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首页> 外文期刊>International Journal of Environmental Research and Public Health >Influence of Maternal and Child Lifestyle-Related Characteristics on the Socioeconomic Inequality in Overweight and Obesity among 5-year-old Children; The “Be Active, Eat Right” Study
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Influence of Maternal and Child Lifestyle-Related Characteristics on the Socioeconomic Inequality in Overweight and Obesity among 5-year-old Children; The “Be Active, Eat Right” Study

机译：母婴生活方式相关特征对5岁儿童超重和肥胖社会经济不平等的影响; “积极进取，正确饮食”研究

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摘要

It is unclear whether the socioeconomic inequality in prevalence of overweight and obesity is already present among very young children. This study investigates the association between overweight and socioeconomic status (SES, with maternal educational level as an indicator of SES) among 5-year-old children. This cross-sectional study uses baseline data from 5-year-olds of Dutch ethnicity (n = 5,582) and their mothers collected for the “Be active, eat right” study. Compared to children of mothers with the highest educational level, for children of mothers with the lowest educational level the odds ratio (adjusted for demographic characteristics) for having overweight was 2.10 (95% confidence interval: 1.57–2.82), and for having obesity was 4.18 (95% confidence interval: 2.32–7.55). Addition of maternal and child lifestyle-related characteristics decreased the odds ratios for overweight and obesity by 26.4% and 42.1%, respectively. The results show that an inverse SES-overweight/obesity association is already present at elementary school entry, and that watching TV by mother and child, the child consuming breakfast and, especially maternal weight status, are contributing factors in this association. These results should be taken into account when developing policies to reduce inequalities in (childhood) health.
机译：目前尚不清楚在非常年幼的儿童中是否已经存在超重和肥胖患病率的社会经济不平等现象。这项研究调查了5岁儿童中超重与社会经济地位（SES，以母亲的教育水平作为SES的指标）之间的关联。这项横断面研究使用了来自5岁荷兰裔（n = 5,582）及其母亲的基线数据，这些数据是为“保持活跃，正确饮食”研究而收集的。与教育程度最高的母亲的孩子相比，教育程度最低的母亲的孩子超重的几率（根据人口统计学特征调整）为2.10（95％的置信区间：1.57–2.82），而肥胖率为4.18（95％置信区间：2.32–7.55）。孕妇和儿童生活方式相关特征的增加分别使超重和肥胖的几率降低了26.4％和42.1％。结果表明，小学入学时已经存在SES-超重/肥胖的逆向关联，并且母亲和孩子看电视，孩子吃早餐，尤其是孕妇体重状况是造成这种关联的因素。在制定减少（儿童）健康不平等的政策时，应考虑这些结果。

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