臺灣特色餐飲據點之空間分布與國小低年級學童肥胖之關聯分析：以林口長庚紀念醫院LIGHTS健康資料庫為例

Spatial Distribution of Taiwanese Restaurants and Childhood Obesity: A Case Study Using the LIGHTS Cohort Database of Chang Gung Memorial Hospital, Linkou

許家瑋(Chia-Wei Hsu) ； 林祐如(Yu-Ju Lin) ； 姚宗杰(Tsung-Chieh Yao) ； 蔡慧如(Hui-Ju Tsai) ； 陳穆貞(Mu-Jean Chen) ； 吳治達(Chih-Da Wu)

《人口學刊》 Issue 66 (2023/06) Pp. 41-74

https://doi.org/10.6191/JPS.202306_(66).0002

Abstracts

臺灣兒童的肥胖問題位居亞洲之冠，因此釐清造成兒童肥胖的在地風險，是當前非常重要的環境健康問題。本研究以基於林口長庚紀念醫院的「兒童世代健康資料庫」（Longitudinal Investigation of Global Health in Taiwanese Schoolchildren, LIGHTS），取得2016年時1,383位6-7歲國小低年級學童之肥胖相關身體激素指標資訊；同時透過Google多平臺之開放資料，取得手搖飲、鹹酥雞、滷味等臺灣特色餐飲據點之空間分布資訊，最後在校正相關風險因子情形下，透過廣義線性模型，以釐清臺灣特色餐飲據點之空間分布與國小低年級學童肥胖之關聯。研究結果發現，孩童體內之瘦素（leptin）與住家周邊方圓200 m內之三項特色餐飲分布均具正相關，其中手搖飲未達統計上顯著程度，鹹酥雞及滷味之分布更係達到顯著正相關（p<.05）；經敏感度分析及分層分析，特色餐飲據點之影響仍維持不變之正相關效應，但部分案例未達統計上顯著程度（p>.05）。

Keywords

兒童肥胖 ； 臺灣特色餐飲據點 ； 手搖飲 ； 鹹酥雞 ； 滷味

Parallel abstracts

Taiwan ranks as the top nation for childhood obesity in Asia. Clarifying the risk factors for childhood obesity is increasingly an important environmental health issue for local communities. Based on the Longitudinal Investigation of Global Health in Taiwanese Schoolchildren (LIGHTS) database of Linkou Chang Gung Memorial Hospital, the obesity-related body hormone index information for 1,383 schoolchildren aged 6-7 in 2016 was obtained in this study. The spatial distribution information for Taiwanese popular restaurants serving high-calorie foods such as hand-shaken drinks, Taiwanese fried chicken, and Taiwanese braised dishes was assessed through Google multi-platform. A generalized linear model was used to investigate the association between the spatial distribution of Taiwanese restaurants and obesity in primary school schoolchildren with the adjustment of the covariates. The results show a positive association between the level of leptin and the distribution of all three types of dining restaurants within a 200 m buffer range surrounding the children's homes. The effects reached statistical significance (p < .05), specifically in the distribution of Taiwanese fried chicken and Taiwanese braised dishes. The results remained positive for several sensitivity tests and subgroup analyses.

Parallel keywords

childhood obesity ； Taiwanese popular restaurants ； hand-shaken drinks ； Taiwanese fried chicken ； Taiwanese braised dishes

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