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中国儿童阅读障碍与超重/肥胖之间的关联:一项横断面研究的结果

Association between dyslexia and overweight/obesity among Chinese children: findings from a cross-sectional study.

作者信息

Zhu Bing, Fan Hong, Wang Min, Zhu Kaiheng, Feng Yanan, Wang Haoxue, Jiang Qi, Xiang Zhen, Chen Qianhui, Xiong Ziyan, Song Ranran

机构信息

Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.

Department of Maternal and Child Health and MOE (Ministry of Education) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Pediatr. 2025 Jul 16;13:1600848. doi: 10.3389/fped.2025.1600848. eCollection 2025.

Abstract

BACKGROUND

Extensive studies have consistently reported associations between neurodevelopmental disorders and overweight/obesity. However, limited research addressed the weight status of children with dyslexia. Therefore, this study aimed to explore the association between dyslexia and overweight/obesity among Chinese children.

METHODS

7,116 children were recruited from the Tongji Reading Environment and Dyslexia research program, including 197 dyslexic and 6,919 non-dyslexic children. The standard "Screening for overweight and obesity among school-aged children and adolescents (WS-T 586-2018)" was utilized to define overweight and obesity. Logistic regression models were employed to examine the association between dyslexia and overweight/obesity.

RESULTS

Among dyslexic children, 18.8% were overweight and 23.9% were obese. Among non-dyslexic children, 17.3% were overweight and 15.4% were obese. The proportion of obesity among dyslexic children was significantly higher than that among non-dyslexic children ( = 0.001). After adjusting for all potential confounders, children with dyslexia were more likely to be obese (OR = 1.57, 95% CI: 1.10-2.24). Analyses stratified by sex indicated that such associations were more significant among girls. No significant association was found between dyslexia and overweight.

CONCLUSIONS

This cross-sectional study provides evidence that dyslexic children had significantly higher odds of obesity. This finding emphasizes the urgent need for heightened awareness and strategies targeted to mitigate excess body weight for this special population.

摘要

背景

大量研究一致报道了神经发育障碍与超重/肥胖之间的关联。然而,针对阅读障碍儿童体重状况的研究有限。因此,本研究旨在探讨中国儿童中阅读障碍与超重/肥胖之间的关联。

方法

从同济阅读环境与阅读障碍研究项目中招募了7116名儿童,其中包括197名阅读障碍儿童和6919名非阅读障碍儿童。采用标准的《学龄儿童青少年超重与肥胖筛查(WS-T 586-2018)》来定义超重和肥胖。使用逻辑回归模型来检验阅读障碍与超重/肥胖之间的关联。

结果

在阅读障碍儿童中,18.8%超重,23.9%肥胖。在非阅读障碍儿童中,17.3%超重,15.4%肥胖。阅读障碍儿童中的肥胖比例显著高于非阅读障碍儿童(P = 0.001)。在对所有潜在混杂因素进行调整后,阅读障碍儿童更有可能肥胖(OR = 1.57,95%CI:1.10 - 2.24)。按性别分层分析表明,这种关联在女孩中更为显著。未发现阅读障碍与超重之间存在显著关联。

结论

这项横断面研究提供了证据,表明阅读障碍儿童肥胖的几率显著更高。这一发现强调了迫切需要提高对这一特殊人群的认识,并制定针对性策略来减轻超重问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f1/12307394/f73171160e98/fped-13-1600848-g001.jpg

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