Lissau I, Breum L, Sørensen T I
Institute of Preventive Medicine, Copenhagen Health Services, Copenhagen Municipal Hospital, Denmark.
Int J Obes Relat Metab Disord. 1993 Mar;17(3):125-9.
The possible effect of maternal attitude to sweet eating habits on their offspring's risk of overweight is a common concern. This study addresses the influence of mothers' reports on and attitude to sweet eating habits on the subsequent risk of overweight of their offspring in young adulthood. A study of a randomly selected cohort of 9-10 year old children from schools in the Copenhagen municipality was performed in 1974. A decade later a follow-up was carried out, and 86% of the target population participated. Overweight was defined as the 90th percentile of body mass index distribution (weight/height2 (kg/m2)). The odds ratio of overweight in young adulthood was assessed by logistic regression analysis taking into account body mass index in childhood, gender and social background (both parents' school education, householder's occupational status, and quality of dwellings in childhood rearing areas). The results showed that the risk of overweight was significantly increased if the mother reported lacking knowledge about her offspring's sweet eating habits (OR = 4.5; 95% confidence limits: 1.7-12.1; P = 0.003). The risk was insignificantly increased if the mothers expressed acceptance of sweet eating habits (OR = 1.9; 0.8-4.2; P = 0.1), and if more than an average amount of money was given for sweets (OR = 2.0; 1.0-3.8; P = 0.06). On the other hand, how often the child was actually allowed to eat sweets, and the mother's acceptance of sugary food did not significantly influence the risk.(ABSTRACT TRUNCATED AT 250 WORDS)
母亲对甜食饮食习惯的态度对其后代超重风险的可能影响是一个普遍关注的问题。本研究探讨母亲对甜食饮食习惯的报告及态度对其后代成年早期超重风险的影响。1974年,对哥本哈根市学校中随机抽取的一组9至10岁儿童进行了研究。十年后进行了随访,目标人群的参与率为86%。超重定义为体重指数分布的第90百分位数(体重/身高²(kg/m²))。通过逻辑回归分析评估成年早期超重的比值比,同时考虑儿童期体重指数、性别和社会背景(父母双方的学校教育、户主职业状况以及儿童成长地区的居住质量)。结果显示,如果母亲报告对其后代的甜食饮食习惯缺乏了解,超重风险会显著增加(比值比=4.5;95%置信区间:1.7 - 12.1;P = 0.003)。如果母亲表示接受甜食饮食习惯(比值比=1.9;0.8 - 4.2;P = 0.1),以及如果给购买甜食的钱超过平均水平(比值比=2.0;1.0 - 3.8;P = 0.06),风险会有不显著的增加。另一方面,孩子实际被允许吃甜食的频率以及母亲对含糖食物的接受程度并未显著影响风险。(摘要截短至250字)