儿童时期超重的危险因素:从出生到9.5岁的前瞻性研究

• 作 者: Stewart Agras W. Hammer L. D. Mc Nicholas F. Kraemer H. C. 韩振华
• 机 构: Depts. of Psychiatry and Pediatrics Stanford Univ. School of Medicine Stanford CA United States Dr.
• 出 处: 世界核心医学期刊文摘(儿科学分册)
• 发表日期: 2005年09期
• 关键词: 儿童超重 性格特征 影响因素 体重 parent 研究设计 交互作用 气质

Objectives To ascertain risk factors for the development of overweight in children at 9. 5 years of age. Study design This was a prospective study of 150 children from birth to 9. 5 years of age, with assessment of multiple hypothesized risk factors drawn from research reports. Results Five independent risk factors for childhood overweight were found. The strongest was parent overweight, which was mediated by child temperament. The remaining risk factors were low parent concerns about their child’ s thinness, persistent child tantrums over food, and less sleep time in childhood. Possible mechanisms by which each of these factors influence weight gain are outlined. Two different pathways to childhood overweight/obesity were found, depending on degree of parental overweight. Conclusions There is evidence of considerable interaction between parent and child characteristics in the development of overweight. Several of the identified risk factors are amenable to intervention possibly leading to the development of early prevention programs.

Objectives To ascertain risk factors for the development of overweight in children at 9. 5 years of age. Study design This was a prospective study of 150 children from birth to 9. 5 years of age, with assessment of multiple hypothesized risk factors drawn from research reports. Five independent risk factors for childhood overweight were found. The strongest was parent overweight, which was mediated by child temperament. The remaining risk factors were low parent concerns about their child ’s thinness, persistent child tantrums over food, and less sleep Possible mechanisms by which each each of these factors influence weight gain are outlined. Two different pathways to childhood overweight / obesity were found, depending on degree of parental overweight. Conclusions There is evidence of considerable interaction between parent and child characteristics in the development of overweight. Several of the identified risk factors are amenable to intervention possibly leadin g to the development of early prevention programs.