Parent-child relationship of physical activity patterns and obesity

Parent-child relationship of physical activity patterns and obesity
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DOI:
10.1038/sj.ijo.0801061
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发表时间:
1999-12-01
影响因子:
4.9
通讯作者:
Säätelä, T
Säätelä, T
中科院分区:
医学2区
文献类型:
--
作者:
Fogelholm, M;Nuutinen, O;Säätelä, T

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目的:研究体重正常儿童与肥胖儿童体育活动的差异,以及肥胖与体育活动的亲子关系。设计:横断面研究。研究对象:129名肥胖儿童(67名女孩,62名男孩),142名体重正常的对照组(81名男孩,61名女孩),以及儿童的母亲(n = 245)和父亲(n = 222)。方法:采用3天体育活动记录(儿童和家长)、问卷调查(儿童)和习惯性体育活动问卷(家长)三种方式对儿童的体育活动进行评估,并采用逐步线性回归和逻辑回归对数据进行分析。通过相对体重(儿童)和BMI(家长)来评估肥胖。结果:父母不活动是儿童不活动的强预测因子(母亲和父亲不活动的β系数分别为0.25和0.16,P < 0.001),父母活动评分对儿童剧烈活动时间和总身体活动水平的预测较弱(β系数为0.13 ~ 0.25,P = 0.003 ~ 0.08)。儿童肥胖与儿童习惯性体育活动呈负相关(比值比0.88,P < 0.001),此外,父母肥胖(体重指数大于或等于30 kg/m(2))是儿童肥胖的另一个强预测因子(比值比2.38 -3.50,P(0.002))。结论:本研究强调了父母在儿童活动模式和肥胖中的作用。一项新颖的发现是,不运动的亲子关系似乎比剧烈运动的亲子关系更强。因此,想要减少孩子不活动时间的父母可能不得不注意自己的生活方式。
OBJECTIVE: To study differences in physical activity between normal-weight and obese children, as well as parent-child associations of obesity and physical activity.DESIGN: Cross-sectional study.SUBJECTS: 129 obese children (67 girls and 62 boys), 142 normal-weight controls (81 boys and 61 girls), and mothers (n = 245) and fathers (n = 222) of the children.METHODS: Physical activity was assessed by a 3-day physical activity record (children and parents), by a questionnaire (children), and by one question on habitual physical activity (parents), The data were analysed by stepwise linear and logistic regressions. Obesity was assessed from relative weight (children) and BMI (parents).RESULTS: Parent inactivity was a strong and positive predictor of child inactivity (beta-coefficients 0.25 and 0.16, P < 0.001, for mother and father inactivity, respectively), Scores of parent activity were somewhat weaker predictors of child vigorous activity hours and total physical activity level (beta-coefficients 0.13 - 0.25, P = 0.003 - 0.08). Child obesity was negatively associated with child habitual physical activity (odds ratio 0.88, P < 0.001), In addition, parent obesity (body mass index greater than or equal to 30 kg/m(2)) was another strong predictor of child obesity (odds ratio 2.38 -3.50, P ( 0.002).CONCLUSIONS: The present study underscores the parents' role in childhood activity patterns and obesity. A novel finding was that the parent-child relationship of inactivity appeared to be stronger than that of vigorous activity. Hence, parents who want to reduce their children's inactivity may have to pay attention to their own lifestyle.