School performance as a predictor of adulthood obesity: a 21-year follow-up study
School performance as a predictor of adulthood obesity: a 21-year follow-up study
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DOI：
10.1007/s10654-010-9428-6
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发表时间：
2010-04-01
影响因子：
13.6
通讯作者：
Keltikangas-Jarvinen, Liisa
中科院分区：
文献类型：
--
作者：
Alatupa, Saija;Pulkki-Raback, Laura;Keltikangas-Jarvinen, Liisa
我们研究了在青少年早期和中期（9岁，12岁和15岁）的平均成绩（GPA）方面衡量的学校表现的影响，以及在不同学校阶段的学校表现对成人肥胖的影响。参与者是732名健康女性和男性，来自一项基于人群的芬兰年轻人心血管风险研究。GPA是在9岁，12岁和15岁时测量的。体重指数（BMI; kg/mA（2））和腰围（WC）的参与者年龄为27或30岁。出生体重、儿童期BMI、成年期体力活动、母亲和父亲的BMI以及母亲的教育程度都被控制。结果显示，在每个测量中的低GPA和整个综合学校的低GPA是成年肥胖的危险因素，但仅限于女性。当控制潜在混杂变量时，相关性仍然存在（在9岁、12岁和15岁时，完全校正模型中的p值分别为0.026、0.007和0.004）。当BMI被用作二分变量时（BMI <30和BMI < 30），结果相似。以前，低学习成绩与以后生活中吸烟和饮酒的比例较高有关。我们的研究结果强调，低学习成绩是一个健康危险因素，应认真对待预防健康教育。
We examined the impact of school performance measured in terms of grade point averages (GPAs) in early and middle adolescence (ages 9, 12, and 15), and the impact of school performance throughout the different school stages on adult obesity. The participants were 732 healthy women and men derived from a population-based Cardiovascular Risk in Young Finns Study. GPAs were measured at the ages of 9, 12, and 15. The body mass index (BMI; kg/mA(2)), and the waist circumference (WC) were conducted participants being aged 27 or 30. Birth weight, childhood BMI, adulthood physical activity, maternal and paternal BMI, and maternal education were controlled for. The results showed that low GPAs in each measurement and low GPAs throughout the comprehensive school were a risk factor of adulthood obesity, but only among women. The association remained when controlling for potential confounding variables (p-values in the fully adjusted models 0.026, 0.007, and 0.004 at the ages of 9, 12, and 15, respectively). The results were similar when the BMI was used as a dichotomous variable (BMI a parts per thousand yen 30 and BMI < 30). Low school performance has previously been associated with higher rates of smoking and alcohol consumption later in life. Our result underscores that low school performance is a health risk factor that should be taken seriously in preventive health education.