SOCIAL AND ECONOMIC CONSEQUENCES OF OVERWEIGHT IN ADOLESCENCE AND YOUNG ADULTHOOD
SOCIAL AND ECONOMIC CONSEQUENCES OF OVERWEIGHT IN ADOLESCENCE AND YOUNG ADULTHOOD
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DOI：
10.1056/nejm199309303291406
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发表时间：
1993-09-30
影响因子：
158.5
通讯作者：
DIETZ, WH
中科院分区：
文献类型：
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作者：
GORTMAKER, SL;MUST, A;DIETZ, WH
研究背景和方法。青少年超重可能会对他们随后的自尊、社会和经济特征以及身体健康产生有害影响。我们研究了超重与随后的教育程度、婚姻状况、家庭收入和自尊之间的关系。1981年，我们随机抽取了10,039名16至24岁的年轻人作为全国代表性样本。根据所研究的变量，1988年获得了原始队列中65%至79%的随访数据。将1981年超重的受试者的特征与患有哮喘、肌肉骨骼异常和其他慢性健康状况的年轻人的特征进行比较。超重定义为年龄和性别超过第95个百分位数的身体质量指数。1981年，有370名受试者超重。7年后，超重的女性完成学业的年数减少了(少了0.3年；95%可信区间为0.1%至0.6%；P=0.009)，结婚的可能性也降低了(可能性降低了20%；95%可信区间为13%至27%；P
Background and Methods. Overweight in adolescents may have deleterious effects on their subsequent self-esteem, social and economic characteristics, and physical health. We studied the relation between overweight and subsequent educational attainment, marital status, household income, and self-esteem in a nationally representative sample of 10,039 randomly selected young people who were 16 to 24 years old in 1981. Follow-up data were obtained in 1988 for 65 to 79 percent of the original cohort, depending on the variable studied. The characteristics of the subjects who had been overweight in 1981 were compared with those for young people with asthma, musculoskeletal abnormalities, and other chronic health conditions. Overweight was defined as a body-mass index above the 95th percentile for age and sex.Results. ln 1981, 370 of the subjects were overweight. Seven years later, women who had been overweight had completed fewer years of school (0.3 year less; 95 percent confidence interval, 0.1 to 0.6; P = 0.009), were less likely to be married (20 percent less likely; 95 percent confidence interval, 13 to 27 percent; P