The role of family and maternal factors in childhood obesity

The role of family and maternal factors in childhood obesity
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DOI:
10.5694/j.1326-5377.2007.tb01061.x
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发表时间:
2007-06-04
影响因子:
11.4
通讯作者:
Zubrick, Stephen R.
Zubrick, Stephen R.
中科院分区:
医学2区
文献类型:
--
作者:
Gibson, Lisa Y.;Byrne, Susan M.;Zubrick, Stephen R.

文献摘要

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目的:研究儿童体重与家庭和母亲因素之间的关系。设计、设置和参与者:2004年1月至2005年12月期间收集了329名6-13岁儿童的基于人群的前瞻性研究的横断面数据(192名健康体重,97名超重和40名肥胖)和他们的母亲(n = 265)从西澳大利亚州珀斯的儿科医院内分泌科和8所随机选择的小学招募。儿童和母亲的身高、体重和身体质量指数(BMI);人口统计学信息;母亲抑郁、焦虑、压力和自尊;一般家庭功能;养育方式;和负面生活事件。在多水平模型中,母亲BMI和家庭结构(单亲v双亲家庭)是儿童BMI z分数的唯一显著预测因素。儿童肥胖与不良的母亲或家庭特征,如母亲抑郁症,负性生活事件,不良的一般家庭功能或无效的养育方式无关。然而,有一个超重的母亲和一个单亲(单亲母亲)家庭增加了孩子超重或肥胖的可能性。
Objective: To investigate the relationship between a child's weight and a broad range of family and maternal factors.Design, setting and participants: Cross-sectional data from a population-based prospective study, collected between January 2004 and December 2005, for 329 children aged 6-13 years (192 healthy weight, 97 overweight and 40 obese) and their mothers (n = 265) recruited from a paediatric hospital endocrinology department and eight randomly selected primary schools in Perth, Western Australia.Main outcome measures: Height, weight and body mass index (BMI) of children and mothers; demographic information; maternal depression, anxiety, stress and self-esteem; general family functioning; parenting style; and negative life events.Results: In a multilevel model, maternal BMI and family structure (single-parent v two-parent families) were the only significant predictors of child BMI z scores.Conclusion: Childhood obesity is not associated with adverse maternal or family characteristics such as maternal depression, negative life events, poor general family functioning or ineffective parenting style. However, having an overweight mother and a single-parent (single-mother) family increases the likelihood of a child being overweight or obese.