Association Between School Children's Overweight and Maternal Obesity and Perception of their Children's Weight Status
Association Between School Children's Overweight and Maternal Obesity and Perception of their Children's Weight Status
复制标题
学童超重和母亲肥胖之间的关联以及对孩子体重状况的看法
DOI：
10.1515/jpem.2008.21.7.641
复制
发表时间：
2008
影响因子：
1.4
通讯作者：
Claudio González
中科院分区：
文献类型：
--
作者：
V. Hirschler;Maria L Calcagno;Ana M Clemente;C. Aranda;Claudio González
目标
为了确定超重儿童与a)母亲代谢综合征的其他组成部分之间的关系，例如身体质量指数(BMI)、腰围(WC)、高密度脂蛋白-胆固醇、甘油三酯、葡萄糖、HOMA-IR、血压(BP)和年龄；以及b)母亲对孩子超重的看法。
方法
在2006年4月至8月期间，对620名9+/-2岁的儿童及其母亲进行了检查。测定体重指数、血压、空腹血糖、血脂及儿童Tanner分期。调查对象填写了调查问卷，内容是母亲对孩子饮食习惯和体型的看法。
结果
95名儿童(17.4%)肥胖(95%)，108名(15.3%)超重(85%)，418名(67.3%)正常。112名(18%)母亲肥胖，183名(29.5%)超重。母亲测量的平均值在正常和超重/肥胖儿童之间存在差异：Z-BMI(-0.19比0.42)，甘油三酯(84比105 mg/dl)，胆固醇(147比157 mg/dl)，血糖(78比82 mg/dl)和胰岛素抵抗(HOMA-IR 1.34比1.72)。正常儿童和超重/肥胖儿童的母亲在形状知觉扭曲的比例(2.2%比47.5%)和饮食习惯扭曲的比例(11.2%比37%)方面存在显著差异。以BMI和GT；OR=85%为因变量的Logistic回归分析显示，母亲对孩子的体型(OR：18.84；95%CI：5.0~69.6)、饮食习惯(OR：3.82；95%CI：1.5~9.5)和母亲的BMI(OR：2.1；95%CI：1.3~3.4)与儿童超重有关。
结论
母亲对孩子身材和饮食习惯的扭曲看法与母亲的肥胖和孩子的超重之间存在关联。这一观察结果为肥胖预防计划提供了线索。
AIM
To determine the association between overweight children and a) other components of the mothers' metabolic syndrome, such as body mass index (BMI), waist circumference (WC), HDL-cholesterol, triglycerides, glucose, HOMA-IR, blood pressure (BP), and age; and b) the mothers' perception of their children's overweight.
METHODS
Six hundred and twenty children (297 M) aged 9 +/- 2 years and their mothers aged 37.7 +/- 7 years were examined between April and August 2006. BMI, BP, fasting glucose and lipids and children's Tanner stage were determined. Questionnaires were filled in about the mothers' perceptions of their children's eating habits and of their children's shape.
RESULTS
Ninety-five (17.4%) of the children were obese (> 95th percentile), 108 (15.3%) overweight (> 85th percentile) and 418 (67.3%) normal. One hundred and twelve (18%) of the mothers were obese and 183 (29.5%) overweight. Mean values for measures in mothers differed between normal vs overweight/obese children: z-BMI (-0.19 vs 0.42), triglycerides (84 vs 105 mg/dl), cholesterol (147 vs 157 mg/dl), glucose (78 vs 82 mg/dl) and insulin resistance (HOMA-IR 1.34 vs 1.72). There were significant differences in the proportion with distorted perception of shape (2.2% vs 47.5%) and eating habits (11.2% vs 37%) between mothers of normal versus overweight/ obese children. Logistic regression analysis using BMI > or = 85th percentile as the dependent variable showed that the mothers' perceptions of their children's shape (OR: 18.84; 95% CI: 5.0-69.6), eating habits (OR: 3.82; 95% CI: 1.5-9.5) and mothers' BMI (OR: 2.1; 95% CI: 1.3-3.4) were associated with children's overweight.
CONCLUSIONS
There was an association between mothers' distorted perception of their children's shape and eating habits and mothers' obesity and their children's overweight. This observation provides clues for obesity prevention programs.