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波兰学龄前儿童营养状况及肥胖相关危险因素的十年差异

Ten-Year Differences in Nutritional Status and Obesity-Related Risk Factors in Polish Preschool Children.

作者信息

Zembura Marcela, Lula Paweł, Matusik Paweł

机构信息

Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.

Department of Computational Systems, Cracow University of Economics, 31-510 Kraków, Poland.

出版信息

Children (Basel). 2023 Mar 28;10(4):636. doi: 10.3390/children10040636.

Abstract

The aim of this study was to assess ten-year differences in nutritional statuses and obesity prevalences between populations of preschool children from Katowice, Poland, examined in 2007 and 2017, and to determine factors associated with overweight and obesity in preschool children. A cross-sectional questionnaire was conducted among parents and legal guardians of 276 preschool children in 2007 and 259 preschool children in 2017. Basic anthropometric measurements were performed. Overall, the prevalence of overweight and obesity among our sample of Polish preschool children (median age 5.25 year) was 16.82%, whereas 4.49% of children were obese. No significant differences in the number of overweight and obese children were observed when comparing the years 2017 to 2007. Overall body mass index (BMI) z-score was significantly lower in this group of children from 2017. However, median values of the BMI z-score were higher in two of the weight categories (overweight and obesity) in 2017. The child's BMI z-score was positively correlated with birth weight (r = 0.1, < 0.05). The BMI z-score was positively correlated with maternal BMI, paternal BMI, and maternal pregnancy weight gain, r = 0.24 < 0.01; r = 0.16 < 0.01; r = 0.12 < 0.05, respectively. A decrease in overweight and obesity prevalence over the past decade and higher median values of BMI z-scores in the group of children with excessive weight in 2017 were observed. Birth weight, maternal BMI, paternal BMI, and maternal pregnancy weight gain all correlate positively with a child's BMI z-score.

摘要

本研究旨在评估2007年和2017年接受检查的波兰卡托维兹学龄前儿童群体在营养状况和肥胖患病率方面的十年差异,并确定与学龄前儿童超重和肥胖相关的因素。2007年对276名学龄前儿童的家长和法定监护人进行了横断面问卷调查,2017年对259名学龄前儿童进行了调查。进行了基本人体测量。总体而言,我们波兰学龄前儿童样本(中位年龄5.25岁)中超重和肥胖的患病率为16.82%,而肥胖儿童占4.49%。比较2017年和2007年时,超重和肥胖儿童的数量没有显著差异。2017年这组儿童的总体体重指数(BMI)z评分显著较低。然而,2017年在两个体重类别(超重和肥胖)中,BMI z评分的中位数较高。儿童的BMI z评分与出生体重呈正相关(r = 0.1,P < 0.05)。BMI z评分与母亲BMI、父亲BMI和母亲孕期体重增加呈正相关,分别为r = 0.24(P < 0.01);r = 0.16(P < 0.01);r = 0.12(P < 0.05)。观察到过去十年超重和肥胖患病率有所下降,2017年超重儿童组的BMI z评分中位数较高。出生体重、母亲BMI、父亲BMI和母亲孕期体重增加均与儿童的BMI z评分呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475c/10137263/21173a604926/children-10-00636-g001.jpg

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