Non-Communicable Disease and Environment Research Group, Barcelona Institute for Global Health (ISGlobal), 08003 Barcelona, Spain.
Health Science Faculty, Blanquerna-Universitat Ramon Llull, 08022 Barcelona, Spain.
Nutrients. 2021 Dec 30;14(1):160. doi: 10.3390/nu14010160.
Evidence has identified unhealthy lifestyle behaviors as the main contributors to obesity in children, so it is essential to identify factors that could influence children's lifestyles. The objective of the present study was to analyze the association of baseline maternal educational level with child's physical activity, screen time, and dietary habits at follow-up. This community-based cohort study was carried out between 2012 and 2014 and included 1405 children aged 8 to 10 years old. Maternal educational level was used as an indicator of child's socioeconomic status. Physical activity, screen time, and dietary habits were assessed by validated questionnaires. The odds of having commercially baked goods for breakfast [OR 1.47 (95% CI 1.03 to 2.10)], going more than once a week to a fast-food restaurant [OR 1.64 (95% CI 1.20 to 2.26)], and taking sweets and candys several times a day [OR 3.23 (95% CI 2.14 to 4.87) were significantly higher among children whose mothers had a lower educational level compared to their peers whose mothers had a higher level. These associations held for taking sweets and candy several times a day after additional adjustment for the corresponding dietary behavior at baseline. Maternal educational level was inversely associated ( < 0.001) with child's screen time at follow up and being in the lowest maternal educational category was associated with an increased odds of surpassing the maximum recommended time of screen time of 120 min per day (OR (95% CI) 1.43 (1.07 to 1.90), = 0.016). Maternal education is a predictor for unhealthy dietary habits and high screen time in children.
证据表明，不健康的生活方式行为是导致儿童肥胖的主要原因，因此，识别可能影响儿童生活方式的因素至关重要。本研究的目的是分析基线母亲教育水平与儿童随访时的身体活动、屏幕时间和饮食习惯之间的关联。这项基于社区的队列研究于 2012 年至 2014 年进行，共纳入了 1405 名 8 至 10 岁的儿童。母亲的教育水平被用作儿童社会经济地位的指标。身体活动、屏幕时间和饮食习惯通过经过验证的问卷进行评估。与母亲教育水平较高的同龄人相比，母亲教育水平较低的儿童更有可能早餐食用商业烘焙食品（OR 1.47 [95%CI 1.03 至 2.10]）、每周去快餐店超过一次（OR 1.64 [95%CI 1.20 至 2.26]）和每天吃几次甜食和糖果（OR 3.23 [95%CI 2.14 至 4.87）。在对基线时相应的饮食行为进行额外调整后，每天吃几次甜食和糖果的这种关联仍然存在。母亲的教育水平与儿童随访时的屏幕时间呈负相关（<0.001），而处于最低母亲教育水平类别的儿童，其屏幕时间超过每天推荐的最大时间 120 分钟的几率增加（OR [95%CI] 1.43 [1.07 至 1.90]，=0.016）。母亲教育是儿童不健康饮食习惯和高屏幕时间的预测因素。
