定义。估计了根据邻里贫困情况超重/肥胖的比值比（OR）。探索了一系列不健康行为指标，以评估它们在多大程度上减弱了邻里贫困与超重/肥胖之间的关联。
与生活在最不贫困社区的儿童相比，生活在英国最贫困社区的儿童更有可能超重/肥胖、主动上下学并参与所有不健康行为指标。在最高邻里贫困组与最低邻里贫困组相比，调整混杂因素和显著的不健康行为指标后，超重/肥胖的OR从1.81（95%CI 1.54至2.13）降至1.56（95%CI 1.30至1.88）。
仅靠主动的上学通勤不足以预防和降低英国最贫困社区超重/肥胖的患病率。与儿童超重/肥胖相关的干预措施应侧重于促进参与一系列健康行为。
