Developmental trajectories of childhood obesity and risk behaviors in adolescence
Developmental trajectories of childhood obesity and risk behaviors in adolescence
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DOI：
10.1016/j.adolescence.2012.10.005
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发表时间：
2013-02-01
影响因子：
3.8
通讯作者：
Anglin, M. Douglas
中科院分区：
文献类型：
--
作者：
Huang, David Y. C.;Lanza, H. Isabella;Anglin, M. Douglas
本研究以1979年全国青少年纵向调查的儿童样本为研究对象，采用基于群体的轨迹模型，对5156名青少年进行了研究，以确定6-18岁青少年肥胖的发展轨迹，并评估这些轨迹与青少年风险行为和心理健康的关系。确定了四种不同的肥胖轨迹：“慢性肥胖”、“减少”、“增加”和“非肥胖”。“男性在慢性肥胖和增加组中的代表性过高;女性在减少组中的代表性过高。非裔美国人在慢性肥胖，增加和减少组中的代表性过高;相反，白人在非肥胖组中的代表性过高。肥胖轨迹与酒精使用、大麻使用或犯罪的更大趋势无关，但与其他轨迹相比，慢性肥胖青少年随着时间的推移吸烟增加更大。与其他轨迹相比，增加轨迹代表从儿童期到青春期的肥胖状态过渡，与较差的心理社会健康相关。(c)2012年，青少年服务专业人员基金会。由爱思唯尔有限公司出版。保留所有权利。
Using group-based trajectory modeling, this study examined 5156 adolescents from the child sample of the 1979 National Longitudinal Survey of Youth to identify developmental trajectories of obesity from ages 6-18 and evaluate associations of such trajectories with risk behaviors and psychosocial health in adolescence. Four distinctive obesity trajectories were identified: "Chronically Obese," "Decreasing," "Increasing," and "Non-obese." Males were overrepresented in the Chronically Obese and Increasing groups; females were overrepresented in the Decreasing group. African-Americans were overrepresented in the Chronically Obese, Increasing, and Decreasing groups; in contrast, Whites were overrepresented in the Non-obese group. Obesity trajectories were not associated with greater trends in alcohol use, marijuana use, or delinquency, but Chronically Obese adolescents showed a greater increase in cigarette smoking over time compared to other trajectories. The Increasing trajectory, representing a transition into obesity status from childhood to adolescence, was associated with poorer psychosocial health compared to other trajectories. (c) 2012 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.