Family food insufficiency is related to overweight among preschoolers'
Family food insufficiency is related to overweight among preschoolers'
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DOI：
10.1016/j.socscimed.2006.04.002
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发表时间：
2006-09-01
影响因子：
5.4
通讯作者：
Porcherie, Marion
中科院分区：
文献类型：
--
作者：
Dubois, Lise;Farmer, Anna;Porcherie, Marion
本文研究了家庭食物不足和超重之间的关系，在人口为基础的队列学龄前儿童（n = 2103），使用数据的纵向研究儿童发展在魁北克（1998-2002年）（LSCDQ）。家庭食物不足状况是在儿童1.5岁（从出生到1.5岁）和4.5岁（从3.5岁到4.5岁）时得出的。孩子们的身高和体重在4.5岁时在家里测量。超重是根据美国疾病控制和预防中心的性别和年龄特异性生长图表和科尔的标准定义的。统计分析采用SAS（8.2版）。在多变量分析中，平均体重指数（BMI）是较高的儿童从食物不足的家庭相比，儿童从食物充足的家庭，即使重要的因素与BMI，如儿童的出生体重，父母的BMI，母亲的教育，和家庭收入充足的考虑。我们在多变量分析中没有报告任何性别影响。使用科尔标准，在学龄前的某个时候，家庭食物不足的存在使肥胖的几率增加了两倍多（OR 3.4，95% CI 1.5-7.6），使用CDC生长曲线指标，在4.5岁时，超重的几率增加了一倍（OR 2.0，95% CI 1.1-3.6）。我们观察到出生体重和家庭食物不足之间的相互作用与4.5岁时超重有关。生活在学龄前经历食物不足的家庭中的低出生体重儿童在4.5岁时超重的风险更高。鉴于这一重要发现，建议针对包括孕妇在内的低收入和粮食不足家庭采取支持性干预措施，以防止其子女超重和肥胖。(c)2006爱思唯尔有限公司保留所有权利。
This paper studies the relationship between family food insufficiency and being overweight in a population-based cohort of preschool children (n = 2103) using data from the Longitudinal Study of Child Development in Quebec (1998-2002) (LSCDQ). Family food insufficiency status was derived when children were 1.5 years of age (from birth to 1.5 years) and at 4.5 years of age (from 3.5 to 4.5 years). Children's height and weight were measured at home at 4.5 years. Overweight was defined according to the US CDC sex- and age-specific growth charts and Cole's criteria. Statistical analyses were done with SAS (version 8.2). In multivariate analyses, mean body mass index (BMI) was higher for children from food insufficient families compared to children from food sufficient families, even when important factors associated with BMI, such as child's birth weight, parental BMI, maternal education, and family income sufficiency were considered. We did not report any gender effects in the multivariate analyses. The presence of family food insufficiency at some point during preschool years more than tripled (OR 3.4, 95% CI 1.5-7.6) the odds for obesity using the Cole criteria, and doubled (OR 2.0, 95% CI 1.1-3.6) the odds for overweight at 4.5 years using the CDC growth curves indicator. We observed an interaction between birth weight and family food insufficiency in relation to being overweight at 4.5 years. Low-birth-weight children living in a household that experienced food insufficiency during preschool years are at higher risk of overweight at 4.5 years. Given this important finding, supportive interventions targeting low-income and food insufficient families, including pregnant women, are recommended for preventing overweight and obesity among their children. (c) 2006 Elsevier Ltd. All rights reserved.