Overweight in singletons compared to children with siblings: the IDEFICS study.
Overweight in singletons compared to children with siblings: the IDEFICS study.
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DOI：
10.1038/nutd.2012.8
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发表时间：
2012-07-02
影响因子：
6.1
通讯作者：
Lissner, L.
中科院分区：
文献类型：
--
作者：
Hunsberger, M.;Formisano, A.;Reisch, L. A.;Bammann, K.;Moreno, L.;De Henauw, S.;Molnar, D.;Tornaritis, M.;Veidebaum, T.;Siani, A.;Lissner, L.
本研究的目的是比较独生子女和有兄弟姐妹的儿童超重的患病率，并探讨潜在的行为中介因素。这项研究依赖于在八个欧洲国家的调查中心收集的横断面数据，这些国家参与了儿童和婴儿饮食和生活方式引起的健康影响的识别和预防（IDEFICS）。目前的分析是基于测量的人体测量和父母或父母报告的社会人口特征。受试者包括12720名2-9岁的儿童，其中兄弟姐妹的数量是已知的。当控制与儿童期超重相关的因素时，包括调查国家、父母教育、父母体重、母亲年龄、孩子年龄、出生体重和性别，独生子女比有兄弟姐妹的同龄人更有可能超重（比值比1.52，95%置信区间（CI）：1.34-1.72）。与中北部国家相比，最南端的三个国家超重的风险超过三倍，其中以意大利为主，这并不能用独生子女的流行来解释。即使考虑到行为中介因素（游戏时间，每天的屏幕时间，糖或脂肪的饮食倾向，父母对食物奖励的态度和孩子卧室里的电视），也强烈观察到没有兄弟姐妹的儿童超重的过度风险。在6-9岁的独生子女中，超重的额外风险为1.70（95%CI：1.44-2.01），而年轻的独生子女为1.32（95%CI：1.10-1.60）。
The aim of this study was to compare the prevalence of overweight in only children to those with siblings and to explore potential behavioral mediating factors. This study relies upon cross-sectional data collected at survey centers in eight European countries participating in Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS). The present analysis is based on measured anthropometry and parent or guardian-reported socio-demographic characteristics. Subjects include 12 720 children aged 2–9 years for whom number of siblings was known. Singletons were more likely (odds ratio 1.52, 95% confidence interval (CI):1.34–1.72) to be overweight than their peers with siblings when controlling for factors related to childhood overweight, including survey country, parental education, parental weight, maternal age, child's age, birth weight and gender. The three southernmost countries have over threefold risk of overweight, dominated by Italy, compared with the north-central countries, which is not explained by the prevalence of singleton children. The excess risk of overweight among children without siblings was robustly observed even when considering behavioral mediating factors (playtime, screen time per day, dietary propensities for sugar or fat, parental attitudes towards food rewards and television in the child's bedroom). Among singletons aged 6–9 years, the excess risk of overweight was 1.70 (95% CI: 1.44–2.01) compared with 1.32 (95% CI: 1.10–1.60) in younger singletons.
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