首页> 美国卫生研究院文献>Journal of Obesity >The Trajectory and the Related Physical and Social Determinants of Body Mass Index in Elementary School Children: Results from the Child and Adolescent Behaviors in Long-Term Evolution Study
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The Trajectory and the Related Physical and Social Determinants of Body Mass Index in Elementary School Children: Results from the Child and Adolescent Behaviors in Long-Term Evolution Study

机译:小学生体重指数的轨迹及其相关的身体和社会决定因素:长期演化研究中儿童和青少年行为的结果

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摘要

This study explored developmental trajectory patterns of BMI and associated factors. Participants included 1,609 students who were followed from age 7 to 12 years. Data collection involved annual self-administered questionnaires and records of height and weight. An ecological model was used to identify the factors associated with BMI trajectories. Group-based trajectory models and multinomial logit models were used in the statistical analysis. There were gender differences in BMI trajectories. Among boys, four BMI trajectories were normal or slightly underweight, persistently normal weight, overweight becoming obese, and persistently obese. Among girls, four BMI trajectories were persistently slightly underweight, persistently normal weight, persistently overweight, and persistently obese. The mean BMI in each trajectory group demonstrated an upward trend over time. In boys, BMI trajectories were significantly associated with after-school exercise, academic performance, family interactions, overweight parents, and father's education level. In girls, BMI trajectories were significantly associated with television viewing or computer use, family interactions, peer interactions, and overweight parents. Children under age 7 years who are already overweight or obese are an important target for interventions. The different factors associated with BMI trajectories can be used for targeting high risk groups.
机译:这项研究探讨了BMI的发展轨迹模式及相关因素。参加者包括1,609名7至12岁的学生。数据收集涉及年度自我管理的问卷和身高和体重记录。生态模型被用来识别与BMI轨迹相关的因素。统计分析中使用了基于组的轨迹模型和多项式logit模型。 BMI轨迹存在性别差异。在男孩中,四个BMI轨迹是正常或轻度体重不足,持续体重正常,超重变得肥胖和持续肥胖。在女孩中,四个BMI轨迹持续轻度偏低,持续正常体重,持续超重和持续肥胖。每个轨迹组的平均BMI随时间呈上升趋势。在男孩中,BMI轨迹与课后运动,学习成绩,家庭互动,超重父母和父亲的教育水平显着相关。在女孩中,BMI轨迹与电视观看或计算机使用,家庭互动,同伴互动和超重父母显着相关。已经超重或肥胖的7岁以下儿童是干预的重要对象。与BMI轨迹相关的不同因素可用于确定高危人群。

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