Conrad Zach, Hatfield Daniel P, Hennessy Erin, Maneval Elizabeth, Ty Esther, Pankey Christopher L
Department of Health Sciences, William & Mary, Williamsburg, VA, USA.
Division of Nutrition Interventions, Communication and Behavior Change, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Curr Dev Nutr. 2021 Apr 12;5(4):nzab030. doi: 10.1093/cdn/nzab030. eCollection 2021 Apr.
Evidence links parent-offspring weight status, but few studies have evaluated whether markers of socioeconomic status moderate this relation. The 2014 Family Life, Activity, Sun, Health, and Eating study was used to assess intergenerational weight status in a national sample of parent-teen dyads. Multivariable logistic regression models assessed the relation between parent-teen weight status, controlling for teen and parent dietary factors, physical activity, demographic factors, and socioeconomic factors. Models with interaction assessed moderation by household food security status and participation in federal assistance programs. In fully adjusted models, sons were 2.66 (95% CI: 1.56, 4.55) times more likely to have overweight/obesity if their mother had overweight/obesity, and daughters were 3.35 (95% CI: 1.91, 5.86) times more likely. This relation was stronger in mother-son pairs in households with lower food security. These findings provide important new information that can be used to inform nutritional counseling efforts and educational programs that support families with socioeconomic disadvantage.
有证据表明父母与子女的体重状况存在关联，但很少有研究评估社会经济地位指标是否会缓和这种关系。2014年的家庭生活、活动、阳光、健康与饮食研究被用于评估全国范围内父母与青少年二元组样本中的代际体重状况。多变量逻辑回归模型评估了父母与青少年体重状况之间的关系，同时控制了青少年和父母的饮食因素、身体活动、人口统计学因素以及社会经济因素。带有交互项的模型评估了家庭粮食安全状况和参与联邦援助项目的调节作用。在完全调整后的模型中，如果母亲患有超重/肥胖症，儿子患超重/肥胖症的可能性要高2.66倍（95%置信区间：1.56, 4.55），女儿则高3.35倍（95%置信区间：1.91, 5.86）。在粮食安全程度较低的家庭中，这种关系在母子对中更为明显。这些发现提供了重要的新信息，可用于为营养咨询工作和支持社会经济处于不利地位家庭的教育项目提供参考。
