Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: Results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study
Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: Results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study
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DOI：
10.1186/1471-2458-11-442
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发表时间：
2011-06-07
影响因子：
4.5
通讯作者：
Ahluwalia, Namanjeet
中科院分区：
文献类型：
--
作者：
Dupuy, Marie;Godeau, Emmanuelle;Ahluwalia, Namanjeet
背景资料：儿童和青少年超重的流行率很高，超重与短期和长期的不良健康结果有关。生活方式因素可以相互作用，影响超重。将超重与若干人口和可能改变的生活方式因素以及危害健康的行为联系起来的全面研究，在青少年中很有限-这一年龄组的特点是生活方式行为发生变化，超重发生率很高。因此，目前的研究的目的是研究超重与几个社会人口和生活方式变量同时在一个有代表性的样本的adolescents.Methods：一个全国代表性的样本11-15岁的青少年（n = 7154）在法国参加的一部分，世卫组织合作的健康行为在学龄儿童（HBSC）研究。学生们报告了他们的年龄，身高，体重，社会人口变量，生活方式因素，包括营养实践，两种强度（中度和剧烈）的体育活动，久坐行为，以及吸烟和饮酒模式的数据，使用标准化的HBSC协议。使用IOTF参考定义超重（包括肥胖）。采用Logistic回归模型分析了超重与社会人口学和生活方式因素的多因素相关性。结果：超重的校正比值比为：1.80（95% CI：1.37-2.36）对于低家庭富裕; 0.73（0.60-0.88）; 0.69（0.56-0.84）用于中度至剧烈体力活动（MVPA）;和0.71（0.59-0.86）用于剧烈体力活动（VPA）。年龄和性别以及电视（TV）观看和性别之间的显着相互作用被注意到：对于男孩来说，超重与年龄或电视观看无关;相反，对于女孩来说，超重与年龄呈负相关，与电视观看呈正相关。水果和蔬菜的摄入量，电脑和视频游戏的使用，吸烟和饮酒与超重。结论：在多变量模型中，家庭富裕，早餐消费和中度到剧烈以及剧烈的体力活动与超重呈负相关。这些发现将先前的研究扩展到同时检查多种风险和保护因素的环境中，并强调了多方面方法促进体力活动和健康食物选择的重要性，例如青少年预防超重的早餐消费。
Background: The prevalence of overweight in children and adolescents is high and overweight is associated with poor health outcomes over short-and long-term. Lifestyle factors can interact to influence overweight. Comprehensive studies linking overweight concomitantly with several demographic and potentially-modifiable lifestyle factors and health-risk behaviours are limited in adolescents - an age-group characterized by changes in lifestyle behaviours and high prevalence of overweight. Thus, the objective of the current study was to examine the association of overweight with several socio-demographic and lifestyle variables simultaneously in a representative sample of adolescents.Methods: A nationally representative sample of 11-15 year-olds (n = 7154) in France participated as part of the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) study. Students reported data on their age, height, weight, socio-demographic variables, lifestyle factors including nutrition practices, physical activity at two levels of intensity (moderate and vigorous), sedentary behaviours, as well as smoking and alcohol consumption patterns using standardized HBSC protocols. Overweight (including obesity) was defined using the IOTF reference. The multivariate association of overweight with several socio-demographic and lifestyle factors was examined with logistic regression models.Results: The adjusted odds ratios for the association with overweight were: 1.80 (95% CI: 1.37-2.36) for low family affluence; 0.73 (0.60-0.88) for eating breakfast daily; 0.69 (0.56-0.84) for moderate to vigorous physical activity (MVPA); and 0.71 (0.59-0.86) for vigorous physical activity (VPA). Significant interactions between age and gender as well as television (TV) viewing and gender were noted: for boys, overweight was not associated with age or TV viewing; in contrast, for girls overweight correlated negatively with age and positively with TV viewing. Fruit and vegetable intake, computer and video-games use, smoking and alcohol consumption were not associated with overweight.Conclusions: In multivariate model, family affluence, breakfast consumption and moderate to vigorous as well as vigorous physical activity were negatively associated with overweight. These findings extend previous research to a setting where multiple risk and protective factors were simultaneously examined and highlight the importance of multi-faceted approaches promoting physical activity and healthy food choices such as breakfast consumption for overweight prevention in adolescents.