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

:这项研究调查了父母对他们的社会和建筑居住环境的看法与葡萄牙学校男孩和女孩之间的肥胖之间的联系。观察到总共1885名儿童,952名女孩和933名男孩,年龄为3.0-10.0岁。测量了儿童的体重和身高,并父母填写了国际体育锻炼流行度研究的“环境模块”问卷。年龄和性别特定的BMI临界点用于定义超重/肥胖。将环境特征组合为2个综合邻里指数,将其用作逻辑回归模型的预测指标。生活在环境条件恶劣的社区中的女孩患肥胖的几率增加(OR = 1.47; p <0.005),居住在被认为不安全和危险的社区中的女孩患肥胖的几率也增加了(OR = 1.339; p <0.005)。这些关系对男孩来说并不明显。邻里环境的改善可能是解决儿童肥胖症日益流行的战略,同时可有助于减少各人群亚健康状况的不平等。

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