Childcare use and overweight in <scp>F</scp>inland: cross‐sectional and retrospective associations among 3‐ and 5‐year‐old children

Lehto, Reetta; Mäki, Päivi; Ray, Carola; Laatikainen, Tiina; Roos, Eva

doi:10.1111/ijpo.12036

Cited by 14 publications

(17 citation statements)

References 28 publications

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“…Childcare attendance has been associated with obesity in children in Canada, China, Denmark, Finland, the United Kingdom (UK) and the United States (US) . The association may depend on the age of children in care – prior studies of infants have linked early care with obesity .…”

Section: Introductionmentioning

confidence: 99%

Childcare before age 6 and body mass index at age 7 years in a cohort of Danish children

Neelon

Morgen²,

Kamper-Jørgensen

et al. 2017

Pediatric Obesity

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Section: Introductionmentioning

confidence: 99%

Childcare before age 6 and body mass index at age 7 years in a cohort of Danish children

Neelon

Morgen²,

Kamper-Jørgensen

et al. 2017

Pediatric Obesity

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“…Benjamin et al (2009) showed that infants who attended home-based child care early in life had an increased weight for length at 1 year and BMI at 3 years, suggesting that more research is needed into the food and physical activity policies of family child care homes. Additional studies in Denmark (Neelon et al 2015) and Finland (Lehto et al 2015) have demonstrated an association between starting child care before age 1 and an increased risk for later obesity. In 2011, the White House Task Force on Childhood Obesity supported the development of new national standards for healthy eating, encouraging breastfeeding, promoting physical activity, and limiting screen time in early-care settings (American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education 2012).…”

Section: Child Care and Schoolmentioning

confidence: 98%

Early in the Life Course: Time for Obesity Prevention

Hawkins

Oken

Gillman

2017

Handbook of Life Course Health Development

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One of the reasons for the intractability of childhood obesity is the underappreciation of the complexity and interconnectedness of contributing factors across the life course. A multilevel approach for obesity prevention takes into account individual risk factors that operate “above water” (family, neighborhood, policies) and the interaction with biology and “underwater” influences (genetics, epigenetics, physiology) and recognizes that these factors also interact across the life course, starting before birth. We organize this chapter to reflect phases of life course health development, prenatally through adolescence, that appear to be most important for the development of obesity and present key examples to illustrate important risk factors, mechanisms, and gaps in research. One of the challenges to understanding influences on obesity risk is the extent to which associations described in observational studies are causal. We present alternative methodological approaches, including sibling-pair design, maternal versus paternal effects, Mendelian randomization, cohorts with different confounding structures, and randomized controlled trials, that can help disentangle causal associations. We conclude with recommendations for future work on methodology, research in emerging areas, and implications for practice and policy based on the current evidence.

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“…Broadly, those authors suggest CBC may protect against overweight by promoting a healthier diet and providing health care [62]. Yet other studies have found no association between CBC and childhood overweight [67][68][69][70][71][72][73][74]. Attending CBC could be associated with lower risk of child overweight or obesity through several pathways, including planned nutritional programs and learning environments, healthy eating, regular opportunities for physical activity, regular bedtime and rise time, and reduced screen time (eg, computers, mobile phones, television) [62,63,75,76].…”

Section: Viewpoints Papersmentioning

confidence: 99%

Centre-based care is a significant predictor of lower body mass index in early childhood: Longitudinal evidence from Chile

Allel

Narea

Undurraga

2020

Journal of Global Health

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Background The prevalence of childhood overweight has increased by approximately 50% in the past three decades, becoming a major public health concern worldwide. In Chile, an upper middle-income country, about 38% of children between two and four years of age are overweight, almost double the average in Latin America and the Caribbean. Various environmental and individual factors, and their interactions, affect childhood weight. Emerging evidence suggests childcare may also matter. Because the public provision of centre-based care is growing, childcare may be a useful policy tool to help prevent childhood overweight. Methods Using a nationally representative longitudinal survey of ~ 15 000 children in Chile (2010 and 2012), we estimated whether the type of child care (centre-based or maternal) a child attended at age 24 to 36 months was a significant predictor of the child' s sex-and-age-specific body-mass-index (BMI) at age 36-48 months. We restricted our sample to children in full-time maternal care at baseline (12-24 months of age; n = 1273), but tested the robustness of results with the full sample. We compared children in centre-based care and in maternal care using difference-indifference estimators and propensity score matching, and adjusted our estimates using child, family, and neighborhood characteristics. Results Children attending centre-based care had 0.27 SD lower BMI than children in maternal care at follow-up (P < 0.05). We found suggestive evidence this association may be modulated by the child' s socioeconomic status and by how frequently the child watched television: we found smaller BMI changes for children at the bottom 80% of socioeconomic status (P < 0.05) and also for children who frequently watched television (P < 0.10). Our results were robust to various model specifications. Conclusions Our findings suggest centre-based care programs, with adequate regulation and enforcement, may be a useful support to help curb the early childhood overweight epidemic, in addition to known effects in labor supply and child development. Electronic supplementary material: The online version of this article contains supplementary material.

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Childcare use and overweight in Finland: cross‐sectional and retrospective associations among 3‐ and 5‐year‐old children

Cited by 14 publications

References 28 publications

Childcare before age 6 and body mass index at age 7 years in a cohort of Danish children

Childcare before age 6 and body mass index at age 7 years in a cohort of Danish children

Early in the Life Course: Time for Obesity Prevention

Centre-based care is a significant predictor of lower body mass index in early childhood: Longitudinal evidence from Chile

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