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儿童肥胖可能与饮食习惯和屏幕使用时间有关。

Childhood Obesity May Be Linked to Feeding Habits and Screen Time.

作者信息

Atwah Ali, Koshak Emad, Shalabi Maher S, Alsulami Abdulrahman, Alsaedi Ahmed S, Alharbi Osama, Almalki Ziyad, Moamina Ahmed

机构信息

Pediatrics, King Abdulaziz University Faculty of Medicine, Rabigh, SAU.

Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2023 Dec 22;15(12):e50933. doi: 10.7759/cureus.50933. eCollection 2023 Dec.

DOI:10.7759/cureus.50933
PMID:38249252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10800011/
Abstract

Background Childhood obesity is an alarming health problem. Early feeding habits and factors are among the etiological factors contributing to obesity. Objectives The objective of this study is to evaluate the correlation between breastfeeding, alongside other relevant factors, and their potential role as preventative measures against obesity. Methods A cross-sectional hospital-based study was conducted on children who attended a pediatric clinic. Demographic, clinical, and anthropometric measurements were taken from the hospital records. A questionnaire was completed by parents telephonically. Overweight was identified as a body mass index (BMI) of > 85-95% and obesity as a BMI of > 95%. Results A total of 101 children, with a mean age of 8.88 ± 4.01 (range one to 18) years, were involved, of whom 58.4% were boys. A high BMI (overweight or obese) was found in 30 (29.7%) children. The highest BMIs were among soft drink consumers [two children (66.7%) consumed daily and eight children (40%) consumed monthly], high birth weight in two children (40%), cow's milk formula feeding in eight children (38%), and weekly fast food consumption in 18 children (35%), none of these were statistically significant. Nevertheless, there was a significant association between mean electronic device usage and high (204.5 ± 164.76 hours) and normal BMI (147.61 ± 110.24 hours) (p-value < 0.05). Conclusion This small cross-sectional study shows that almost one-third of the included children were overweight or obese, which is comparable to what has been published in the literature. Moreover, there was a potential link between some factors and obesity, especially screen time, which may contribute to the controversial literature.

摘要

背景

儿童肥胖是一个令人担忧的健康问题。早期喂养习惯和因素是导致肥胖的病因之一。

目的

本研究的目的是评估母乳喂养与其他相关因素之间的相关性,以及它们作为预防肥胖措施的潜在作用。

方法

对一家儿科诊所就诊的儿童进行了一项基于医院的横断面研究。从医院记录中获取人口统计学、临床和人体测量数据。通过电话让家长填写一份问卷。超重定义为体重指数(BMI)>85-95%,肥胖定义为BMI>95%。

结果

共纳入101名儿童,平均年龄8.88±4.01(1至18岁)岁,其中58.4%为男孩。30名(29.7%)儿童BMI较高(超重或肥胖)。BMI最高的是软饮料消费者[2名儿童(66.7%)每天饮用,8名儿童(40%)每月饮用]、2名出生体重高的儿童(40%)、8名食用牛奶配方奶粉的儿童(38%)以及18名每周食用快餐的儿童(35%),这些均无统计学意义。然而,平均电子设备使用时间与高BMI(204.5±164.76小时)和正常BMI(147.61±110.24小时)之间存在显著关联(p值<0.05)。

结论

这项小型横断面研究表明,近三分之一的纳入儿童超重或肥胖,这与文献报道相当。此外,一些因素与肥胖之间存在潜在联系,尤其是屏幕时间,这可能导致了有争议的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ea/10800011/abcbb8f2b512/cureus-0015-00000050933-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ea/10800011/abcbb8f2b512/cureus-0015-00000050933-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ea/10800011/abcbb8f2b512/cureus-0015-00000050933-i01.jpg

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Policy Statement: Breastfeeding and the Use of Human Milk.政策声明:母乳喂养与人类母乳的使用。
Pediatrics. 2022 Jul 1;150(1). doi: 10.1542/peds.2022-057988.
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Systematic review and meta-analysis of breastfeeding and later overweight or obesity expands on previous study for World Health Organization.系统评价和荟萃分析母乳喂养与随后超重或肥胖的关系,扩展了世界卫生组织之前的研究。
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The Prevalence and Trends of the Early Introduction of Cow Milk to Newborns at Tertiary Care Center: A Risk of Atopy.
三级护理中心新生儿过早引入牛奶的患病率及趋势:特应性风险
Int J Environ Res Public Health. 2021 Jun 22;18(13):6686. doi: 10.3390/ijerph18136686.
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Nat Metab. 2020 Mar;2(3):223-232. doi: 10.1038/s42255-020-0183-z. Epub 2020 Mar 16.
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Screen time and childhood overweight/obesity: A systematic review and meta-analysis.屏幕使用时间与儿童超重/肥胖:一项系统评价与荟萃分析。
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From conception to infancy - early risk factors for childhood obesity.从受孕到婴儿期 - 儿童肥胖的早期危险因素。
Nat Rev Endocrinol. 2019 Aug;15(8):456-478. doi: 10.1038/s41574-019-0219-1. Epub 2019 Jul 3.
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Factors associated with exclusive breastfeeding in relation to knowledge, attitude and practice of breastfeeding mothers in Rabigh community, Western Saudi Arabia.与沙特阿拉伯西部拉比格社区母乳喂养母亲的知识、态度和实践相关的纯母乳喂养因素。
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Overweight and obesity among Saudi children and adolescents: Where do we stand today?沙特儿童和青少年的超重与肥胖问题:我们如今处于何种状况?
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Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative - COSI 2015/2017.出生特征、母乳喂养与肥胖的关联:2015-2017 年世卫组织欧洲儿童肥胖监测倡议 - COSI
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Public Policies to Reduce Sugary Drink Consumption in Children and Adolescents.减少儿童和青少年含糖饮料消费的公共政策。
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