This study investigates the links between parents' perceptions of their social and built residential environment and obesity among Portuguese school boys and girls. A total of 1885 children, 952 girls and 933 boys, aged 3.0-10.0 years, were observed. The children's weight and height were measured, and their parents filled out the "Environmental Module" questionnaire of the International Physical Activity Prevalence Study. Age and sex-speci`fic BMI cut-off points were used to define being overweight/obese. Environmental characteristics were combined into 2 composite neighborhood indices that were used as predictors in logistic regression models. Girls living in neighborhoods perceived as having poorly built environmental conditions had increased odds of being obese (OR=1.47; p<0.005), and girls living in neighborhoods perceived as being unsafe and dangerous had also increased odds of being obese (OR=1.339; p<0.005). These relationships were not evident for boys. Improvements in the neighborhood environment could be a strategy for tackling the growing epidemic of childhood obesity and can simultaneously contribute to reduce health inequities across population subgroups.

译文

这项研究调查了葡萄牙学校男孩和女孩中父母对其社交和建筑居住环境的看法与肥胖之间的联系。共观察到1885年名儿童,952名女孩和933名男孩,年龄在3.0-10.0岁之间。测量了儿童的体重和身高,他们的父母填写了国际体育活动患病率研究的 “环境模块” 问卷。年龄和性别特异性BMI临界点用于定义超重/肥胖。将环境特征合并为2个复合邻域指数,这些指数用作逻辑回归模型的预测因子。生活在被认为环境条件不佳的社区中的女孩肥胖的几率增加 (OR = 1.47; p<0.005),生活在被认为不安全和危险的社区中的女孩肥胖的几率也增加 (OR = 1.339; p<0.005)。这些关系对男孩来说并不明显。改善邻里环境可能是解决日益严重的儿童肥胖症流行的一种策略,同时可以减少人口亚组之间的健康不平等。

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