The Association Between Single-Child Status and Risk of Abdominal Obesity: Result From a Cross-Sectional Study of China.
The Association Between Single-Child Status and Risk of Abdominal Obesity: Result From a Cross-Sectional Study of China.
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独生子女状况与腹部肥胖风险之间的关联：来自中国横断面研究的结果
DOI：
10.3389/fped.2021.697047
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发表时间：
2021
影响因子：
2.6
通讯作者：
Ma J
中科院分区：
文献类型：
--
作者：
Gao D;Li Y;Yang Z;Ma Y;Chen M;Dong Y;Zou Z;Ma J
背景：肥胖已经成为威胁儿童和青少年健康的严重问题，中国的独生子女政策已经影响了家庭结构和育儿方式，这可能导致一些不良的健康后果。本研究旨在探讨独生子女身份与中国青少年腹部肥胖风险之间的关系，并比较不理想能量相关行为风险的差异。方法：数据来自2012年在中国7个省开展的以学校为基础的横断面调查。本研究共招募了31,291名7-17岁的学生。采用人体测量法测量身高和腰围，并通过问卷调查获得独生子女状况、父母受教育程度、父母体重状况和子女能量相关行为等信息。使用多变量logistic回归模型来估计独生子女状况的比值比（OR）和95%置信区间（95% CI）以及儿童腹部肥胖和能量相关行为的几率。结果：独生子女的腹部肥胖患病率为18.2%，高于非独生子女的13.7%。不同性别和居住亚组的单身儿童患病率也较高。Logistic回归模型显示，与非单身儿童相比，单身儿童腹部肥胖的几率高1.33倍（OR: 1.33, 95% CI: 1.24-1.43, P < 0.001）。单身儿童缺乏运动的几率高1.08倍（OR: 1.08, 95% CI: 1.03-1.14, P = 0.004），过量饮用含糖饮料（SSBs）的几率高1.13倍（OR: 1.13, 95% CI: 1.05-1.23, P = 0.002），外出就餐的几率高1.08倍（OR: 1.08, 95% CI: 1.02-1.13, P = 0.006）。这些关联在单身女孩中更为显著。结论：独生子女可能与儿童腹部肥胖和不健康的能量相关行为的更高几率有关。未来预防腹部肥胖的干预措施和策略应该集中在这一高危人群上。
Background: Obesity has become a serious problem threatening the health of children and adolescents, and China's one-child policy has affected family structure and parenting practice, which may result in several adverse health outcomes. The present study aims to investigate the association between single-child status and the risk of abdominal obesity in Chinese adolescents and also to compare the differences in the risk of unideal energy-related behaviors. Methods: Data were obtained from a school-based cross-sectional survey conducted in seven provinces of China, in 2012. A total of 31,291 students aged 7–17 years were recruited in this study. Anthropometric measurements were conducted to assess height and waist circumference, and questionnaires were used to obtain information of single-child status, parental educational attainment, parental weight status, and offspring energy-related behaviors. Multivariate logistic regression models were used to estimate the odds ratio (OR) and 95% confidence intervals (95% CI) of single-child status and odds of childhood abdominal obesity and energy-related behaviors. Results: The prevalence of abdominal obesity was 18.2% in single children, which was higher than that of non-single children (13.7%). The prevalence was also higher in single children in different sex and residence subgroups. Logistic regression models showed that single children had 1.33 times (OR: 1.33, 95% CI: 1.24–1.43, P < 0.001) higher odds of abdominal obesity compared to non-single children. Single children had 1.08 times higher odds of physical inactivity (OR: 1.08, 95% CI: 1.03–1.14, P = 0.004), 1.13 times higher odds of excessive sugar-sweetened beverages (SSBs) consumption (OR: 1.13, 95% CI: 1.05–1.23, P = 0.002), and 1.08 times more likely to eat out (OR: 1.08, 95% CI: 1.02–1.13, P = 0.006). Those associations were more remarkable in single girls. Conclusion: Being a single child may be associated with a higher odds of childhood abdominal obesity and unhealthy energy-related behaviors. Future interventions and strategies to prevent abdominal obesity should focus on this high-risk population.
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影响因子：
2.5
作者：
He, Fan;Rodriguez-Colon, Sol;Fernandez-Mendoza, Julio;Vgontzas, Alexandros N.;Bixler, Edward O.;Berg, Arthur;Kawasawa, Yuka Imamura;Sawyer, Marjorie D.;Liao, Duanping
通讯作者：
Liao, Duanping
1995年至2014年中国7至17岁男孩和女孩血压、超重和肥胖的长期趋势
DOI：
10.1161/hypertensionaha.118.11291
发表时间：
2018-08
期刊：
Hypertension (Dallas, Tex. : 1979)
影响因子：
--
作者：
Dong Y;Ma J;Song Y;Ma Y;Dong B;Zou Z;Prochaska JJ
通讯作者：
Prochaska JJ
影响因子：
6.1
作者：
Hunsberger, M.;Formisano, A.;Reisch, L. A.;Bammann, K.;Moreno, L.;De Henauw, S.;Molnar, D.;Tornaritis, M.;Veidebaum, T.;Siani, A.;Lissner, L.
通讯作者：
Lissner, L.
影响因子：
3.1
作者：
Boberska M;Zarychta K;Knoll N;Keller J;Hohl DH;Horodyska K;Kruk M;Luszczynska A
通讯作者：
Luszczynska A
影响因子：
8.9
作者：
Rosenheck, R.
通讯作者：
Rosenheck, R.