Risk factors for childhood overweight: A prospective study from birth to 9.5 years
Risk factors for childhood overweight: A prospective study from birth to 9.5 years
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DOI：
10.1016/j.jpeds.2004.03.023
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发表时间：
2004-07-01
影响因子：
5.1
通讯作者：
Kraemer, HC
中科院分区：
文献类型：
--
作者：
Agras, WS;Hammer, LD;Kraemer, HC
ObjectiveTo determine risk factors for development of overweight in children at 9.5 years of age.Study design这是一项前瞻性研究，150名儿童从出生到9.5岁，与评估多个假设的风险因素从research reports.Results五个独立的风险因素，儿童超重被发现。其余的风险因素是父母对孩子瘦弱的关注度低，孩子对食物的持续发脾气，以及儿童期睡眠时间少。这些因素中的每一个影响体重增加的可能机制进行了概述。两种不同的途径，儿童超重/肥胖症被发现，取决于父母超重的程度。结论有证据表明，相当大的父母和孩子的超重的发展特征之间的相互作用。几个确定的风险因素是适合干预可能导致早期预防计划的发展。
Objectives To ascertain risk factors for the development of overweight in children at 9.5 years of age.Study design This was a prospective study of 150 children from birth to 9.5 years of age, with assessment of multiple hypothesized risk factors drawn from research reports.Results Five independent risk factors for childhood overweight were found. The strongest was parent overweight, which was mediated by child temperament. The remaining risk factors were low parent concerns about their child's thinness, persistent child tantrums over food, and less sleep time in childhood. Possible mechanisms by which each of these factors influence weight gain are outlined. Two different pathways to childhood overweight/obesity were found, depending on degree of parental overweight.Conclusions There is evidence of considerable interaction between parent and child characteristics in the development of overweight. Several of the identified risk factors are amenable to intervention possibly leading to the development of early prevention programs.