The Emerging Prevalence of Obesity within Families in Europe and its Associations with Family Socio-Demographic Characteristics and Lifestyle Factors; A Cross-Sectional Analysis of Baseline Data from the Feel4Diabetes Study

被引:5
作者
Siopis, George [1 ,2 ]
Moschonis, George [1 ]
Reppas, Kyriakos [3 ]
Iotova, Violeta [4 ]
Bazdarska, Yuliya [4 ]
Chakurova, Nevena [4 ]
Rurik, Imre [5 ,6 ]
Rado, Anette Si [6 ,7 ]
Cardon, Greet [8 ]
De Craemer, Marieke [9 ,10 ]
Wikstrom, Katja [11 ]
Valve, Paivi [11 ]
Moreno, Luis [12 ,13 ]
De Miguel-Etayo, Pilar [12 ,13 ]
Makrilakis, Konstantinos [14 ]
Liatis, Stavros [14 ]
Manios, Yannis [3 ,15 ]
机构
[1] La Trobe Univ, Sch Allied Hlth Human Serv & Sport, Dept Food Nutr & Dietet, Melbourne, VIC 3086, Australia
[2] Deakin Univ, Inst Phys Act & Nutr, Geelong, VIC 3220, Australia
[3] Harokopio Univ, Sch Hlth Sci & Educ, Dept Nutr & Dietet, Athens 17671, Greece
[4] Med Univ Sofia, Dept Endocrinol, Sofia 1431, Bulgaria
[5] Semmelweis Univ, Dept Family Med, H-1085 Budapest, Hungary
[6] Hungarian Soc Nutr, H-1088 Budapest, Hungary
[7] Univ Debrecen, Fac Hlth Sci, Dept Nursing & Midwifes, H-4400 Debrecen, Hungary
[8] Univ Ghent, Fac Med & Hlth Sci, Dept Movement & Sports Sci, B-9000 Ghent, Belgium
[9] Dept Rehabil Sci, B-9000 Ghent, Belgium
[10] Univ Ghent, Res Fdn Flanders, B-9000 Ghent, Belgium
[11] Finnish Inst Hlth & Welf, Dept Publ Hlth & Welf, Helsinki 00271, Finland
[12] Univ Zaragoza, Inst Agroalimentario Aragon IA2, Inst Invest Sanitaria Aragon IIS Aragon, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza 50009, Spain
[13] Inst Salud Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid 28029, Spain
[14] Natl & Kapodistrian Univ Athens, Laiko Gen Hosp, Athens Med Sch, Dept Propaedeut Med 1, Athens 11527, Greece
[15] Hellen Mediterranean Univ, Inst Agri Food & Life Sci, Res Ctr, Iraklion 71410, Greece
基金
欧盟地平线“2020”;
关键词
BMI; community intervention; lifestyle intervention; overweight prevention; school; SES; socio-economic risk factors; T2D; T2DM; weight; SCREEN TIME; PHYSICAL-ACTIVITY; DIETARY HABITS; ADOLESCENTS; CHILDREN; OVERWEIGHT;
D O I
10.3390/nu15051283
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The Feel4Diabetes study is a type 2 diabetes prevention program that recruited 12,193 children [age: 8.20 (+/- 1.01) years] and their parents from six European countries. The current work used pre-intervention data collected from 9576 children-parents pairs, to develop a novel family obesity variable and to examine its associations with family sociodemographic and lifestyle characteristics. Family obesity, defined as the presence of obesity in at least two family members, had a prevalence of 6.6%. Countries under austerity measures (Greece and Spain) displayed higher prevalence (7.6%), compared to low-income (Bulgaria and Hungary: 7%) and high-income countries (Belgium and Finland: 4.5%). Family obesity odds were significantly lower when mothers (OR: 0.42 [95% CI: 0.32, 0.55]) or fathers (0.72 [95% CI: 0.57, 0.92]) had higher education, mothers were fully (0.67 [95% CI: 0.56, 0.81]) or partially employed (0.60 [95% CI: 0.45, 0.81]), families consumed breakfast more often (0.94 [95% CI: 0.91 0.96]), more portions of vegetables (0.90 [95% CI: 0.86, 0.95]), fruits (0.96 [95% CI: 0.92, 0.99]) and wholegrain cereals (0.72 [95% CI: 0.62, 0.83]), and for more physically active families (0.96 [95% CI: 0.93, 0.98]). Family obesity odds increased when mothers were older (1.50 [95% CI: 1.18, 1.91]), with the consumption of savoury snacks (1.11 [95% CI: 1.05, 1.17]), and increased screen time (1.05 [95% CI: 1.01, 1.09]). Clinicians should familiarise themselves with the risk factors for family obesity and choose interventions that target the whole family. Future research should explore the causal basis of the reported associations to facilitate devising tailored family-based interventions for obesity prevention.
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页数:20
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