父母对青少年心血管健康的影响:来自韩国国家健康和营养检查调查家庭数据的见解

Yeo Jin Lee, Seon Young Hwang
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引用次数: 0

摘要

目的:本研究旨在建立并验证一个解释韩国青少年心血管健康的假设模型,重点关注父母心血管健康和行为影响青少年心血管健康和行为的途径。方法和结果:该二次分析使用了韩国国家健康和营养检查调查家庭单位(2015-2019)的数据。参与者是12-18岁的青少年和他们的父母来自双亲家庭。心血管健康是通过将5个危险因素——体重指数、胆固醇水平、吸烟状况、血压和空腹血糖——相加来计算的,每个项目根据相关标准被分类为“差”、“中等”或“理想”。为了研究影响青少年心血管健康的途径,使用Mplus统计软件中的路径分析分析了1,290对青少年-母亲和936对青少年-父亲,并构建了心血管健康、身体活动和饮食习惯的模型。假设的青少年-母亲和青少年-父亲配对模型的模型拟合指数均较好。两种通径分析均显示,母亲和父亲的心血管健康与青少年心血管健康显著相关(p < 0.001)。此外,在母亲-青少年和父亲-青少年的配对模型中,父母的身体活动对青少年的身体活动有直接影响(p < 0.05),父母的饮食习惯对青少年有直接影响(p结论:本研究证实了青少年的心血管健康、身体活动和饮食习惯直接受到父母双方心血管健康和相应的健康行为的影响。在学校健康方面,对心血管健康高危人群的有效干预策略应包括父母参与和以家庭为基础的行为改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parental Influence on Adolescents' Cardiovascular Health: Insights from Household Data in the Korea National Health and Nutrition Examination Survey.

Aims: This study aimed to develop and validate a hypothetical model explaining the cardiovascular health of Korean adolescents, focusing on the pathways through which parental cardiovascular health and behaviors influence those of adolescents.

Methodsand results: This secondary analysis used data from the Korea National Health and Nutrition Examination Survey household unit (2015-2019). Participants were adolescents aged 12-18 years and their parents from two-parent households. Cardiovascular health was calculated by summing five risk factors-body mass index, cholesterol levels, smoking status, blood pressure, and fasting blood sugar-with each item categorized as "poor," "intermediate," or "ideal" according to the relevant criteria. To examine pathways influencing adolescent cardiovascular health, 1,290 adolescent-mother pairs and 936 adolescent-father pairs were analyzed using path analysis in Mplus statistical software, with models constructed for cardiovascular health, physical activity, and dietary habits. The model fit indices were good for both the hypothesized adolescent-mother and adolescent-father pair models. Both path analyses showed that mothers' and fathers' cardiovascular health were significantly associated with adolescent cardiovascular health (p < .001). Additionally, in each of the mother-adolescent and father-adolescent pair models, parental physical activity had a direct effect on adolescent physical activity (p < .05), and parental dietary habits had a direct effect on adolescents (p <.001).

Conclusion: This study confirmed that adolescents' cardiovascular health, physical activity, and dietary habits are directly influenced by both parents' cardiovascular health and corresponding health behaviors. In school health, effective intervention strategies for high-risk groups for cardiovascular health should include parental involvement and family-based behavioral modifications.

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