Socioeconomic status and trajectory of overweight from birth to mid-childhood: the Early Childhood Longitudinal Study-Birth Cohort.

Socioeconomic status and trajectory of overweight from birth to mid-childhood: the Early Childhood Longitudinal Study-Birth Cohort.
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DOI:
10.1371/journal.pone.0100181
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Fernald LC
Fernald LC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jones-Smith JC;Dieckmann MG;Gottlieb L;Chow J;Fernald LC

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我们的目标是利用美国出生队列的纵向数据来测试生命前 6 年超重或肥胖的概率是否会根据社会经济状况而变化。使用早期儿童纵向研究出生队列(2001-2007;n≈4,950)中足月儿童的六波纵向数据,我们根据年龄、社会经济状况和种族/民族,使用广义的方法检查了超重或肥胖的患病率(体重指数(BMI)>高于特定年龄和性别的世卫组织儿童生长标准参考平均值2个标准差;以下简称“超重/肥胖”)。估计方程模型。社会经济地位与超重/肥胖之间的关联因种族/民族而异,但不因性别而异。超重/肥胖与白人、西班牙裔和亚洲人的社会经济地位显着相关;根据 SES,出生后 9 个月后,超重/肥胖的调整后几率开始出现差异。大约 4 岁时,社会经济地位最高的儿童超重/肥胖的几率显着降低。非裔美国人和美洲印第安人童年早期的社会经济地位与超重/肥胖没有显着相关。很少有研究评估美国种族/族裔群体中社会经济地位与超重/肥胖之间的关联。我们发现,在当代美国出生的儿童中,社会经济地位与超重/肥胖呈负相关,其中更多种族/族裔群体(白人、西班牙裔和亚洲人)比之前报道的要多。
Our objective was to use longitudinal data from a US birth cohort to test whether the probability of overweight or obesity during the first 6 years of life varied according to socioeconomic status. Using six waves of longitudinal data from full-term children in the Early Childhood Longitudinal Study-Birth Cohort (2001–2007; n≈4,950), we examined the prevalence of overweight or obesity (Body Mass Index (BMI)>2 standard deviations above age- and sex- specific WHO Childhood Growth Standard reference mean; henceforth, “overweight/obesity”) according to age, socioeconomic status, and race/ethnicity using generalized estimating equation models. The association between socioeconomic status and overweight/obesity varied significantly by race/ethnicity, but not by sex. Overweight/obesity was significantly associated with socioeconomic status among whites, Hispanics and Asians; the adjusted odds of overweight/obesity began to diverge according to SES after the first 9 months of life. By approximately 4 years, children with the highest SES had a significantly lower odds of overweight/obesity. SES was not significantly related to overweight/obesity among African Americans and American Indians during early childhood. Few studies have assessed the associations between SES and overweight/obesity within racial/ethnic groups in the US. We find that in contemporary, US-born children, SES was inversely associated with overweight/obesity among more racial/ethnic groups (whites, Hispanics, and Asians) than previously reported.
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