Social Status and Adolescent Physical Activity: Expanding the Insurance Hypothesis to Incorporate Energy Expenditure
Social Status and Adolescent Physical Activity: Expanding the Insurance Hypothesis to Incorporate Energy Expenditure
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DOI：
10.1177/1559827618815449
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发表时间：
2019-03-01
影响因子：
1.9
通讯作者：
Cardel, Michelle I.
中科院分区：
文献类型：
--
作者：
Lee, Alexandra M.;Cardel, Michelle I.
低社会地位（SS）是健康状况不佳的决定因素，并与疾病负担增加有关。肥胖影响了20.6%的美国青少年，其中大多数来自低SS家庭。导致青少年肥胖的因素包括久坐不动的行为和低水平的体育活动。环境决定因素基础设施，政策和社会关系的影响参与体育活动，并受到SS。在青春期，体力活动的显着下降，低SS的青少年每周的体力活动明显少于高SS的青少年。本文简要回顾了SS和青少年体力活动之间的关系的文献，并介绍了一个拟议的生物学机制，可以解释这种关系。描述SS对身体活动的影响可能有助于定制临床干预措施和公共卫生活动，以改善青少年的身体活动和体重管理，从而提高其有效性。这可能对服务不足的人群特别有益。
Low social status (SS) is a determinant of poor health status and is associated with increased disease burden. Obesity affects 20.6% of American adolescents, most of whom are from low-SS families. Contributors to the development of obesity among adolescents include sedentary behavior and low levels of physical activity. Environmental determinants-infrastructure, policy, and social relationships-influence engagement in physical activity and are affected by SS. Significant declines in physical activity have been documented during adolescence, and adolescents of low SS engage in significantly less physical activity per week than those with high SS. This article briefly reviews the literature on the relationship between SS and physical activity in adolescents and introduces a proposed biological mechanism that may explain that relationship. Characterizing the effects that SS can have on physical activity may help tailor clinical interventions and public health campaigns seeking to improve adolescent physical activity and weight management, thus increasing their effectiveness. This may be particularly beneficial for underserved populations.