A prospective cohort study of the association between key family and individual factors and obesity status among youth.
A prospective cohort study of the association between key family and individual factors and obesity status among youth.
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一项关于关键家庭和个人因素与青少年肥胖状况之间关系的前瞻性队列研究。
DOI：
10.1038/s41598-022-19585-8
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发表时间：
2022-09-19
影响因子：
4.6
通讯作者：
Alamian, Arsham
中科院分区：
文献类型：
--
作者：
Wang, Liang;Morelen, Diana;Alamian, Arsham
在我们的知识的协同作用的性质，家庭动力学，儿童的特点，和儿童养育的特点，从童年到青春期肥胖的病因仍然存在显着的差距。我们评估了家庭动力学（贫困，家庭结构），儿童特征（儿童气质）和儿童养育特征（母亲抑郁，母亲敏感性和儿童保育类型）与儿童肥胖发展的关系。儿童（n = 1240）的体重和身高至少测量一次的10个时间点（从2岁到15岁）从NICHD研究的早期儿童保育和青年发展。采用广义估计方程（GEE）分析家庭和个人因素对儿童肥胖的影响。调整后的GEE模型显示，生活在贫困线以下与肥胖几率增加有关（比值比= 1.62，95%置信区间1.05，2.53）。在这些关键的家庭和个人因素中，贫困状况被认为是随时间推移后代肥胖的最强预测因素。研究结果强调了系统性公共卫生变化在减少肥胖工作中的重要性，并表明基于减贫的预防和干预可能比更针对个人/家庭的目标更有效。
There remains a significant gap in our knowledge of the synergistic nature of family dynamics, child characteristics, and child-rearing features in the etiology of obesity from childhood through adolescence. We assessed the associations of family dynamics (poverty, family structure), child characteristics (child temperament), and child-rearing features (maternal depression, maternal sensitivity, and type of child care) with the development of childhood obesity. Children (n = 1240) whose weights and heights were measured at least once for ten time points (from 2 years through 15 years) from the NICHD Study of Early Child Care and Youth Development were included. Generalized estimating equation (GEE) was used to examine the associations of family and individual factors with the childhood obesity after adjusting for covariates. Adjusted GEE models showed that living below poverty level was associated with an increased odds of obesity (odds ratio = 1.62, 95% confidence interval 1.05, 2.53). Among these key family and individual factors, poverty status was observed to be the strongest predictor of obesity of offspring across time. Findings highlight the importance of systemic-level public health changes in obesity reduction efforts and suggest that poverty-reduction based prevention and intervention are likely more effective targets than more individual/family specific targets.
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DOI：
10.1111/j-1469-7610.2007.01829.x
发表时间：
2008-02-01
影响因子：
7.6
作者：
Bradley, Robert H.;Corwyn, Robert F.
通讯作者：
Corwyn, Robert F.
影响因子：
7.6
作者：
Berge, Jerica M.;Wall, Melanie;Neumark-Sztainer, Dianne
通讯作者：
Neumark-Sztainer, Dianne
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
--
作者：
Bradley, RH
通讯作者：
Bradley, RH
影响因子：
4
作者：
BAUMRIND, D
通讯作者：
BAUMRIND, D