儿童肥胖/超重是全球关注的问题,其患病率在许多国家都在增加。这项研究的第一个目的是根据新的世界卫生组织(WHO)标准,分析土耳其五岁以下儿童的超重和肥胖趋势,使用“土耳其人口与健康调查”(TDHS)的五轮数据。第二个目的是使用TDHS2003,2008和2013年数据集检查母亲/家庭和个人水平的因素是否与超重/肥胖相关。从1993年,1998年,2003年,2008年和2013年的TDHS中提取了14,231名5岁以下儿童的样本,以确定趋势的患病率。来自8,812名儿童的汇总数据被纳入分析,以检查与超重/肥胖相关的因素。考虑到集群数据结构,采用多水平logistic回归模型。1993年,1998年,2003年,2008年和2013年,超重儿童的患病率为5.3%,4.9%,10.0%,11%和11.6%,分别。与超重/肥胖独立相关的因素如下:生活在单亲家庭中(调整后的优势比(aOR)=2.27,95CI=1.21-4.26),与生活在双亲家庭相比;有一个肥胖的母亲(aOR=4.25,95CI=1.73-10.44),超重母亲(AOR=3.15,95CI=1.29-7.69),与体重不足的母亲相比,体重正常的母亲(aOR=2.70,95CI=1.11-6.59);年龄在13-24个月之间(aOR=1.72,95CI=1.30至2.27),与0-12个月年龄相比;男性(aOR=1.30,95CI=1.11~1.53);发育不良(aOR=2.18,95CI=1.74~2.73);高出生体重(aOR=1.55,95CI=1.08~2.23);此外,完成小学学业的母亲的子女超重率高于未完成小学学业的母亲的子女(aOR=1.21,95CI=1.01~1.59).这些发现表明,多年来,儿童的肥胖/超重人数大幅增加,这表明在孕产妇/家庭层面评估超重指标的重要性。
Childhood obesity/overweight is a worldwide concern and its prevalence is increasing in many countries. The first aim of this study is to analyse the trends in overweight and obesity among children under the age of five in Turkey based on the new World Health Organization (WHO) standards, using data from the \'five-round of the Turkey Demographic and Health Surveys\' (TDHSs). The second aim is to examine whether or not the maternal/household and individual-level factors are associated with overweight/obesity using TDHS 2003, 2008, and 2013 datasets. A total sample of 14,231 children under the age of five were extracted from the TDHS in 1993, 1998, 2003, 2008, and 2013 to determine the prevalence of the trend. Pooled data from 8,812 children were included in the analysis to examine factors associated with overweight/obesity. Taking into account the clustered data structure, multilevel logistic regression models were utilised. In 1993, 1998, 2003, 2008, and 2013 the prevalence of overweight children was 5.3%, 4.9%, 10.0%, 11% and 11.6%, respectively. The factors that were independently associated with overweight/obesity were as follows: living in single-parent households (adjusted odds ratio (aOR) = 2.27, 95%CI = 1.21-4.26), compared to living in dual-parent households; having an obese mother (aOR = 4.25, 95%CI = 1.73-10.44), overweight mother (aOR = 3.15, 95%CI = 1.29-7.69), and a normal-weight mother (aOR = 2.70, 95%CI = 1.11-6.59) compared to having an underweight mother; being aged between 13-24 months (aOR = 1.72, 95%CI = 1.30 to 2.27), compared to being aged 0-12 months; male gender (aOR = 1.30, 95%CI = 1.11 to 1.53); being stunted (aOR = 2.18, 95%CI = 1.74 to 2.73); high birth weight (aOR = 1.55, 95%CI = 1.08 to 2.23) compared to low birth weight. In addition, overweight was higher in children of mothers who had completed primary school (aOR = 1.21, 95%CI = 1.01 to 1.59) than children of mothers who had not completed primary school. These findings reveal that, over the years, there has been a substantial increase in obesity/overweight among children which demonstrates the importance of evaluating the overweight indicators at the maternal/household level.