Early identification of Mexican American children who are at risk for becoming obese
Early identification of Mexican American children who are at risk for becoming obese
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DOI：
10.1038/sj.ijo.0800933
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发表时间：
1999-08-01
影响因子：
4.9
通讯作者：
Foreyt, JP
中科院分区：
文献类型：
--
作者：
Suminski, RR;Poston, WS;Foreyt, JP
目的：描述墨西哥裔美国儿童的肥胖问题，并提供一种识别墨西哥裔美国儿童肥胖风险的方法。设计：横断面回顾性队列研究。墨西哥裔美国儿童，5-11岁（幼儿园（K）-5年级）进行了横断面研究测量：从每个孩子的学校医疗记录中提取体重（kg）和身高（cm）。由学校护士进行测量（每所学校一名护士）。结果：肥胖的患病率为27.4%的女孩和23.0%的男孩。小学四年级的患病率最高，女生为32.4%，男生为43.4%。5年发病率女生为17.7%，男生为21.1%。在幼儿园和一年级之间，肥胖女孩人数增加最多（15.6%）。一至二年级男生的增幅最大（13.2%）。根据儿童的K BMI，计算逻辑回归参数来估计五年级肥胖的可能性。使用生成的方程，BMI在K等于16.5，20.9，和23.7将有21.0%，70.0%，和91.0%的概率被肥胖的5年级。结论：这项研究提供了一个简单的程序，以确定墨西哥裔美国儿童肥胖的风险。这一程序可能有助于制定和实施旨在避免这一人群肥胖症发作的干预措施。
OBJECTIVE: To describe the problem of obesity in Mexican American children and provide a method for identifying Mexican American children at risk for obesity.DESIGN: Cross-sectional and retrospective cohort study.SUBJECTS: Mexican American children, ages 5-11 (kindergarten (K)-5th grade) were studied in cross-sectional (girls = 463, boys = 448) and retrospective (girls = 124, boys = 92) samples.MEASUREMENTS: Weights (kg) and heights (cm) were extracted from each child's school medical records. Measurements were made by the school nurses (one nurse per school). Body mass index (BMI [w/h(2)]) was calculated from obtained weights and heights.RESULTS: The prevalence of obesity in the cross-sectional sample was 27.4% for girls and 23.0% for boys. The highest prevalence was noted in 4th grade for both the girls (32.4%) and boys (43.4%), The 5 year incidence rates derived from the retrospective sample were 17.7% for girls and 21.1% for boys. The largest increase in the number of girls becoming obese was observed between K and Ist grade (15.6%). The largest increase for boys was found between the Ist and 2nd grades (13.2%). Logistic regression parameters were calculated to estimate the probability of becoming obese in 5th grade given a child's K BMI. Using the generated equation, BMIs in K equal to 16.5, 20.9, and 23.7 would have a 21.0%, 70.0%, and 91.0% probability of being obese by 5th grade.CONCLUSION: This study provides schools with a simple procedure for identifying Mexican American children at risk for obesity. This procedure may assist in the development and implementation of interventions aimed at averting the onset of obesity in this population.