Vard Bahareh, Deylam Sahand, Riahi Roya, Kelishadi Roya
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2023 Mar 28;12:73. doi: 10.4103/abr.abr_251_21. eCollection 2023.
Considering the importance of weight disorders in childhood and its impact until adulthood, this study was conducted to assess the determinants of weight disorders in 2-year-old Iranian children.
This cross-sectional study was conducted in 2020 among on 2300 children registered in Comprehensive Health Centers of Isfahan, Iran. Weight disorders, including underweight and overweight were defined according to the standardized National Center for Health Statistics (NCHS)/Centers for Disease Control (CDC) growth charts. Demographic data including gender, birth weight, maternal educational levels and occupation, duration of breastfeeding and the age of beginning complementary food were gathered.
In the present study, 750 children (i.e., 32.6%) had weight disorders. Among them, 53.6% were underweight, 26.3% were overweight, and 12.9% were obese, 7.2%had severe underweight. Female gender, university education of mothers and higher levels of socio-economic status significantly increased the chance of overweight by 14.79%, 22.28%, 27.33% and 24.48%, respectively. Although with the increase in the duration of breastfeeding and the increase of family members, overweight, respectively, decreased by 0.86 and 0.93 fold, but it was not statistically significant. There was an inverse, significant relationship between the duration of breastfeeding with overweight versus underweight.
Underweight and overweight were the two most common weight disorders among 2-year- children, respectively. Control of modifiable risk factors for weight disorders in early life should be underscored in the primary health care system.
鉴于儿童期体重紊乱的重要性及其对成年期的影响，本研究旨在评估伊朗2岁儿童体重紊乱的决定因素。
本横断面研究于2020年对伊朗伊斯法罕综合健康中心登记的2300名儿童进行。根据标准化的美国国家卫生统计中心（NCHS）/疾病控制中心（CDC）生长图表定义体重紊乱，包括体重不足和超重。收集了人口统计学数据，包括性别、出生体重、母亲教育水平和职业、母乳喂养持续时间以及开始添加辅食的年龄。
在本研究中，750名儿童（即32.6%）存在体重紊乱。其中，53.6%体重不足，26.3%超重，12.9%肥胖，7.2%严重体重不足。女性、母亲受过大学教育以及较高的社会经济地位分别使超重几率显著增加14.79%、22.28%、27.33%和24.48%。尽管随着母乳喂养持续时间的增加和家庭成员数量的增加，超重几率分别降低了0.86倍和0.93倍，但差异无统计学意义。母乳喂养持续时间与超重和体重不足之间存在显著的负相关关系。
体重不足和超重分别是2岁儿童中最常见的两种体重紊乱情况。初级卫生保健系统应强调控制生命早期体重紊乱的可改变风险因素。
