青少年BMI发展轨迹的家庭代际关联
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南京邮电大学理学院

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Intergenerational Associations Between Parental and Adolescent BMI Trajectories
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    摘要:

    摘 要:利用2012—2022年中国家庭追踪调查(China Family Panel Studies,CFPS)数据构建4个三波队列,主分析样本纳入1358名青少年及其父母。采用父亲、母亲和青少年并行潜变量增长模型,将体重指数(body mass index,BMI)代际关联分解为初始水平和线性变化因子,并以稳健极大似然法估计、校正家庭内相关性。模型1和模型2使用1358例,进一步调整各队列T0同期家庭人均收入及父母教育的模型3采用1307个完整案例。完全调整后,父亲和母亲BMI截距因子均与青少年BMI截距因子呈正向关联[B=0.200、0.221,均P<0.001];父亲BMI斜率与青少年BMI斜率关联无统计学意义(B=0.055,P=0.546),母亲相应路径呈正向关联(B=0.196,P=0.008)。父母斜率路径的参数差异检验无统计学意义(P=0.282)。采用自由时间载荷增长模型和世界卫生组织2007年年龄别体重指数Z评分进行敏感性分析后,主要关联模式总体稳定。父母与青少年BMI的家庭代际关联主要体现于初始水平;母亲—青少年变化因子关联获得统计支持,但不能据此认为母亲效应强于父亲。

    Abstract:

    Abstract: Using 2012–2022 data from the China Family Panel Studies (CFPS), four three-wave cohorts were constructed, with a primary sample of 1,358 adolescents and their parents. Parallel latent growth models for fathers, mothers, and adolescents decomposed body mass index (BMI) into intercept and linear change factors; robust maximum likelihood estimation with family-cluster correction was applied. Models 1 and 2 used 1,358 observations, whereas the fully adjusted Model 3 included 1,307 complete cases after adjustment for cohort-specific T0 per-capita household income and parental education. In Model 3, paternal and maternal BMI intercept factors were positively associated with the adolescent BMI intercept factor (B=0.200 and 0.221, respectively; both P<0.001). The paternal–adolescent slope association was not statistically significant (B=0.055, P=0.546), whereas the maternal–adolescent slope association was positive (B=0.196, P=0.008). A Wald test did not support a difference between the paternal and maternal slope paths (χ²(1)=1.160, P=0.282). Sensitivity analyses using a freely estimated time-loading growth model and WHO 2007 BMI-for-age z scores showed that the main association pattern was generally stable. Intergenerational BMI associations were most consistent for baseline levels; the significant maternal slope path should not be interpreted as statistically stronger than the paternal path.

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  • 收稿日期:2026-08-20
  • 最后修改日期:2026-10-09
  • 录用日期:2026-10-12
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