Ecological Influences of Early Childhood Obesity

Boonpleng, Wannaporn; Park, Chang Gi; Gallo, Agatha M.; Corte, Colleen; McCreary, Linda L.; Bergren, Martha Dewey

doi:10.1177/0193945913480275

Cited by 44 publications

(41 citation statements)

References 32 publications

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“…Parental feeding style (23.4%) and family functioning (6.6%) contributed most to the variance in the BMI-z scores. These findings are consistent with a previous study analyzing national surveillance data, which reported that family-level factors (e.g., child's race and parents' highest education level) were the main contributing factors for childhood overweight/obesity (Boonpleng et al, 2013). Although family background factors have been associated with children's overweight/obesity in prior studies, none of the family background factors were found to be related to children's weight in this study.…”

Section: Discussionsupporting

confidence: 92%

Family Factors and Body Mass Index Among Korean-American Preschoolers

Kim

Park

McCreary

et al. 2015

Journal of Pediatric Nursing

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Section: Discussionsupporting

confidence: 92%

Family Factors and Body Mass Index Among Korean-American Preschoolers

Kim

Park

McCreary

et al. 2015

Journal of Pediatric Nursing

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“…Literature suggests these approaches should begin during the preschool years (aged 2–5 years) because adiposity rebound, the point of BMI increase after a minimal BMI, occurs during this period and may predict future obesity (Boonpleng et al. ). The preschool period is also a key developmental stage in which children learn and adopt healthy lifestyles (Doi et al.…”

Section: Introductionmentioning

confidence: 99%

“…The EST emphasizes the interactive influence of each system on child development making it a good fit for studies examining factors that contribute to childhood obesity (Boonpleng et al. ). It provides a comprehensive framework for a multilevel analysis of child, family, childcare setting and community variables that are likely to affect preschool children's weight status.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing obesity among preschoolers: multilevel approach

Park

Bahorski

et al. 2019

International Nursing Review

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Background Childhood obesity is a complex and multifaceted problem involving interactions among child, family and community environment. Aim The purpose of this study was to examine the contributing factors to early childhood obesity within a multilevel context, including child and family, childcare setting and community. Methods A cross‐sectional, quantitative research design was employed. A total of 129 preschoolers and their parents in northwest Florida participated in this study. Child height and weight were measured, and body mass index (BMI) was calculated. Parents and directors of preschools completed survey questionnaires to assess child/family, childcare setting and community factors, respectively. Hierarchical multiple regression was used to evaluate the association of each level of factors with child BMI z‐score. Results Twenty‐one per cent of children were overweight or obese (≥85th BMI percentile). In hierarchical multiple regression, household income, parent beliefs, attitudes and practices for child feeding, family obesogenic environment, child routines (screen time on weekends, sleep hours, bedtime) and physical activity environment were significantly related to child BMI z‐score. Conclusions The findings of this study provide a broader understanding of factors that influence child BMI z‐score. Shaping a non‐obesogenic environment by establishing healthy routines for children in the home, childcare setting and community is essential in childhood obesity prevention. Implications for nursing practice and health policy Paediatric nurses should routinely assess accurate parental perception of child weight, feeding style and child routines in well‐child care visits. Healthcare professionals and health policymakers should enact policies that build a healthy environment for preschoolers in their childcare setting and community.

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“…Various studies examine impressive, evidence-based, integrated multilevel lists of contributors to childhood obesity, claiming to apply an ecological view (e.g. [8-10]). However, integration is not synonymous to interaction.…”

Section: Introductionmentioning

confidence: 99%

The next step in health behavior research: the need for ecological moderation analyses - an application to diet and physical activity at childcare

Gubbels

Kann

Vries

et al. 2014

Int J Behav Nutr Phys Act

142

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BackgroundThe ecological perspective holds that human behavior depends on the interaction of different environmental factors and personal characteristics, but it lacks validation and operationalization. In the current paper, an ecological view was adopted to examine the interactive impact of several ecological systems on children’s dietary intake and physical activity at childcare or similar facilities. The ecological view was operationalized into three types of interaction: 1) interaction between types of childcare environment (physical, social, political, economic); 2) interaction between micro-systems (the childcare and home environment) in meso-systems; and 3) interaction between childcare environment and child characteristics. The predictive value of each of these interactions was tested based on a systematic review of the literature.DiscussionSeveral studies support the hypothesis that the influence of the childcare environment on children’s physical activity and diet is moderated by child characteristics (age, gender), but interaction between environmental types as well as between micro-systems is hardly examined in the field of behavioral nutrition and physical activity. Qualitative studies and general child development research provide some valuable insights, but we advocate quantitative research adopting an ecological perspective on environmental influences.SummaryEmpirical studies operationalizing a true ecological view on diet and physical activity are scarce. Theorizing and assessment of interaction is advocated to become common practice rather than an exception in behavioral nutrition and physical activity research, in order to move the field forward.

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Ecological Influences of Early Childhood Obesity

Cited by 44 publications

References 32 publications

Family Factors and Body Mass Index Among Korean-American Preschoolers

Family Factors and Body Mass Index Among Korean-American Preschoolers

Factors influencing obesity among preschoolers: multilevel approach

The next step in health behavior research: the need for ecological moderation analyses - an application to diet and physical activity at childcare

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