Family Structure and Childhood Obesity: An Analysis Through 8th Grade
Family Structure and Childhood Obesity: An Analysis Through 8th Grade
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DOI：
10.1007/s10995-013-1422-7
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发表时间：
2014-09-01
影响因子：
2.3
通讯作者：
Escarce, Jose J.
中科院分区：
文献类型：
--
作者：
Chen, Alex Y.;Escarce, Jose J.
关于家庭结构对儿童肥胖影响的研究很少。这项研究考察了父母数量和兄弟姐妹数量对美国儿童体重指数（BMI）和肥胖风险的影响。我们对幼儿纵向研究-幼儿园队列（ECLS-K）进行了二次数据分析，该队列由1998-1999年进入幼儿园的全国代表性儿童队列组成，以检验家庭结构对幼儿园至8年级儿童体重指数和肥胖风险的影响。研究结果包括幼儿园和8年级的BMI，幼儿园和8年级的肥胖状况，以及从幼儿园到8年级的BMI变化。多变量回归用于评估家庭结构与研究结果之间的关系，同时调整其他协变量。在八年级时，没有兄弟姐妹的孩子比有两个或更多兄弟姐妹的孩子有更高的BMI（23.7比22.6；P /千货币符号0.01）和更高的肥胖概率（25.8比19.7%；P /千货币符号0.05）。从幼儿园到八年级，他们的身体质量指数也比有两个或更多兄弟姐妹的孩子增加得更多（7.3比6.3;P = 0.02）。我们的分析表明，家庭结构和肥胖之间的联系持续存在，甚至在八年级时加剧。这些发现对针对肥胖的家庭支持和咨询具有重要意义。
Research on the effect of family structure on childhood obesity is scarce. This study examines the effect of number of parents and number of siblings on US children's body mass index (BMI) and risk of obesity. We conducted a secondary data analysis of the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K), which consists of a nationally representative cohort of children who entered kindergarten in 1998-1999, to examine the effect of family structure on children's body mass index and risk of obesity from kindergarten through 8th grade. Study outcomes were BMI in kindergarten and 8th grade, obesity status in kindergarten and 8th grade, and change in BMI from kindergarten through 8th grade. Multivariate regressions were used to assess the association between family structure and study outcomes while adjusting for other covariates. In 8th grade, children with no siblings had higher BMI (23.7 vs. 22.6; P a parts per thousand currency sign 0.01) and higher probability of being obese (25.8 vs. 19.7 %; P a parts per thousand currency sign 0.05) than their counterparts with two or more siblings. They also had a larger increase in BMI from kindergarten through 8th grade than children living with two or more siblings (7.3 vs. 6.3; P = 0.02). Our analysis suggests that the association between family structure and obesity persists and even intensifies through 8th grade. These findings have important implications for targeting obesity support and counseling for families.