中国当代儿科杂志2013，Vol.15Issue(7)：501-508,8.DOI:10.7499/j.issn.1008-8830.2013.07.001
伊朗东北部儿童代表性样本中儿童肥胖的膳食预测因素
Dietary predictors of childhood obesity in a representative sample of children in north east of Iran
Fereshteh Baygi 1Mostafa Qorbani 1Ahmad Reza Dorosty 1Roya Kelishadi 1Hamid Asayesh 1Aziz Rezapour 1Younes Mohammadi 1Fatemeh Mohammadi1
作者信息
摘要
Abstract
Objective The prevalence of obesity is increasing in Iranian youngsters.This study aimed to assess some dietary determinants of obesity in a representative sample of children in Neishabour,a city in northeastern,Iran.Methods This case-control study was conducted among 114 school students,aged 6-12 years,with a body mass index (BMI) ≥95th (based on percentile of Iranian children) as the case group and 102 age-and gender-matched controls,who were selected from their non-obese classmates.Nutrient intake data were collected by trained nutritionists by using two 24-hour-dietary recalls through maternal interviews in the presence of their child.A food frequency questionnaire was used for detecting the snack consumption patterns.Statistical analysis was done using univariate and multivariate logistic regression (MLR) by SPSS version 16.Results In univariate logistic regression,total energy,protein,carbohydrate,fat (including saturated,mono-and poly-unsaturated fat),and dietary fiber were the positive predictors of obesity in studied children.The estimated crude ORs for frequency of corn-based extruded snacks,carbonated beverages,potato chips,fast foods,and chocolate consumption were statistically significant.After MLR analysis,the association of obesity remained significant with energy intake (OR =2.489,95％ CI:1.667-3.716),frequency of corn-based extruded snacks (OR =1.122,95％ CI:1.007-1.250),and potato chips (OR =1.143,95％ CI:1.024-1.276).The MLR analysis showed that dietary fiber (OR =0.601,95％ CI:0.368-0.983) and natural fruit juice intake (OR =0.909,95％ CI:0.835-0.988) were protective factors against obesity.Conclusions The findings serve to confirm the role of an unhealthy diet,notably caloriedense snacks,in childhood obesity.Healthy dietary habits,such as the consumption of high-fiber foods,should beencouraged among children.关键词
肥胖/饮食摄入/伊朗/儿童Key words
Obesity / Dietary intake / Iran / Child引用本文复制引用
Fereshteh Baygi,Mostafa Qorbani,Ahmad Reza Dorosty,Roya Kelishadi,Hamid Asayesh,Aziz Rezapour,Younes Mohammadi,Fatemeh Mohammadi..伊朗东北部儿童代表性样本中儿童肥胖的膳食预测因素[J].中国当代儿科杂志,2013,15(7):501-508,8.
