Department of Nutrition, Faculty of Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Section of Environmental Exposure and Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Sci Rep. 2021 Mar 2;11(1):4979. doi: 10.1038/s41598-021-84615-w.
Studies exploring when social inequalities in body mass index (BMI) and its composites emerge and how these evolve with age are limited. Thus, this study explored parental income and education related inequalities in children's weight, height, weight velocity and body mass index among Norwegian children from 1 month to 8 years. The study population included 59,927 family/children pairs participating in the Norwegian Mother, Father, and Child Cohort Study. Growth was modelled using the Jenss-Bayley model and linear mixed effects analyses were conducted. Maternal and paternal educational differences in children's weight and BMI trajectories emerged during infancy, continuing to age 8 years. Parental income-related inequalities in children's weight were observed from the age of 1 month to 4 years for maternal and up to 1 year for paternal income-related differences but then disappeared. Parental income-related inequalities in child's BMI were observed from 18 months to 8 years for maternal income, and from 9 months to 8 years for paternal income-related differences. These results suggest that social inequalities in children's BMI present early in infancy and continue to 8 years of age. The inequalities sometimes differed by indicator of socioeconomic position used. Interventions to combat these inequalities early in life are, thus needed.
研究探索了身体质量指数(BMI)及其成分的社会不平等何时出现,以及这些不平等如何随年龄而演变,但此类研究有限。因此,本研究探讨了挪威儿童从 1 个月到 8 岁时,父母收入和教育相关的儿童体重、身高、体重增长速度和 BMI 不平等问题。该研究人群包括 59927 对参与挪威母婴儿童队列研究的家庭/儿童对。使用 Jenss-Bayley 模型对生长进行建模,并进行线性混合效应分析。儿童体重和 BMI 轨迹的母亲和父亲教育差异在婴儿期出现,并持续到 8 岁。从 1 个月到 4 岁,观察到儿童体重的母亲相关收入不平等,以及从 1 个月到 1 岁,观察到父亲相关收入不平等,但随后消失。从 18 个月到 8 岁观察到母亲收入相关的儿童 BMI 不平等,从 9 个月到 8 岁观察到父亲收入相关的儿童 BMI 不平等。这些结果表明,儿童 BMI 的社会不平等在婴儿期很早就出现,并持续到 8 岁。使用的社会经济地位指标有时会存在差异。因此,需要在生命早期采取干预措施来解决这些不平等问题。