Overweight children, weight-based teasing and academic performance
Overweight children, weight-based teasing and academic performance
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DOI：
10.3109/17477160902846203
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发表时间：
2009-01-01
影响因子：
--
通讯作者：
Raczynski, James M.
中科院分区：
文献类型：
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作者：
Krukowski, Rebecca A.;West, Delia Smith;Raczynski, James M.
背景资料。超重儿童的学习成绩被发现低于正常体重的儿童；然而，超重与学习成绩之间存在这种联系的原因(S)尚不清楚。心理社会因素，如基于体重的取笑，被认为可能起到中介作用，尽管它们在很大程度上仍未被探索。方法：研究方法。调查使用了公立学校学生的随机家长电话调查数据(N=1071)，这些数据是作为全州范围内评估阿肯色州1220号法案的一部分收集的，该法案旨在减少儿童肥胖。超重状态(身体质量指数和性别和年龄的第85个百分位数)和基于体重的取笑被视为学校表现较差的预测因素。结果。在调整了性别、学校水平、免费和减少午餐参与以及种族因素后，超重状况是学校表现较差的显著预测因素(OR=1.51；95%CI=1.01，2.25)。然而，在模型中加入基于权重的调侃(包括权重类别和协变量)后，权重类别的参数估计减少了24%，变得不显著(OR=1.40；95%CI=0.93，2.10)，这表明基于权重的调侃可能在权重类别与学习成绩之间的关系中起到了中介作用。体重取笑与学业成绩显著相关，体重取笑儿童在学校表现优异的几率较低(OR=0.44；95%CI=0.27，0.74)。结论。心理社会变量，如基于体重的取笑，应该在未来研究儿童肥胖对学习成绩的影响以及未来的干预研究中得到考虑。
Background. School performance of overweight children has been found to be inferior to normal weight children; however, the reason(s) for this link between overweight and academic performance remain unclear. Psychosocial factors, such as weight-based teasing, have been proposed as having a possible mediating role, although they remain largely unexplored. Methods. Random parental telephone survey data (N = 1071) of public school students collected as part of the statewide evaluation of Arkansas Act 1220, a law to reduce childhood obesity, were used. Overweight status (body mass index >85(th) percentile for gender and age) and weight-based teasing were examined as predictors of poorer school performance. Results. Overweight status was a significant predictor of poorer school performance (OR = 1.51; 95% CI = 1.01, 2.25), after adjustment for gender, school level, free and reduced lunch participation, and race. However, the addition of weight-based teasing to the model (with weight category and covariates) reduced the weight category parameter estimate by 24%, becoming non-significant (OR = 1.40; 95% CI = 0.93, 2.10) and indicating a possible mediating effect of weight-based teasing on the relationship between weight category and school performance. Weight-based teasing was significantly associated with school performance, with lower odds of strong school performance among weight-based teased children (OR =0.44; 95% CI = 0.27, 0.74). Conclusion. Psychosocial variables, such as weight-based teasing, should be considered in future research examining the impact of childhood obesity on school performance and in future intervention studies.