Community-level obesity prevention is not associated with dieting behaviours and weight dissatisfaction in children: The Healthy Communities Study.
Community-level obesity prevention is not associated with dieting behaviours and weight dissatisfaction in children: The Healthy Communities Study.
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DOI：
10.1111/ijpo.12594
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发表时间：
2020-04
影响因子：
3.8
通讯作者：
Ritchie LD
中科院分区：
文献类型：
--
作者：
Plimier CC;Hewawitharana SC;Webb KL;Au LE;Neumark-Sztainer D;Ritchie LD
在儿童肥胖高发的背景下，人们担心旨在减少儿童肥胖的社区努力可能会导致意想不到的不良后果。本研究分析了社区计划、政策和环境变化（CPPs）在预防儿童肥胖与不健康饮食行为和体重满意度之间的关系。使用健康社区研究2013年至2015年的5138名美国4至15岁儿童的调查样本，多层次模型检验了标准化CPP强度评分与儿童节食行为和体重满意度之间的关系，调整了社区和儿童水平的协变量和聚类研究设计。在完全调整的模型中，较高的总CPP、身体活动和营养CPP强度得分与较低的体重不满意率相关（1年总CPP OR: 0.41, 95% CI 0.22, 0.73； 6年总CPP OR: 0.48, 0.29, 0.80）。在过去一年中，较高的体力活动CPP强度与更高的体重满意度相关（OR: 1.77, 95% CI: 1.10, 2.84）。没有观察到与节食行为有关。结果表明，关注营养和体育活动以预防儿童肥胖的社区努力可能与体重满意度有关，而与不健康的节食行为无关。
Within the context of high childhood obesity prevalence, there is concern that community efforts intended to reduce childhood obesity may lead to unintended adverse outcomes. This analysis examined relationships between community programs, policies and environmental changes (CPPs) for obesity prevention with unhealthy dieting behaviors and body weight satisfaction in children. Using the Healthy Communities Study 2013 to 2015 survey sample of 5,138 U.S. children aged 4 to 15 years old , multi-level models examined associations between standardized CPP intensity scores and child dieting behaviors and weight satisfaction, adjusting for community and child-level covariates and clustered study design. In fully adjusted models, higher total, physical activity, and nutrition CPP intensity scores were associated with lower odds of dissatisfaction with weight (1 year total CPP OR: 0.41, 95% CI 0.22, 0.73; 6 year total CPP OR: 0.48, 0.29, 0.80). Higher physical activity CPP intensity over the past year was associated with greater odds of weight satisfaction (OR: 1.77, 95% CI: 1.10, 2.84). No associations were observed with dieting behaviors. Results suggest that community efforts focusing on nutrition and physical activity to prevent childhood obesity may be associated with weight satisfaction and not with unhealthy dieting behaviors.
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影响因子：
5.5
作者：
John, Lisa V.;Gregoriou, Maria;Arteaga, S. Sonia
通讯作者：
Arteaga, S. Sonia
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
6.9
作者：
Andreyeva, Tatiana;Puhl, Rebecca M.;Brownell, Kelly D.
通讯作者：
Brownell, Kelly D.
影响因子：
3.8
作者：
Puhl, R. M.;Himmelstein, M. S.
通讯作者：
Himmelstein, M. S.
DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Kann L;McManus T;Harris WA;Shanklin SL;Flint KH;Queen B;Lowry R;Chyen D;Whittle L;Thornton J;Lim C;Bradford D;Yamakawa Y;Leon M;Brener N;Ethier KA
通讯作者：
Ethier KA