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日本青少年在课堂上的主观影响程度与消瘦之间的关联。

Association between subjective degree of influence in class and thinness among adolescents in Japan.

作者信息

Ishikawa Nanako, Koyama Yuna, Doi Satomi, Isumi Aya, Fujiwara Takeo

机构信息

Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.

Japan Society for the Promotion of Science (JSPS), Tokyo, Japan.

出版信息

Front Pediatr. 2023 Jan 9;10:938139. doi: 10.3389/fped.2022.938139. eCollection 2022.

Abstract

Social status in school, measured by subjective degree of influence in class (DOI), may influence thinness among adolescents. This study examined the association between subjective degree of influence in class and thinness among Japanese adolescents. Data were obtained from the Kochi Child Health Impact of Living Difficulty (K-CHILD) study in 2016, which Was a population-based study targeting 5th, 8th and 11th grade adolescents living in Kochi Prefecture, Japan ( = 9,998). DOI was assessed by adolescents questionnaire. Weight and height were given by caregivers for 5th grade adolescents, whilst they were self-reported for 8th and 11th grade adolescents. Collected data on weight and height were used to calculate body mass index z-scores of WHO standards. Models included grade, gender, number of friends, household income, location of school and depressive symptoms as covariates. The results showed that both high and low DOI were positively associated with thinness after adjustment for other individual covariates (high DOI, OR = 1.59, 95% CI 1.05-2.43; low DOI, OR = 2.04, 95% CI 1.36-3.06). Further stratification by gender revealed that low DOI was positively associated with thinness (OR = 2.14, 95% CI 1.34-3.44) among boys, but there was no association among girls. Both high and low DOI were associated with the risk of being thin in adolescents. Focusing on DOI for adolescents may be important to address thinness among adolescents. Further studies are needed to examine the causality between DOI and thinness in adolescents.

摘要

学校中的社会地位,通过在班级中的主观影响力程度(DOI)来衡量,可能会影响青少年的消瘦情况。本研究调查了日本青少年在班级中的主观影响力程度与消瘦之间的关联。数据来自2016年的高知县生活困难对儿童健康的影响(K-CHILD)研究,这是一项基于人群的研究,目标是居住在日本高知县的五年级、八年级和十一年级青少年(n = 9998)。DOI通过青少年问卷进行评估。五年级青少年的体重和身高由照顾者提供,而八年级和十一年级青少年则自行报告。收集到的体重和身高数据用于计算世界卫生组织标准的体重指数z评分。模型纳入年级、性别、朋友数量、家庭收入、学校位置和抑郁症状作为协变量。结果显示,在对其他个体协变量进行调整后,高DOI和低DOI均与消瘦呈正相关(高DOI:OR = 1.59,95%CI 1.05 - 2.43;低DOI:OR = 2.04,95%CI 1.36 - 3.06)。按性别进一步分层显示,低DOI与男孩消瘦呈正相关(OR = 2.14,95%CI 1.34 - 3.44),但女孩中无此关联。高DOI和低DOI均与青少年消瘦风险相关。关注青少年的DOI对于解决青少年消瘦问题可能很重要。需要进一步研究来检验DOI与青少年消瘦之间的因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d772/9869945/b93c5522d11e/fped-10-938139-g001.jpg

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