Dietary and physical activity patterns in French children are related to overweight and socioeconomic status
Dietary and physical activity patterns in French children are related to overweight and socioeconomic status
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DOI：
10.1093/jn/138.1.101
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发表时间：
2008-01-01
影响因子：
4.2
通讯作者：
Maires, Bernard
中科院分区：
文献类型：
--
作者：
Lioret, Sandrine;Touvier, Mathilde;Maires, Bernard
久坐行为（SED）已被确定为儿童期超重（OW）的危险因素，但对与肥胖相关的饮食模式知之甚少。我们的目的是调查结合整体饮食和体育活动的生活方式模式是否与儿童OW相关，以及它们是否参与了社会经济地位（SES）和OW之间的反向关联。膳食摄入量进行了评估，使用7天的食物记录，在748名法国儿童，年龄3-11岁，从1998-1999年的横截面法国Enquete Individuelle等国家sur les Consummations Alimentaires全国食品消费调查。体重和身高，闲暇时间的身体活动，SED（看电视），和SES的父母或儿童回答问卷。采用因素分析评估生活方式得分，并通过Logistic回归分析探讨其与OW的关系。在3-6岁和7-11岁的儿童中发现了两种相似的生活方式：“吃零食和久坐”和“食物多样化和体育锻炼”。“吃零食和久坐模式与最年幼儿童的OW呈正相关（P趋势= 0.0161），并部分介导了SES与OW的负相关。不同的食物和体力活动模式与OW呈负相关，只有在最大的孩子（P趋势=0.0401）。第三种模式称为“主餐大食者”，来自7-11岁的儿童，与OW呈正相关（P趋势= 0.0165）。从公共卫生的角度来看，可识别的饮食和身体活动行为的组合可能是有用的，作为预防OW的建议的基础。
Sedentary behavior (SED) has already been identified as a risk factor of childhood overweight (OW) but less is known about the dietary patterns related to adiposity. Our objective was to investigate if lifestyle patterns combining overall diet and physical activity were associated with childhood OW and if they were involved in the reverse association between socioeconomic status (SES) and OW. Dietary intake was assessed using a 7-d food record in 748 French children aged 3-11 y from the 1998-1999 cross-sectional French Enquete Individuelle et Nationale sur les Consommations Alimentaires national food consumption survey. Weight and height, leisure time physical activity, SED (television viewing), and SES were reported by parents or children by answering questionnaires. Scores for lifestyle patterns were assessed with factor analysis and their relationship with OW was explored by logistic regression analysis. Two similar lifestyle patterns were identified in children aged 3-6 y and 7-11 y: "snacking and sedentary" and "varied food and physically active." The snacking and sedentary pattern was positively associated with OW in the youngest children (P-trend = 0.0161) and partly mediated the negative association of SES to OW. The varied food and physically active pattern was inversely correlated with OW in the eldest children only (P-trend =0.0401). A third pattern called "big eaters at main meals" was derived in children aged 7-11 y and was positively correlated with OW (P-trend = 0.0165). From a public health perspective, the combinations of identifiable dietary and physical activity behaviors may be useful as a basis for recommendations on preventing OW.