Factors associated with overweight in preschool-age children in southwestern France
Factors associated with overweight in preschool-age children in southwestern France
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DOI：
10.1093/ajcn/85.6.1643
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发表时间：
2007-06-01
影响因子：
7.1
通讯作者：
Tauber, Maithe
中科院分区：
文献类型：
--
作者：
Jouret, Beatrice;Ahluwalia, Namanjeet;Tauber, Maithe
背景：儿童超重和肥胖正在成为世界范围内的一种流行病，这表明需要在儿童早期制定预防方案和政策。目的：我们确定了法国西南部幼儿超重的相关因素。设计：儿童[n = 1780；x （+/- SD）年龄：3.9 +/- 0.4 y]。确定了父母、祖父母和孩子的医学信息，以及孩子的三维饮食摄入量、参加有组织的体育运动和看电视的习惯，并对孩子进行了人体测量。结果：以体重指数>=法国参考曲线第90百分位为截断点，超重患病率为9.1%。在多变量logistic回归中，4岁时超重与女性、母亲超重和祖父母患有糖尿病（>= 1）有关；这些变量的优势比（ORs; 95% ci）分别为1.9（1.2,3.0）、2.2（1.0,4.7）和2.6（1.6,4.1）。胎龄小或大与4岁时超重的风险无关，而9个月或24个月时超重的风险增加：or （95% ci）分别为4.0（2.4,6.9）和11.7（6.1,22.2）。女孩的营养摄入量与体重状况没有显著差异；然而，超重男孩的能量和脂质摄入量明显高于非超重男孩。超重与两性看电视（每天100小时）呈正相关，仅与女孩参加有组织的体育运动呈正相关。结论：超重或糖尿病家族史、出生前2岁体重超标以及看电视与4岁时体重超标有关。在制定预防幼儿超重的计划时应考虑这些因素。
Background: Pediatric overweight and obesity are becoming an epidemic worldwide, which indicates the need for formulating preventive programs and policies during a child's early years.Objective: We identified factors associated with overweight in young children in southwestern France.Design: Children [n = 1780; x (+/- SD) age: 3.9 +/- 0.4 y] were recruited in kindergarten. Medical information on the parents, grandparents, and child as well as the child's 3-d dietary intake, participation in organized sports, and television-viewing habits were ascertained, and anthropometric measurements of the child were taken.Results: The prevalence of overweight was 9.1% when using body mass index >= 90th percentile of French reference curves as a cutoff. In a multivariate logistic regression, overweight at 4 y was associated with female sex, having an overweight mother, and having >= 1 diabetic grandparent; odds ratios (ORs; 95% CIs) for these variables were 1.9 (1.2, 3.0), 2.2 (1.0, 4.7), and 2.6 (1.6, 4.1), respectively. Being small or large for gestational age was not associated with the risk of overweight at 4 y, whereas this risk was increased for children who were overweight at 9 or 24 mo: ORs (95% CIs) were 4.0 (2.4, 6.9) and 11.7 (6.1, 22.2), respectively. Nutrient intakes did not differ significantly with weight status in girls; however, overweight boys had significantly greater energy and lipid intakes than did their nonoverweight counterparts. Overweight was positively associated with television viewing (> 1 h/d) in both sexes and with participation in organized sports in girls only.Conclusions: A family history of overweight or diabetes, overweight in the first 2 y of life, and television viewing are associated with overweight at 4 y. These factors should be considered in developing programs for the prevention of overweight in early childhood.