Pediatric Obesity:过度的电子屏幕时间与青春期前的肥胖有关

2021-06-29 MedSci原创 MedSci原创

每多花一个小时看或流媒体电视、YouTube 视频、视频游戏、视频聊天和发短信,一年后体重增加的风险就会增加。

全球平均每五个成年人中,就至少有两人遭受着超重或肥胖的困扰。与此同时,儿童的超重肥胖问题也日趋严重,影响着下一代的健康成长。据2016年世卫组织全新报告称,在2014年,全球超重或肥胖婴幼儿的人数比例从1990年的4.8%上升到了6.1%。在此期间,中、低收入国家的超重或肥胖儿童人数翻了一番,48%的五岁以下超重或肥胖儿童生活在亚洲。

对于肥胖儿童,如果不进行干预,儿童肥胖症通常会持续到成年期,他们将遭遇过早死亡,而且残疾的几率将高于其他同龄人。同时,肥胖在儿童期、青春期和成年后都可产生负面的心理影响,导致抑郁症等行为和情感上的异常,并因为污名和社交困难而影响学习和工作。那怎样预防儿童肥胖呢?

2021年6 月 28 日发表在Pediatric Obesity上的一项新的全国性研究发现,在 9-10 岁使用更多屏幕时间的儿童,一年后体重增加的可能性更大。研究员发现在屏幕时间上每多花一个小时,一年后的体重指数 (BMI) 就会升高。

这是美国最大的大脑发育长期研究。研究人员分析了青少年大脑认知发展研究中 11,066 名青春期前儿童的 BMI 分数,即根据儿童的年龄和性别调整的相对体重,BMI是根据身高和体重计算的。孩子们回答了关于他们在六种不同的屏幕时间方式上花费的时间的问题,包括电视、社交媒体和短信。研究员进行多元线性回归分析以估计基线屏幕时间行为(暴露)与 1 年随访时 BMI 百分位数之间的关联

研究人员发现,每多花一个小时看或流媒体电视、YouTube 视频、视频游戏、视频聊天和发短信,一年后体重增加的风险就会增加。在调整协变量后,每周每增加一个小时的总筛查时间与 1 年随访时的 BMI 百分位数增加 0.22(95% CI 0.10–0.34)前瞻性相关。在检查特定的屏幕时间行为时,每增加一个小时的短信 ( B  = 0.92, 95% CI 0.29–1.55)、视频聊天 ( B  = 0.72, 95% CI 0.09–1.36) 和视频游戏 ( B  = 0.42, 95% CI) 0.06-0.78)与较高的BMI百分位数显着前瞻性相关。

在研究开始时,33.7% 的儿童被认为超重或肥胖,一年后这一比例增加到 35.5%,预计这一比例会在青少年晚期和成年早期上升。屏幕时间通常是久坐不动的,可能会取代身体活动的时间。儿童接触更多的食品广告,容易吃零食和暴饮暴食,而在屏幕前分心,”主要作者、医学博士、儿科助理教授 Jason Nagata 说。加州大学旧金山分校。

“负面的身体形象和随后的暴饮暴食可能是接触社交媒体和无法实现的身体理想的结果,”资深作者、多伦多大学 Factor-Inwentash 社会学院助理教授 Kyle T. Ganson 博士说。Nagata 指出:“这项研究是在 COVID-19 大流行之前进行的,但其发现与大流行尤其相关。” “随着远程学习、青少年运动的取消和社会隔离,孩子们接触到了前所未有的屏幕时间。”

“在大流行期间,屏幕时间可以带来重要的好处,例如教育和社交,但父母应尽量减轻过度屏幕时间带来的风险,包括久坐时间的增加和体育活动的减少。”永田说。

参考文献:Contemporary screen time usage among children 9–10-years-old is associated with higher body mass index percentile at 1-year follow-up: A prospective cohort study: 28 June 2021 https://doi.org/10.1111/ijpo.12827

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    2021-12-12 feather89
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    2021-09-03 hbwxf
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    2022-05-20 zhanglin3079
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    2021-07-01 lingaifan
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    2021-07-01 skhzy
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    2021-06-30 124902dfm95暂无昵称

    要注重肥胖者的负面情绪

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