Faculty of Medicine, University of Bourgogne, Dijon, France.
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
BMC Pediatr. 2022 Apr 14;22(1):209. doi: 10.1186/s12887-022-03279-1.
Childhood overweight and obesity is one of the most challenging public health problems facing both developed and developing countries. Several studies carried worldwide assessed predisposing risk factors for childhood obesity, however, few addressed the Middle East region and particularly Lebanon. We aimed in our study to assess factors associated with knowledge, attitude and practice of Lebanese parents regarding childhood overweight, particularly the parent-physician communication.
This cross-sectional study conducted between September and December 2019. The questionnaire used was the standardized questionnaire of "Parent Questionnaire Curriculum" from the "We Can program" (Ways to Enhance Children's Activity and Nutrition).
A higher parent-physician communication score (Beta = 0.05) was significantly associated with higher knowledge, whereas having a higher intermediate vs low income (Beta = -0.65) was significantly associated with lower knowledge. A higher knowledge global score (Beta = 1.25), a higher parent-physician communication score (Beta = 0.18), and having a university education level compared to illiterate/primary/complementary (Beta = 2.59) were significantly associated with better attitude. A better attitude (Beta = 0.92) and a higher global knowledge score (Beta = 0.6) were significantly associated with a better practice.
This study found that a better parent-physician communication and higher knowledge were associated with better attitude and practice towards obesity. Given the rise in childhood obesity worldwide, identifying factors that help reduce childhood obesity, is becoming mandatory. Our results can open up to future studies addressing strategies to prevent childhood obesity in Lebanon.
儿童超重和肥胖是发达国家和发展中国家面临的最具挑战性的公共卫生问题之一。全球开展的多项研究评估了儿童肥胖的易患风险因素,但很少涉及中东地区,尤其是黎巴嫩。我们旨在本研究中评估与黎巴嫩父母对儿童超重的知识、态度和实践相关的因素,特别是父母与医生的沟通。
这是一项在 2019 年 9 月至 12 月间进行的横断面研究。使用的问卷是“我们可以计划”(增强儿童活动和营养的方法)的“父母问卷课程”的标准化问卷。
父母与医生的沟通评分较高(β=0.05)与较高的知识水平显著相关,而收入较高的中等水平与收入较低的水平(β=-0.65)显著相关与较低的知识水平相关。较高的整体知识评分(β=1.25)、较高的父母与医生的沟通评分(β=0.18)和与文盲/小学/补充教育相比具有大学教育水平(β=2.59)与较好的态度显著相关。更好的态度(β=0.92)和更高的整体知识评分(β=0.6)与更好的实践显著相关。
本研究发现,更好的父母与医生的沟通和更高的知识水平与对肥胖的更好态度和实践相关。鉴于全球儿童肥胖率的上升,确定有助于减少儿童肥胖的因素变得势在必行。我们的研究结果可以为未来在黎巴嫩预防儿童肥胖的研究提供策略。