Ethnic differences in overweight and obesity in early adolescence in the MRC DASH study: the role of adolescent and parental lifestyle
Ethnic differences in overweight and obesity in early adolescence in the MRC DASH study: the role of adolescent and parental lifestyle
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DOI：
10.1093/ije/dym252
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发表时间：
2008-02-01
影响因子：
7.7
通讯作者：
Cruickshank, J. Kennedy
中科院分区：
文献类型：
--
作者：
Harding, Seeromanie;Teyhan, Alison;Cruickshank, J. Kennedy
背景种族是青年超重的一个一致的相关因素。我们研究了生活方式对英国青少年早期超重的种族差异的影响。方法收集了51所学校6599名11-13岁学生的饮食习惯和体育活动、父母吸烟和超重以及超重和肥胖的数据结果不吃早餐[女孩OR值为1.74，95%可信区间（CI）为1.30-2.34;男孩OR值为2.06;母亲吸烟（女孩OR 2.04，CI 1.49-2.79;男孩OR 1.63，CI 1.21-2.21）和母亲超重（女孩OR 2.01，CI 1.29-3.13;男孩OR 2.47，CI 1.63-3.73）与肥胖相关。不吃早餐，在女孩中更为常见，与其他不良的饮食习惯有关。与英国白色同龄人相比，加勒比黑人（女孩OR 1.62，CI 1.24-2.12;男孩OR 1.49，CI 1.15-1.95）和非洲黑人（女孩OR 1.96，CI 1.52-2.53;男孩OR 2.50，CI 1.92-3.27）更有可能不吃早餐和从事其他不良饮食习惯，印度人的可能性最小。其他白色男孩报告母亲吸烟更多（OR 1.37，CI 1.03-1.82）。所有这些报告在英国出生的人中比在其他地方出生的人更常见。加勒比黑人女孩更有可能超重（OR 1.38，CI 1.02-1.87）和肥胖（OR 1.65，CI 1.05-2.58），非洲黑人女孩超重（OR 1.35，CI 1.02-1.79）和其他白色男孩超重（OR 1.37，CI 1.00-1.88）和肥胖（OR 1.86，CI 1.15-3.00）。不良的饮食习惯和出生在英国导致了这些模式。结论这些发现表明，如果不良的饮食习惯持续存在，肥胖的种族差异可能会加剧。应考虑采取以青少年和家长为重点的综合干预措施。
Background Ethnicity is a consistent correlate of excess weight in youth. We examine the influence of lifestyles on ethnic differences in excess weight in early adolescence in the UK.Method Data were collected from 6599 pupils, aged 11-13 years in 51 schools, on dietary practices and physical activity, parental smoking and overweight, and on overweight and obesity (using International Obesity Task Force criteria).Results Skipping breakfast [girls odds ratio (OR) 1.74, 95% confidence interval (CI) 1.30-2.34; boys OR 2.06; CI 1.57-2.70], maternal smoking (girls OR 2.04, CI 1.49-2.79; boys OR 1.63, CI 1.21-2.21) and maternal overweight (girls OR 2.01, CI 1.29-3.13; boys OR 2.47, CI 1.63-3.73) were associated with obesity. Skipping breakfast, more common among girls, was associated with other poor dietary practices. Compared with White UK peers, Black Caribbeans (girls OR 1.62, CI 1.24-2.12; boys OR 1.49, CI 1.15-1.95) and Black Africans (girls OR 1.96, CI 1.52-2.53; boys OR 2.50, CI 1.92-3.27) were more likely to skip breakfast and engage in other poor dietary practices, and Indians were least likely. White Other boys reported more maternal smoking (OR 1.37, CI 1.03-1.82). All these reports were more common among those born in the UK than those born elsewhere. Black Caribbean girls were more likely to be overweight (OR 1.38, CI 1.02-1.87) and obese (OR 1.65, CI 1.05-2.58), Black African girls to be overweight (OR 1.35, CI 1.02-1.79) and White Other boys to be overweight (OR 1.37, CI 1.00-1.88) and obese (OR 1.86, CI 1.15-3.00). Adverse dietary habits and being born in the UK contributed to these patterns.Conclusion These findings signal a potential exacerbating effect on ethnic differences in obesity if adverse dietary habits persist. Combined adolescent and parent-focused interventions should be considered.