Psychological Stress and Obesity
Psychological Stress and Obesity
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DOI：
10.1016/j.jpeds.2008.06.016
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发表时间：
2008-12-01
影响因子：
5.1
通讯作者：
Ludvigsson, Johnny
中科院分区：
文献类型：
--
作者：
Koch, Felix-Sebastian;Sepa, Anneli;Ludvigsson, Johnny
目的探讨5 ~ 6岁儿童家庭心理压力与肥胖的关系。作为前瞻性瑞典东南部所有婴儿项目（ABIS）的一部分，共有7443个瑞典家庭报告了4个领域的心理压力。评估的领域包括严重的生活事件、养育压力、缺乏社会支持和父母的担忧。这些变量在心理应激的横截面和纵向复合测量中进行了总结。采用Logistic回归模型计算儿童肥胖与心理压力的比值比。结果按年龄调整国际标准，儿童肥胖率为4.2%。来自在4个评估领域中至少有2个报告有压力的家庭的儿童，其肥胖的调整优势比（OR）显着更高，无论是横向（OR, 2.1; 95% CI, 1.3-3.5; P < 0.01）还是纵向（OR, 2.6; 95% CI, 1.3-5.4, P < 0.01）。结论家庭心理压力可能是儿童肥胖的重要因素。这一发现强调，除了建议改变生活方式外，给肥胖儿童及其家庭心理和社会支持是多么重要。[J]儿科杂志2008；53:839-44。
Objective To examine whether there is a relationship between psychological stress in the family and obesity in 5- to 6-year-old children.Study design A total of 7443 Swedish families reported on psychological stress across 4 domains as part of the prospective All Babies in Southeast Sweden-project (ABIS). Domains assessed included serious life events, parenting stress, lack of social support, and parental worries. These variables were summarized in cross-sectional and longitudinal composite measures of psychological stress. Logistic regression models were used to calculate odds ratios for childhood obesity for psychological stress.Results A total of 4.2% of the children were obese according to age-adjusted international standards. Children from families that reported stress in at least 2 of the 4 domains assessed had significantly higher adjusted odds ratios (OR) for obesity, both cross-sectionally (OR, 2.1; 95% CI, 1.3-3.5; P < .01.) and longitudinally (OR, 2.6; 95% CI, 1.3-5.4, P < .01).Conclusion Psychological stress in the family may be a contributing factor for childhood obesity. This finding underscores how important it is to give children with obesity and their families psychological and social support in addition to recommendations about changing life style. (J Pediatr 2008;153:839-44)