Factors associated with overweight in preschool-age children in southwestern France

Jouret, Béatrice; Ahluwalia, Namanjeet; Cristini, C.; Dupuy, Marie; Nègre‐Pagès, Laurence; Grandjean, Hélène; Tauber, Maïthé

doi:10.1093/ajcn/85.6.1643

Cited by 92 publications

(96 citation statements)

References 31 publications

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“…The absence of this association may be due to the construction of the variable, which considered only the intake of certain chosen foods groups of interest -not from a complete FFQ; or it may be due to under-reporting of the consumption of unhealthy foods by the mothers (32) , which might have influenced or masked an association with overweight. Many studies have reported a positive association between being overweight and the amount of time spent watching television (15,33,34) . This is likely because children who watch television for more than an hour daily tend to participate less in sports and other physical activities, therefore being more inactive than children who watch less television (15) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with overweight in children living in the neighbourhoods of an urban area of Brazil

Cremm

Leite

Abreu

et al. 2011

Public Health Nutr.

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Objective: The present study aimed to investigate the individual and family determinants of being overweight among children younger than 10 years of age. Design: Cross-sectional survey. Direct data on children's age, food intake, physical activity, type of transportation used and anthropometric measurements, as well as the education level of the mothers, were collected by trained interviewers. Setting: Population-based study in the city of Santos, Brazil. Subjects: A total of 531 children under 10 years of age (302 aged ,6 years, 229 aged $6 years), living in the city of Santos. Results: The overall prevalence of overweight and obesity (BMI-for-age Z-score .1) was 35?4 % for children under 6 years and 38?9 % for children aged 6-10 years. The socio-economic status of the family was associated with being overweight for both age groups. Logistic regression analysis showed that the lower the socio-economic status, the higher the likelihood of being overweight, among both younger children (OR 5 7?73; P 5 0?02) and older children (OR 5 1?98; P 5 0?04). The use of active transportation was associated with a lower likelihood of being overweight, but only among younger children (OR 5 1?70; P 5 0?05). Conclusions: Socio-economic status seems to be an important individual-level determinant of overweight in children. Public policies should consider promoting the use of active transportation, as the results showed it to have a positive effect on reducing overweight issues. The high prevalence of overweight in younger children suggests that this age group should be a priority in health-promoting interventions.

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Section: Discussionmentioning

confidence: 99%

Factors associated with overweight in children living in the neighbourhoods of an urban area of Brazil

Cremm

Leite

Abreu

et al. 2011

Public Health Nutr.

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“…Children underwent a medical visit whereby anthropometric measurements were taken by the study physician. 23 Weight was determined for children in minimal clothing without shoes to the nearest 0.5 kg using a Seca scale (Hamburg, Germany), and height to the nearest 0.5 cm with a stadiometer fixed to the wall (Seca) using standardized techniques. Children were classified by the study physician using French reference curves for BMI; 24 those with BMI value between 75th and 90th percentiles (z-score between 0.67 and 1.28) were considered at risk for overweight and those with BMI X90th percentile (z-score X1.28) were considered overweight.…”

Section: Methodsmentioning

confidence: 99%

Prevention of overweight in preschool children: results of kindergarten-based interventions

et al. 2009

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Objective: Given the increasing prevalence of pediatric obesity, we evaluated two kindergarten-based strategies for reducing overweight in preschool children in the Haute-Garonne Department in France. Methods: Kindergartens (n ¼ 79) were randomly assigned to one of the two strategies and followed for 2 years. In the first group (Epidémiologie et prévention de l'obésité infantile, EPIPOI-1), parents and teachers received basic information on overweight and health, and children underwent screening to identify those with overweight (body mass index (BMI) X90th percentile) or at risk for overweight (BMI between 75 and 90th percentile), who were then followed up by their physicians. EPIPOI-2 children, in addition, received kindergarten-based education to promote healthy practices related to nutrition, physical activity and sedentary behaviors. Data on control children from non-intervention kindergartens (n ¼ 40) were retrieved from medical records at the Division of School Health. Results: At baseline, groups differed significantly on age and school area (underprivileged/ not). Owing to a significant interaction between school area and group, analyses were stratified by school area. At baseline, groups did not differ on overweight prevalence and BMI z-scores for any school area. After intervention, prevalence of overweight, BMI z-score and change in BMI z-score were significantly lower in intervention groups compared with controls in underprivileged areas. Using multilevel analysis adjusted for potential confounders, a significant effect on overweight prevalence at the end of the study was noted for EPIPOI-1 in underprivileged areas only (odds ratio and 95% confidence interval: 0.18 (0.07-0.51). In nonunderprivileged areas, the gain in BMI z-score was lower in EPIPOI-2 group compared with control and EPIPOI-1. Conclusion: Our results suggest that simple measures involving increasing awareness on overweight and health, and periodic monitoring of weight and height with follow-up care when indicated, could be useful to reduce overweight in young children from underprivileged areas. A reinforced strategy with an education component, in addition, may be indicated in children in non-underprivileged areas.

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“…For the current review, four eligible and new crosssectional studies were identified ( Table 2). The focus of three of these four studies (86)(87)(88) was parent-reported television viewing and significant associations with overweight and/or obesity, usually robust to a range of adjustments, were found. In the fourth (89) , which was a small study, significantly lower risk of overweight and obesity at higher levels of physical activity was reported.…”

Section: Evidence From Recent Cross-sectional Observational Studiesmentioning

confidence: 99%

Physical activity, sedentary behaviour and energy balance in the preschool child: opportunities for early obesity prevention

2008

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Prevalence of obesity in preschool children has increased dramatically in recent years. The preschool years (age 3-6 years) have been regarded as critical for the programming of energy balance, via the concept of early 'adiposity rebound'. Children who undergo early adiposity rebound are at increased risk of later obesity. Recent evidence suggests that associations between timing of adiposity rebound and later obesity may not reflect programming, but might denote that 'obesogenic' growth trajectories are often established by the preschool period. Studies of objectively-measured physical activity and sedentary behaviour in preschool children show that levels of physical activity are typically low and sedentary behaviour high. The review of evidence presented here is supportive of the hypothesis that physical activity is protective against obesity in the preschool period, and that sedentary behaviour, particularly television viewing, is obesogenic. Definitive evidence on dose-response relationships between physical activity, sedentary behaviour and obesity remain unclear. Dose-response evidence could be obtained fairly readily by intervention and longitudinal observational studies that use accelerometry in preschool children. The generalisability of much of the evidence base is limited and there is a need for research on the influence of physical activity and sedentary behaviour in the preschool years in the aetiology of obesity in the developing world.Physical activity: Sedentary behaviour: Child nutrition: Obesity

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Factors associated with overweight in preschool-age children in southwestern France

Abstract: A family history of overweight or diabetes, overweight in the first 2 y of life, and television viewing are associated with overweight at 4 y. These factors should be considered in developing programs for the prevention of overweight in early childhood.

Cited by 92 publications

References 31 publications

Factors associated with overweight in children living in the neighbourhoods of an urban area of Brazil

Factors associated with overweight in children living in the neighbourhoods of an urban area of Brazil

Prevention of overweight in preschool children: results of kindergarten-based interventions

Physical activity, sedentary behaviour and energy balance in the preschool child: opportunities for early obesity prevention

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