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父母身体活动对后代营养状况的影响:1993年佩洛塔斯出生队列的一项代际研究。

Influence of parental physical activity on offspring's nutritional status: an intergenerational study in the 1993 Pelotas birth cohort.

作者信息

Blumenberg Cauane, Martins Rafaela Costa, da Silva Shana Ginar, da Silva Bruna Gonçalves Cordeiro, Wehrmeister Fernando C, Gonçalves Helen, Hallal Pedro C, Crochemore-Silva Inácio, Menezes Ana Mb

机构信息

Post-graduate Program in Epidemiology, Federal University of Pelotas (UFPel), 1160 Marechal Deodoro St., 3rd Floor, Centro, Pelotas, RS96020-220, Brazil.

Grupo de Estudos e Pesquisa em Acelerometria (GEPEA), Pelotas, Brazil.

出版信息

Public Health Nutr. 2022 Aug;25(8):2206-2213. doi: 10.1017/S1368980021004079. Epub 2021 Sep 27.

Abstract

OBJECTIVE

To investigate the influence of parental physical activity on offspring's nutritional status in the 1993 Pelotas (Brazil) birth cohort.

DESIGN

Birth cohort study.

SETTING

The main outcomes were overweight and obesity status of children. The main exposure was parental physical activity over time, measured during the 11, 15 and 18 years of age follow-ups. The exposure was operationalised as cumulative, and the most recent measure before the birth of child. We adjusted Poisson regression models with robust variance to evaluate crude and adjusted associations between parental physical activity and offspring's nutritional status. All analyses were stratified according to the sex of the parent.

PARTICIPANTS

A total of 874 members from the 1993 Pelotas (Brazil) birth cohort followed-up at 22 years of age with their first-born child were analysed.

RESULTS

Children were, on average, 3·1 years old. Crude analyses showed that the mother's cumulative physical activity measure had an indirect association with the prevalence of children's obesity. The most recent maternal physical activity measure before the birth of the child was associated with 41 % lower prevalence of obesity in children, even after adjustment for confounders.

CONCLUSIONS

The most recent maternal physical activity measure was indirectly associated with the prevalence of obesity in children. No associations were found for fathers, reinforcing the hypothesis of a biological effect of maternal physical activity on offspring's nutritional status.

摘要

目的

在1993年巴西佩洛塔斯出生队列中,研究父母身体活动对后代营养状况的影响。

设计

出生队列研究。

背景

主要结局为儿童超重和肥胖状况。主要暴露因素为随时间变化的父母身体活动情况,在11岁、15岁和18岁随访时进行测量。该暴露因素以累积形式进行操作化定义,并以孩子出生前的最新测量值为准。我们采用稳健方差调整泊松回归模型,以评估父母身体活动与后代营养状况之间的粗关联和调整后关联。所有分析均按父母性别进行分层。

参与者

对1993年巴西佩洛塔斯出生队列中874名成员进行了分析,这些成员在22岁时与其头胎子女接受了随访。

结果

儿童平均年龄为3.1岁。粗分析显示,母亲累积身体活动测量值与儿童肥胖患病率存在间接关联。即使在调整混杂因素后,孩子出生前母亲最近的身体活动测量值与儿童肥胖患病率降低41%相关。

结论

母亲最近的身体活动测量值与儿童肥胖患病率存在间接关联。未发现父亲有此关联,这进一步支持了母亲身体活动对后代营养状况具有生物学效应的假设。

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