Is rural residency a risk factor for overweight and obesity for US children?
Is rural residency a risk factor for overweight and obesity for US children?
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DOI：
10.1038/oby.2007.278
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发表时间：
2007-09-01
期刊：
影响因子：
6.9
通讯作者：
Inpanbutr-Martinkus, Melissa
中科院分区：
文献类型：
--
作者：
Lutfiyya, May Nawal;Lipsky, Martin S.;Inpanbutr-Martinkus, Melissa
目的：尽管有研究表明，在美国农村地区超重或肥胖儿童的患病率较高，没有全国性的研究对农村儿童和大城市儿童超重或肥胖的流行程度进行比较。本研究的目的是检查假设，生活在农村地区是一个危险因素的儿童超重或obesity.Research方法和程序：使用全国儿童健康调查，超重和/或肥胖的农村儿童的患病率进行了比较，在大都市环境中的儿童。对数据进行多变量分析，以检测差异是否因卫生服务使用因素或人口统计学因素（如家庭收入、性别和种族）而变化。结果：多变量分析显示，5岁以上超重或肥胖儿童更可能生活在农村而不是大城市（比值比= 1.252; 95%置信区间，1.248，1.256）。美国农村5岁以上的超重儿童比大城市儿童更有可能：是白色，每天在家庭中生活3小时，每天看电视3小时以上。讨论：生活在农村地区是儿童超重或肥胖的一个危险因素。
Objective: Despite studies suggesting that there is a higher prevalence of overweight or obese children in rural areas in the U.S., there are no national studies comparing the prevalence levels of overweight or obese rural to metropolitan children. The objective of this research was to examine the hypothesis that living in a rural area is a risk factor for children being overweight or obese.Research Methods and Procedures: Using the National Survey of Children's Heath, the prevalence of overweight and/or obese rural children was compared with that of children in metropolitan settings. Multivariate analyses were performed on the data to detect if differences varied by health services use factors or demographic factors, such as household income, gender, and race.Results: Multivariate analysis revealed that overweight or obese children >= 5 years of age were more likely to live in rural rather than metropolitan areas (odds ratio = 1.252; 95% confidence interval, 1.248, 1.256). Rural overweight U.S. children >= 5 years of age of age were more likely than their metropolitan counterparts to: be white, live in households 3 hours a day, and watch television for >3 hours a day. In addition, they were more likely to have comorbidities.Discussion: Living in rural areas is a risk factor for children being overweight or obese.