UCD Institute of Food and Health, School of Agriculture and Food Science, University College Dublin, Dublin, Ireland.
School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.
Pediatr Obes. 2022 Sep;17(9):e12922. doi: 10.1111/ijpo.12922. Epub 2022 May 23.
Investigations into the main drivers of childhood obesity are vital to implement effective interventions to halt the global rise in levels. The use of a composite score may help to identify children most at risk of overweight/obesity.
To investigate the cumulative impact of factors associated with overweight/obesity risk in children.
Data were analysed from the Irish National Children's Food Survey II which included 600 children, aged 5-12-years. The risk factors examined included social class, parental, early life, lifestyle, and dietary components. A composite score was calculated which ranged from 0 (no risk factors for overweight/obesity) to 4 (4 risk factors for overweight/obesity).
In model 1 (%BF) the four factors associated with overweight/obesity risk were having a parent with overweight/obesity (odds ratio 3.1; 95% confidence interval 1.9-4.8), having a high birth weight of ≥4 kg (2.5; 1.6-3.9), being from a low social class (2.3; 1.4-3.8) and low physical activity (1.9; 1.2-2.8). Children who scored 3-4 points on the composite score had a 10-fold (10.0; 4.2-23.9) increased risk of overweight/obesity compared to those with 0 points, a sevenfold (7.2; 3.9-13.5) increased risk compared to those with 1 point and a threefold (2.6; 1.4-4.8) increased risk compared to those with 2 points, with similar results observed in model 2 (BMI).
The use of a composite score is a beneficial means of identifying children at risk of overweight/obesity and may prove useful in the development of effective interventions to tackle childhood obesity.
研究导致儿童肥胖的主要因素对于实施有效的干预措施以阻止全球肥胖水平的上升至关重要。使用综合评分可能有助于确定超重/肥胖风险最高的儿童。
调查与儿童超重/肥胖风险相关的因素的累积影响。
对爱尔兰国家儿童食品调查 II 的数据进行了分析，该调查包括 600 名 5-12 岁的儿童。检查的危险因素包括社会阶层、父母、早期生活、生活方式和饮食成分。计算了一个综合评分，范围从 0（没有超重/肥胖的危险因素）到 4（有 4 个超重/肥胖的危险因素）。
在模型 1（%BF）中，与超重/肥胖风险相关的四个因素是父母中有超重/肥胖者（比值比 3.1；95%置信区间 1.9-4.8）、出生体重高（≥4kg）（2.5；1.6-3.9）、来自低社会阶层（2.3；1.4-3.8）和低体力活动（1.9；1.2-2.8）。在复合评分中得分为 3-4 分的儿童超重/肥胖的风险增加了 10 倍（10.0；4.2-23.9），与得分为 0 分的儿童相比，得分为 1 分的儿童超重/肥胖的风险增加了 7 倍（7.2；3.9-13.5），得分为 2 分的儿童超重/肥胖的风险增加了 3 倍（2.6；1.4-4.8），在模型 2（BMI）中也观察到了类似的结果。
使用综合评分是识别超重/肥胖风险儿童的有益方法，可能有助于制定有效的干预措施来解决儿童肥胖问题。
