Relationships between Parental Education and Overweight with Childhood Overweight and Physical Activity in 9-11 Year Old Children: Results from a 12-Country Study.
Relationships between Parental Education and Overweight with Childhood Overweight and Physical Activity in 9-11 Year Old Children: Results from a 12-Country Study.
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DOI：
10.1371/journal.pone.0147746
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
ISCOLE Research Group
中科院分区：
文献类型：
--
作者：
Muthuri SK;Onywera VO;Tremblay MS;Broyles ST;Chaput JP;Fogelholm M;Hu G;Kuriyan R;Kurpad A;Lambert EV;Maher C;Maia J;Matsudo V;Olds T;Sarmiento OL;Standage M;Tudor-Locke C;Zhao P;Church TS;Katzmarzyk PT;ISCOLE Research Group
在全球范围内，儿童超重和体育活动水平低的现象普遍存在，对成年期的发病率和过早死亡率产生了严重影响。各种父母因素与儿童超重和体力活动有关。本文的目的是调查父母的教育或超重之间的关系，（i）儿童超重，（ii）儿童体力活动，（iii）探讨超重的家庭共存，在一个大的国际样本。数据来自4752名儿童（9-11岁），作为全球12个国家儿童肥胖、生活方式和环境国际研究的一部分。通过加速度计评估参与儿童的身体活动，并直接测量体重。采用问卷调查的方式收集家长的受教育程度、体重和身高。母亲和父亲超重与儿童超重呈正相关。与总样本相比，在超重儿童中观察到更高的父母-子女超重家庭共存。哥伦比亚的母亲教育程度与儿童超重之间存在正相关，比值比（置信区间）为1.90（1.23-2.94），肯尼亚为4.80（2.21-10.43），巴西的父亲教育程度与儿童超重之间存在负相关，分别为0.55（0.33-0.92）和0.54（0.33-0.88）。在哥伦比亚0.53（0.33-0.85）、肯尼亚0.35（0.19-0.63）和葡萄牙0.54（0.31-0.96），母亲教育与儿童符合体育活动指南呈负相关。结果与先前的研究一致，显示所有国家的父母和儿童超重之间存在正相关，父母教育与儿童超重之间存在正相关关系，或在经济地位较低的国家，父母教育与儿童体育活动之间存在负相关关系。母亲和父亲的教育和儿童体重状况和身体活动之间的关系似乎与不同国家的发展阶段有关。鉴于这些不同的关系，在调查儿童超重和体育活动时，进一步探索家庭因素至关重要。
Globally, the high prevalence of overweight and low levels of physical activity among children has serious implications for morbidity and premature mortality in adulthood. Various parental factors are associated with childhood overweight and physical activity. The objective of this paper was to investigate relationships between parental education or overweight, and (i) child overweight, (ii) child physical activity, and (iii) explore household coexistence of overweight, in a large international sample. Data were collected from 4752 children (9–11 years) as part of the International Study of Childhood Obesity, Lifestyle and the Environment in 12 countries around the world. Physical activity of participating children was assessed by accelerometry, and body weight directly measured. Questionnaires were used to collect parents’ education level, weight, and height. Maternal and paternal overweight were positively associated with child overweight. Higher household coexistence of parent-child overweight was observed among overweight children compared to the total sample. There was a positive relationship between maternal education and child overweight in Colombia 1.90 (1.23–2.94) [odds ratio (confidence interval)] and Kenya 4.80 (2.21–10.43), and a negative relationship between paternal education and child overweight in Brazil 0.55 (0.33–0.92) and the USA 0.54 (0.33–0.88). Maternal education was negatively associated with children meeting physical activity guidelines in Colombia 0.53 (0.33–0.85), Kenya 0.35 (0.19–0.63), and Portugal 0.54 (0.31–0.96). Results are aligned with previous studies showing positive associations between parental and child overweight in all countries, and positive relationships between parental education and child overweight or negative associations between parental education and child physical activity in lower economic status countries. Relationships between maternal and paternal education and child weight status and physical activity appear to be related to the developmental stage of different countries. Given these varied relationships, it is crucial to further explore familial factors when investigating child overweight and physical activity.