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Prevalence of Overweight Obesity Abdominal Obesity and Obesity-Related Risk Factors in Polish Preschool Children: A Cross-Sectional Study

机译:波兰学龄前儿童中超重肥胖腹部肥胖和肥胖相关危险因素的患病率:横断面研究

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摘要

The aim of this study was to assess the prevalence of overweight, obesity, abdominal obesity (AO), and obesity-related risk factors in children aged 5–6 years from Poland. The study was conducted at 22 randomly selected kindergartens representing each city district. A cross-sectional study of 1172 children aged 5–6 years was conducted using questionnaire forms and physical measurements. The physical measurements included body height, weight, waist circumference (WC), and body fat percentage (BFP). A univariate and multivariate logistic regressions were performed to evaluate the risk factors for excess weight, excess adiposity, and abdominal obesity (AO). The prevalence of excess weight (BMI ≥ 85th percentile) was 11.0%. The prevalence of excess adiposity (BFP ≥ 85th percentile) was 42.3%. Prevalence of AO (WC ≥ 90th percentile) was higher in girls compared to boys (14.9% vs. 10.7%, respectively). Multivariate logistic regression analysis indicated that children whose both parents were obese had significantly higher risk of excess weight, excess adiposity, and AO. Lower education level of fathers was associated with higher risk of excess weight and excess adiposity in children, while a lower level of maternal education was associated with higher risk of AO in children. Screen time over 120 min per day, participating less than once a week in at least 60 min of moderate-to-vigorous physical activity (MVPA) and birth weight over 4000 g were associated with excess weight, excess adiposity and AO. Moreover, cesarean delivery was associated with higher risk of excess weight and excess adiposity, and lower socio-economic status with higher risk of AO. This study revealed that excess adiposity and AO differed by gender. Parental obesity, screen time, MVPA, and birth weight could be significant determinants of excess weight, excess adiposity and AO in Polish preschool children.
机译:该研究的目的是评估从波兰5-6岁以下儿童的超重,肥胖,腹部肥胖(AO)和肥胖相关的风险因素的患病率。该研究在22名随机选择的幼儿园代表每个城区进行。使用问卷形式和物理测量进行了对5-6岁的1172例儿童的横截面研究。物理测量包括体高,重量,腰围(WC)和体脂百分比(BFP)。进行单变量和多变量的逻辑回归,以评估体重过多,过度肥胖和腹部肥胖(AO)的危险因素。过量重量(BMI≥85百分位数)的患病率为11.0%。过度肥胖的患病率(BFP≥85百分位数)为42.3%。与男孩相比,女孩患者(WC≥90百分位数)的患病率较高(分别为14.9%,分别为10.7%)。多变量逻辑回归分析表明,父母均为肥胖的儿童均显着提高重量,肥胖过多和AO的风险。父亲的较低教育水平与儿童体重增加和过度肥胖的风险较高,而妇幼保教育水平较低与儿童Ao的风险较高有关。筛网时间每天超过120分钟,在中等至剧烈的身体活动(MVPA)至少60分钟内每周参加少于一次,出生体重超过4000克与过多的体重,过度肥胖和AO相关。此外,剖宫产递送与重量多和过度肥胖的风险较高,以及较低的社会经济地位,具有更高的AO风险。该研究表明,性别的过度肥胖和AO不同。父母肥胖,筛选时间,MVPA和出生体重可能是波兰学龄前儿童体重增加,过度肥胖和AO的重要决定因素。

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