Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5-7 y-old children:: baseline data of the Kiel Obesity Prevention Study (KOPS)
Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5-7 y-old children:: baseline data of the Kiel Obesity Prevention Study (KOPS)
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DOI：
10.1038/sj.ijo.0802756
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发表时间：
2004-11-01
影响因子：
4.9
通讯作者：
Müller, MJ
中科院分区：
文献类型：
--
作者：
Danielzik, S;Czerwinski-Mast, M;Müller, MJ
目的：确定青春期前儿童超重和肥胖的主要危险因素。设计：横断面研究。背景：德国西北部基尔的 32 所小学（248 000 名居民）。受试者：总共 2631 名 5 - 7 岁德国儿童及其父母。主要结果指标：体重状况、社会经济地位 (SES)、父母儿童的超重、饮食摄入量、活动、不活动以及进一步的决定因素（出生体重、母乳喂养、兄弟姐妹的营养状况）。 结果：男孩超重（大于或等于 BMI 参考百分位的第 90 个百分位）的患病率分别为 9.2% 和 11.2%。单变量考虑，家庭、环境和发展相关的决定因素与超重和肥胖存在一定关系。在多变量分析中，父母超重、低SES以及高出生体重是儿童超重和肥胖的最强独立危险因素。此外，还存在特定于性别的危险因素：父母吸烟和单身家庭是男孩的危险因素，而活动量低与女孩的肥胖有关。出生体重与肥胖相关，但与超重无关。男孩肥胖患病率为29.2%，女孩肥胖患病率为33.4%，同时具有全部三个主要危险因素。结论：低社会经济地位的超重家庭超重和肥胖儿童的风险最高。未来的预防计划还必须考虑到特定性别的风险因素。
OBJECTIVES: To identify the major risk factors of overweight and obesity in prepubertal children.DESIGN: Cross-sectional study.SETTING: In all, 32 primary schools in Kiel ( 248 000 inhabitants), northwest Germany.SUBJECTS: A total of 2631 5 - 7- y-old German children and their parents.MAIN OUTCOME MEASURES: Weight status, socio-economic status (SES), parental overweight, dietary intake, activity, inactivity and further determinants ( birth weight, breast feeding, nutritional status of siblings) of the children.RESULTS: The prevalence of overweight (greater than or equal to90th BMI percentile of reference) was 9.2% in boys and 11.2% in girls, respectively. Considered univariately, family-, environment- and development-related determinants showed some relations to overweight and obesity. In multivariate analyses parental overweight, a low SES as well as a high birth weight were the strongest independent risk factors of overweight and obesity in children. Additionally, there were sex-specific risk factors: parental smoking and single households were risk factors in boys, whereas a low activity was associated with obesity in girls. Birth weight was associated with obesity, but not with overweight. The prevalence of obesity reached 29.2% in boys and 33.4% in girls with all the three main risk factors.CONCLUSIONS: Overweight families of low SES have the highest risk of overweight and obese children. Future prevention programmes must also take into account sex-specific risk factors.