Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Hasbro Children's Hospital, Rhode Island Hospital, Providence, RI; Department of Pediatrics, Warren Alpert Medical School of Brown University, Hasbro Children's Hospital, Rhode Island Hospital, Providence, RI; Brown University School of Public Health, Providence, RI.
Department of Pediatrics, Warren Alpert Medical School of Brown University, Hasbro Children's Hospital, Rhode Island Hospital, Providence, RI; Brown University School of Public Health, Providence, RI; Department of Epidemiology, Brown University School of Public Health, Providence, RI; Hassenfeld Child Health Innovation Institute, Brown University, Providence, RI.
J Pediatr. 2021 Jan;228:278-284. doi: 10.1016/j.jpeds.2020.09.004. Epub 2020 Sep 5.
To assess the relationship between obesity and select childhood flourishing markers including academic skills and coping strategies.
Cross-sectional study utilizing parental reported data for children aged 10-17 years (n = 22 914) from the 2016 National Survey of Children's Health. Multiple binary regressions assessed the association between body mass index-for-age and 5 school-related and behavioral childhood flourishing markers independently and combined, including completing homework, showing interest in learning, finishing tasks, staying calm when challenged, and caring about academics. Analyses were adjusted for age, sex, depression, sleep, digital media exposure, poverty, and parental education level.
Only 28.9% of children with obesity were reported to have all 5 markers, compared with 38% with overweight, and 40.5% with normal body mass index. In an adjusted model, children with obesity had significantly decreased odds of demonstrating 4 of 5 markers: showing interest in learning (aOR, 0.78; 95% CI, 0.62-0.97), finishing tasks (aOR, 0.77; 95% CI, 0.63-0.94), staying calm when challenged (aOR, 0.73; 95% CI, 0.59-0.90), and caring about academics (aOR, 0.69; 95% CI, 0.55-0.86). Completing homework was not associated with obesity. Youth with obesity also had 23% decreased odds (aOR, 0.77; 95% CI, 0.61-0.98) of meeting the combined measure for flourishing markers.
Childhood obesity is associated with poor academic skills and coping strategies which may lead to worse individual and public health outcomes. Further studies are needed to create validated flourishing measures and identify interventions that promote healthy youth behavior and academic success.
评估肥胖与包括学业技能和应对策略在内的儿童成长指标之间的关系。
本研究利用 2016 年全国儿童健康调查中父母报告的 10-17 岁儿童（n=22914）的数据，进行了横断面研究。多项二元回归分析评估了体质指数与 5 项与学校相关和行为儿童成长指标之间的独立和综合关联，包括完成家庭作业、对学习表现出兴趣、完成任务、在受到挑战时保持冷静以及关心学业。分析调整了年龄、性别、抑郁、睡眠、数字媒体暴露、贫困和父母教育程度的影响。
只有 28.9%的肥胖儿童被报告拥有所有 5 项指标，而超重和正常体重指数的儿童分别为 38%和 40.5%。在调整后的模型中，肥胖儿童表现出以下 5 项指标中的 4 项的可能性显著降低：对学习表现出兴趣（调整后比值比[aOR]，0.78；95%置信区间[CI]，0.62-0.97）、完成任务（aOR，0.77；95% CI，0.63-0.94）、在受到挑战时保持冷静（aOR，0.73；95% CI，0.59-0.90）和关心学业（aOR，0.69；95% CI，0.55-0.86）。完成家庭作业与肥胖无关。肥胖儿童符合所有 5 项指标的综合标准的可能性也降低了 23%（aOR，0.77；95% CI，0.61-0.98）。
儿童肥胖与学业技能差和应对策略差有关，这可能导致个人和公共卫生状况恶化。需要进一步研究制定有效的成长指标并确定促进青少年健康行为和学业成功的干预措施。
