Individual, family and environmental factors associated with pediatric excess weight in Spain: a cross-sectional study

BMC Pediatrics

José J Jiménez-Moleón²  Ingrid de Ruiter¹  José-Juan Sánchez-Cruz³ 

[1] Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain;CIBER of Epidemiology and Public Health (CIBERESP), Granada, Spain;Andalusian School of Public Health (EASP), Granada, Spain

关键词: Breakfast;    Physical activity;    Risk factors;    Adolescent;    Child;    Overweight;   

Others  :  1090645
DOI  :  10.1186/1471-2431-14-3

 received in 2013-06-13, accepted in 2014-01-01,  发布年份 2014

【 摘 要 】

Background

There is a growing worldwide trend of obesity in children. Identifying the causes and modifiable factors associated with child obesity is important in order to design effective public health strategies.

Our objective was to provide empirical evidence of the association that some individual and environmental factors may have with child excess weight.

Method

A cross-sectional study was performed using multi-stage probability sampling of 978 Spanish children aged between 8 and 17 years, with objectively measured height and weight, along with other individual, family and neighborhood variables. Crude and adjusted odds ratios were calculated.

Results

In 2012, 4 in 10 children were either overweight or obese with a higher prevalence amongst males and in the 8–12 year age group. Child obesity was associated negatively with the socio-economic status of the adult responsible for the child’s diet, OR 0.78 (CI95% 0.59–1.00), girls OR 0.75 (CI95% 0.57–0.99), older age of the child (0.41; CI95% 0.31–0.55), daily breakfast (OR 0.59; p = 0.028) and half an hour or more of physical activity every day. No association was found for neighborhood variables relating to perceived neighborhood quality and safety.

Conclusion

This study identifies potential modifiable factors such as physical activity, daily breakfast and caregiver education as areas for public health policies. To be successful, an intervention should take into account both individual and family factors when designing prevention strategies to combat the worldwide epidemic of child excess weight.

【 授权许可】

   
2014 Sánchez-Cruz et al.; licensee BioMed Central Ltd.

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