Karakitsiou Georgia, Plakias Spyridon, Christidi Foteini, Tsiakiri Anna
Department of Psychiatry, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Department of Physical Education and Sport Science, University of Thessaly, 38221 Trikala, Greece.
Children (Basel). 2024 Aug 28;11(9):1048. doi: 10.3390/children11091048.
Childhood obesity is a major medical and public health issue of global interest, which is influenced by a diverse array of factors and carries significant medical and psychosocial implications. Despite the extensive studies that have been conducted to explore the specific issue, the impact of several factors that influence, generate, worsen, and make chronic the phenomenon needs further exploration. This study aimed to construct a grounded theory that includes and connects the psychological, social, parental, and biological factors affecting childhood obesity. Key psychological factors include mental health issues such as depression and emotional eating, while social factors encompass socioeconomic status and cultural influences. Parental factors involve parenting styles and feeding practices, and biological factors relate to genetic predispositions and prenatal conditions. These factors interact in complex ways, highlighting the multifactorial nature of childhood obesity. The study employed a qualitative grounded theory approach, using research articles to achieve a thorough understanding. Qualitative analysis of the articles was conducted using Atlas.ti 24.0 software. Twenty-five research articles were required to reach theoretical saturation. The analysis resulted in 336 codes that were grouped into seven broad categories and twenty-four different subcategories. Through the construction of the theoretical framework, it was recognized that obesity in minors is a complex and multifactorial issue and that the network of causes and influencing factors covers a broad spectrum ranging from the individual to the family, and subsequently to society at large, which interact with each other.
儿童肥胖是一个引起全球关注的重大医学和公共卫生问题，它受到多种因素的影响，并具有重大的医学和心理社会影响。尽管已经进行了大量研究来探讨这一具体问题，但影响、引发、加剧并使这一现象长期存在的若干因素的影响仍需进一步探索。本研究旨在构建一个扎根理论，涵盖并连接影响儿童肥胖的心理、社会、父母和生物学因素。关键的心理因素包括抑郁症和情绪化进食等心理健康问题，而社会因素包括社会经济地位和文化影响。父母因素涉及育儿方式和喂养习惯，生物学因素与遗传易感性和产前状况有关。这些因素以复杂的方式相互作用，凸显了儿童肥胖的多因素性质。该研究采用定性扎根理论方法，利用研究文章来达成全面理解。使用Atlas.ti 24.0软件对文章进行定性分析。需要25篇研究文章才能达到理论饱和。分析得出336个代码，这些代码被归为7个 broad categories 和24个不同的子类别。通过构建理论框架，人们认识到未成年人肥胖是一个复杂的多因素问题，其成因和影响因素网络涵盖了从个人到家庭，进而到整个社会的广泛范围，它们相互作用。
需注意，原文中“seven broad categories”直译为“7个 broad categories”，这里的 “broad” 可能是有特定含义未完整表述清楚，推测可能是“宽泛的类别”之类意思，但按要求未添加解释。
