原创力文档risk factors for obesity further evidence for stronger effects on overweight children and adolescents compared to normal-weight subjects肥胖的风险因素进一步证据加强对超重儿童和青少年的影响比正常体重者.pdfVIP
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risk factors for obesity further evidence for stronger effects on overweight children and adolescents compared to normal-weight subjects肥胖的风险因素进一步证据加强对超重儿童和青少年的影响比正常体重者
Risk Factors for Obesity: Further Evidence for Stronger
Effects on Overweight Children and Adolescents
Compared to Normal-Weight Subjects
1 ´ 2 3 ¨ 1
Andreas Beyerlein *, Andre M. Toschke , Angelika Schaffrath Rosario , Rudiger von Kries
1 Institute of Social Paediatrics and Adolescent Medicine, Ludwig-Maximilians University of Munich, Munich, Germany, 2 Department of Medical Informatics, Biometry and
Epidemiology and Munich Centre of Health Sciences, Ludwig-Maximilians University of Munich, Munich, Germany, 3 Robert Koch-Institute, Berlin, Germany
Abstract
Background: We recently showed that in preschoolers risk factors for overweight show stronger associations with BMI in
children with high BMI values. However, it is unclear whether these findings might also pertain to adolescents.
Methods: We extracted data on 3–10 year-old (n = 7,237) and 11–17 year-old (n = 5,986) children from a representative
cross-sectional German health survey (KiGGS) conducted between 2003 and 2006 and calculated quantile regression models
for each age group. We used z-scores of children’s body mass index (BMI) as outcome variable and maternal BMI, maternal
smoking in pregnancy, low parental socioeconomic status, exclusive formula-feeding and high TV viewing time as
explanatory variables.
Results: In both age groups, the estimated effects of all risk factors except formula-feeding on BMI z-score were greatest for
children with the highest BMI z-score. The median BMI z-score of 11–17 year-old children with high TV viewing time, for
example, was 0.11 [95% CI: 0.03, 0.19] units higher than the median BMI z-score of teenage children with low TV viewing
time. This risk factor was associated with an average difference of 0.18 [0.
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