Intergenerational Transmission of Overweight and Obesity from Parents to Their Adolescent Offspring - The HUNT Study

被引：45
作者：
Naess, Marit [1 ,2 ]
Holmen, Turid Lingaas [1 ]
Langaas, Mette [3 ]
Bjorngaard, Johan Hakon [4 ,5 ,6 ]
Kvaloy, Kirsti [1 ,2 ]
机构：
[1] NTNU Norwegian Univ Sci & Technol, HUNT Res Ctr, Dept Publ Hlth & Gen Practice, Trondheim, Norway
[2] Nord Trondelag Hlth Trust, Levanger Hosp, Dept Res & Dev, Levanger, Norway
[3] NTNU Norwegian Univ Sci & Technol, Dept Math Sci, Trondheim, Norway
[4] NTNU Norwegian Univ Sci & Technol, Dept Publ Hlth & Gen Practice, Fac Med, Trondheim, Norway
[5] St Olays Univ Hosp Trondheim, Forens Dept, Trondheim, Norway
[6] St Olays Univ Hosp Trondheim, Res Ctr Broset, Trondheim, Norway
来源：
PLOS ONE | 2016年 / 11卷 / 11期
关键词：
BODY-MASS INDEX; ASSORTATIVE WEIGHT-GAIN; FATHER-SON PAIRS; WAIST CIRCUMFERENCE; CHILDHOOD OVERWEIGHT; MOTHER-DAUGHTER; TRENDS; CHILDREN; ASSOCIATIONS; PREVALENCE;
D O I：
10.1371/journal.pone.0166585
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Purpose The main aim of this study was to examine weight associations between parents and offspring at two time points: 1995-97 and 2006-08, taking into account body mass index (BMI) and waist circumference. Methods The study included 8425 parent-offspring trios who participated in the population based Health Study of Nord Tr phi ndelag (the HUNT Study), Norway, at either the HUNT2 (1995-97) or the HUNT3 (2006-08) survey. We used linear mixed effects models with siblings clustered within mothers to analyze the associations between 1) parental grouped BMI and offspring BMI z-scores and 2) parental grouped waist circumference and offspring waist circumference z-scores. Results Adolescent and adult overweight and obesity were higher in 2006-08 than in 1995-97, with the greatest increase observed in waist circumference. Both mother's and father's BMI and waist circumference were strongly associated with corresponding measures in offspring. Compared with both parents being normal weight (BMI < 25 kg/m(2)), having two overweight or obese parents (BMI<25 kg/m(2)) was associated with a higher offspring BMI z-score of 0.76 (95% CI; 0.65, 0.87) and 0.64 (95% CI; 0.48, 0.80) in daughters, and 0.76 (95% CI; 0.65, 0.87) and 0.69 (95% CI; 0.53, 0.80) in sons, in 1995-97 and 2006-08 respectively. Offspring with one parent being overweight/obese had BMI z-scores of approximately half of offspring with two parents categorized as overweight/obese. The results of the waist circumference based analyses did not differ substantially from the BMI based analyses. Conclusions Parental overweight was strongly positively associated with offspring weight both in 1995-97 and 2006-08 where both parents being overweight/obese gave the largest effect. This seemingly stable association, strongly address the importance of public health initiatives towards preventing obesity in parents of both sexes to decrease further obesity expansion in offspring.
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页数：14
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