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Beyond BMI: waist circumference and social environment is associated with motor performance ability in kindergartners.
BMC Pediatrics ( IF 2.0 ) Pub Date : 2020-01-06 , DOI: 10.1186/s12887-019-1872-1
Sascha W Hoffmann 1, 2 , Matthias Dreher 1 , Michael S Urschitz 3 , Perikles Simon 1
Affiliation  

BACKGROUND The aim of the current study was to examine the relationship between anthropometric characteristics (i.e. body height, body weight, body mass index [BMI] and waist circumference [WC]) with motor performance ability [MPA], social environmental factors of the district (i.e. employment status/working life, education, social situation/heterogeneity and home environment), where the respective kindergarten was located, as well as other potential health determinants in a representative sample of kindergartners. METHODS We analyzed data of 434 children aged 3 to 6 years which were obtained from a community-based cross-sectional health study conducted in the city of Mainz, Germany. Body height and weight, BMI and WC standard deviation scores [SDS] were calculated relative to the international proposed cut-offs of the IOTF. MPA was collected with multiple test items to determine coordination, speed strength, muscular endurance and speed. The life situation index [LSI] was used to assess the social environment of the district of the kindergarten. Adjusted for covariates, correlation and logistic regression analyses were conducted to estimate the effect of WC on MPA. RESULTS Below-average MPA was found in 46% of the sample. While there was no relationship to BMI (odds ratio [OR]: 1.09, 95% confidence interval [95% CI]: 0.83-1.44; p = 0.538), WC SDS was positively associated with below-average MPA (OR: 1.41, 95% CI: 1.01-1.95; p = 0.041). Further results show that the social environment of the district of the kindergarten was independently related to below-average MPA (OR: 2.72, 95% CI: 1.29-5.75; p = 0.009). CONCLUSION The findings suggest that WC rather than BMI is linked to measurements of MPA already in kindergartners and furthermore, there seems to be an independent association between MPA and the social environment of the district of the respective kindergarten.

中文翻译:


BMI 之外:腰围和社会环境与幼儿园儿童的运动表现能力相关。



背景本研究的目的是探讨人体测量特征(即身高、体重、体重指数[BMI]和腰围[WC])与运动表现能力[MPA]、地区社会环境因素之间的关系(即就业状况/工作生活、教育、社会状况/异质性和家庭环境)、相应幼儿园所在地,以及幼儿园代表性样本中的其他潜在健康决定因素。方法 我们分析了 434 名 3 至 6 岁儿童的数据,这些数据来自在德国美因茨市进行的一项基于社区的横断面健康研究。身高和体重、BMI 和 WC 标准差分数 [SDS] 是根据国际建议的 IOTF 截止值计算的。 MPA 采集多个测试项目,以确定协调性、速度力量、肌肉耐力和速度。采用生活状况指数[LSI]对幼儿园所在地区的社会环境进行评估。调整协变量、相关性和逻辑回归分析来估计 WC 对 MPA 的影响。结果 46% 的样本中 MPA 低于平均水平。虽然与 BMI 没有关系(比值比 [OR]:1.09,95% 置信区间 [95% CI]:0.83-1.44;p = 0.538),WC SDS 与低于平均水平的 MPA 呈正相关(OR:1.41, 95% CI:1.01-1.95;p = 0.041)。进一步的结果表明,幼儿园所在地区的社会环境与低于平均水平的 MPA 独立相关(OR:2.72,95% CI:1.29-5.75;p = 0.009)。 结论 研究结果表明,WC 而不是 BMI 与幼儿园已有的 MPA 测量值相关,此外,MPA 与各幼儿园所在地区的社会环境之间似乎存在独立的关联。
更新日期:2020-01-06
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