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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Association between clinically meaningful behavior problems and overweight in children.
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Association between clinically meaningful behavior problems and overweight in children.

机译：临床上有意义的行为问题与儿童超重之间的关联。

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OBJECTIVE: To determine whether there is a relationship between clinically meaningful behavior problems and concurrent and future overweight in 8- to 11-year-old children. METHODS: 1998 National Longitudinal Survey of Youth interview data for 8- to 11-year-old children and their mothers were analyzed. A Behavior Problems Index score >90th percentile was considered clinically meaningful. Child overweight was defined as a body mass index (BMI) >or=95th percentile for age and sex. Multiple logistic regression was used to control for potential confounders (selected a priori): child's sex, race, use of behavior-modifying medication, history of academic retention, and hours of television per day; maternal obesity, smoking status, marital status, education, and depressive symptoms; family poverty status; and Home Observation for Measurement of the Environment-Short Form (HOME-SF) cognitive stimulation score. In an attempt to elucidate temporal sequence, a second analysis was conducted with a subsample of normal-weight children who became overweight between 1996 and 1998 while controlling for BMI z score in 1996. RESULTS: The sample included 755 mother-child pairs. Of the potential confounding variables, race, maternal obesity, academic grade retention, maternal education, poverty status, and HOME-SF cognitive stimulation score acted as joint confounders, altering the relationship between behavior problems and overweight in the multiple logistic regression model. With these covariates in the final model, behavior problems were independently associated with concurrent child overweight (adjusted odds ratio: 2.95; 95% confidence interval: 1.34-6.49). The relationship was strengthened in the subsample of previously normal-weight children, with race, maternal obesity, HOME-SF cognitive stimulation score, and 1996 BMI z score acting as confounders (adjusted odds ratio: 5.23; 95% confidence interval: 1.37-19.9). CONCLUSIONS: Clinically meaningful behavior problems in 8- to 11-year-old children were independently associated with an increased risk of concurrent overweight and becoming overweight in previously normal-weight children.
机译：目的：确定8至11岁儿童的临床有意义的行为问题与并发和未来超重之间是否存在关联。方法：分析了1998年全国青年纵向调查的8至11岁儿童及其母亲的访谈数据。行为问题指数评分> 90％被认为具有临床意义。儿童超重定义为体重指数（BMI）≥95％（年龄和性别）。多元逻辑回归用于控制潜在的混杂因素（先验选择）：孩子的性别，种族，使用行为矫正药物，学习保留的历史记录和每天看电视的时间;孕妇肥胖，吸烟状况，婚姻状况，教育程度和抑郁症状;家庭贫困状况;和家庭观察以测量环境短式（HOME-SF）认知刺激评分。为了阐明时间顺序，我们对1996年至1998年间超重并在1996年控制BMI z得分超重的体重正常儿童的子样本进行了第二次分析。结果：该样本包括755对母子。在潜在的混杂变量中，种族，孕产妇肥胖，学历保留，孕产妇教育，贫困状况和HOME-SF认知刺激评分是共同混杂因素，改变了多元逻辑回归模型中行为问题和超重之间的关系。在最终模型中使用这些协变量，行为问题与并发的儿童超重独立相关（调整后的优势比：2.95; 95％置信区间：1.34-6.49）。在先前体重正常的儿童的子样本中，种族，孕产妇肥胖，HOME-SF认知刺激评分和1996年BMI z评分是混杂因素，这种关系得到了加强（调整后的优势比：5.23; 95％置信区间：1.37-19.9） ）。结论：在8至11岁儿童中，具有临床意义的行为问题与先前体重正常的儿童并发超重和变得超重的风险增加独立相关。

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