Impact of parental BMI on the manifestation of overweight 5-7 year old children
Impact of parental BMI on the manifestation of overweight 5-7 year old children
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DOI：
10.1007/s00394-002-0367-1
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发表时间：
2002-06-01
影响因子：
5
通讯作者：
Müller, MJ
中科院分区：
文献类型：
--
作者：
Danielzik, S;Langnäse, K;Müller, MJ
背景超重和肥胖儿童的患病率正在增加。遗传和环境因素是影响因素，但父母的营养状况对超重的早期表现的影响还没有很好的特点。本研究的目的是系统研究父母BMI对5 ~ 7岁儿童超重表现的影响。方法对3306名5-7岁儿童及其父母进行横断面研究（作为基尔肥胖预防研究[KOPS]的一部分）。在父母BMI不同的亚组中研究儿童的营养状况（BMI、三头肌皮褶厚度、脂肪量、超重患病率）。结果儿童BMI与父母BMI呈显著正相关（r = 0.272，p < 0.01）。儿童BMI与母亲BMI的关系比与父亲BMI的关系更密切（r = 0.254 vs.0.159，p < 0.01）。多元回归分析表明，父母的BMI解释7.6%的变异，在儿童的BMI。父母中至少有一方超重的儿童超重的OR升高（超重母亲：OR 2.9（男孩）/3.1（女孩）;超重父亲：OR 1.8（男孩）/2.4（女孩））。双亲肥胖的儿童OR最高（OR 7.6（男孩）/6.3（女孩））。父母一方肥胖的儿童比父母一方超重的儿童更容易超重。结论父母BMI与子女BMI呈弱相关。然而，随着父母超重和肥胖，儿童超重的风险增加。因此，必须考虑到家庭倾向，以确定预防措施的风险群体。
Background There is an increase in the prevalence of overweight and obese children. Genetic and environmental factors are contributing factors but the influence of parental nutritional state on early manifestation of overweight is not well characterised. Aim of the study To systematically investigate the impact of parental BMI on the manifestation of overweight in 5 to 7 year old children. Methods Cross-sectional study (as a part of the Kiel Obesity Prevention Study [KOPS]) of 3306 children aged 5-7 years and their parents. The nutritional state of the children (BMI, triceps skinfold, fat mass, prevalence of overweight) was investigated in subgroups differing with respect to parental BMI. Results BMI of the children was significantly correlated with parental BMI (r = 0.272, p < 0.01). Children's BMI showed closer associations with maternal than with paternal BMI (r = 0.254 vs. 0.159, p < 0.01). A multivariate regression analysis showed that parental BMI explained 7.6% of the variance in children's BMI. OR for overweight was elevated in children with at least one overweight parent (overweight mother: OR 2.9 (boys)/3.1 (girls); overweight father: OR 1.8 (boys)/2.4 (girls). OR was highest for children with two obese parents (OR 7.6 (boys)/6.3 (girls). Children with one obese parent were more frequently overweight than children with one overweight parent. Conclusions Parental BMI showed only a weak correlation with the BMI of their children. However, children's risk of becoming overweight increased with parental overweight and obesity. Thus, familial disposition has to be taken into account to identify risk groups for preventive measures.