致肥群集:学童超重相关的生活方式行为

D. Guedes, Robson Recalcatti, Marcelo Seiji Missaka
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引用次数: 0

摘要

该研究的目的是确定多种生活方式行为中存在的群集,包括水果/蔬菜摄入量、加糖产品/软饮料摄入量、睡眠时间、身体活动和久坐行为。按照顺序,确定的集群和超重的学童之间的关系进行了检查。这是一项以学校为基础的横断面流行病学研究,涉及参加巴拉那健康项目的约17 000名4-20岁学童。问卷采用结构化问题收集生活方式行为。超重是通过身体质量指数确定的。进行聚类分析以确定多种生活方式行为的性别特异性聚类。采用协方差分析和逻辑回归分析聚类与超重之间的关系。在两性中都发现了5个群集。与参考组的同龄人相比,水果/蔬菜摄入量较低、久坐时间较长的组的学童体重超重的可能性几乎是其两倍(女孩:OR=1.98 [1.41-2.93];男孩:OR=1.94[1.39-3.01])。在以高糖产品/软饮料摄入量和较短睡眠时间为特征的群体中,女孩体重超重的几率为69% (OR=1.69[1.23-2.67]),男孩为73% (OR=1.73[1.25-2.91])。总之,在小学生样本中,高水果/蔬菜摄入量、低甜味产品/软饮料摄入量、较长的睡眠时间和较少的久坐行为被认为是保持健康体重的最有效组合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obesogenic clusters: excess body weight-related lifestyle behaviors in schoolchildren
abstract The objective of the study was to identify the existence of clusters in multiple lifestyle behaviors, including fruits/vegetables intake, sweetened products/soft drinks intake, sleep duration, physical activity and sedentary behavior. In sequence, the association between identified clusters and excess body weight in schoolchildren was examined. This was a cross-sectional school-based epidemiological study with approximately 17 thousand schoolchildren aged 4-20 years who participated in the Parana Health Project. Questionnaire was applied with structured questions to collect lifestyle behaviors. Excess body weight was identified through body mass index. Cluster analysis was performed to identify sex-specific clusters of multiple lifestyle behaviors. Analysis of covariance and logistic regression were used to analyze associations between clusters and excess body weight. Five clusters were identified in both sexes. Schoolchildren in the cluster characterized by lower fruits/vegetables intake and greater time spent in sedentary behavior showed close to twice the chance of having excess body weight compared to their peers in the reference cluster (girls: OR=1.98 [1.41-2.93]; boys: OR=1.94 [1.39-3.01]). In the case of schoolchildren in the cluster characterized by high sweetened products/soft drinks intake and shorter sleep duration, the chances of having excess body weight were 69% in girls (OR=1.69 [1.23-2.67]) and 73% in boys (OR=1.73 [1.25-2.91]). In conclusion, high fruits/vegetables intake, low sweetened products/soft drinks intake, longer sleep duration and less sedentary behavior was considered the most effective combination for maintaining a healthy body weight in the sample of schoolchildren.
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