Early executive control and risk for overweight and obesity in elementary school.
Early executive control and risk for overweight and obesity in elementary school.
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DOI：
10.1080/09297049.2016.1183606
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发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Espy KA
中科院分区：
文献类型：
--
作者：
Nelson TD;James TD;Hankey M;Nelson JM;Lundahl A;Espy KA
一项新兴文献表明，执行控制能力差可能与临床体重问题有关（例如，儿童年龄别体重指数≥85）。然而，我们对执行控制对儿童超重和肥胖影响的理解受到限制，因为缺乏跨越关键发育时期的纵向研究和使用基于综合表现的电池评估执行控制。目前的研究通过对 212 名儿童进行纵向检查来解决这些局限性，这些儿童在学前班（4 岁零 6 个月）完成了广泛的基于实验室的执行控制任务组，并在小学（1 至 4 年级）期间进行了体重状况的客观测量。 Logistic 回归结果表明，在控制了母亲教育的情况下，学前班的执行控制能力较差与小学阶段临床体重问题（超重或肥胖状态，定义为年龄别 BMI ≥ 85）的风险显着增加相关。学前班的执行控制与肥胖风险没有显着相关，特别是（定义为年龄别体重指数≥95），但趋势符合预期。结果表明，早期执行能力与儿童随后的健康状况相关，学前关键时期的执行控制缺陷会带来日后体重问题的风险。基于这些发现，促进更强的执行控制的早期干预可能是儿童肥胖预防工作中一个有前景但目前被忽视的组成部分。
An emerging literature suggests that poor executive control may be associated with clinical weight problems (e.g., BMI-for-age percentile ≥ 85 in children). However, our understanding of the impact of executive control on overweight and obesity in childhood is limited by the lack of longitudinal studies spanning critical developmental periods and assessing executive control using comprehensive performance-based batteries. The current study addresses these limitations in a longitudinal examination of 212 children who completed an extensive laboratory-based executive control task battery in preschool (age 4 years, 6 months) and were followed through elementary school (grades 1 through 4) with objective measures of weight status. Logistic regression results indicate that poorer executive control in preschool was associated with significantly greater risk for clinical weight problems (either overweight or obese status, as defined by BMI-for-age percentile ≥ 85) in elementary school, controlling for maternal education. Executive control in preschool was not significantly associated with risk for obese status, specifically (defined by BMI-for-age percentile ≥ 95), but the trend was in the expected direction. Results suggest that early executive abilities are relevant for children’s subsequent health status, with deficits in executive control in the critical period of preschool conferring risk for later problems with weight. Based on these findings, early interventions to promote stronger executive control may be a promising, yet currently overlooked, component in pediatric obesity prevention efforts.
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DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
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影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
Espy, KA
影响因子：
3.6
作者：
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通讯作者：
Stroup, Walter
展示的干预措施有助于4至12岁儿童的执行功能发展。
DOI：
10.1126/science.1204529
发表时间：
2011-08-19
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
Diamond A;Lee K
通讯作者：
Lee K