Identifying Risk for Obesity in Early Childhood

Nader, Philip R.; O’Brien, Marion; Houts, Renate; Bradley, Robert H.; Belsky, Jay; Crosnoe, Robert; Friedman, Sarah L.; Mei, Zuguo; Susman, Elizabeth J.

doi:10.1542/peds.2005-2801

Cited by 658 publications

(461 citation statements)

References 27 publications

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“…35 Flawed weight classification in childhood can set in motion lifelong distorted perceptions of what is acceptable, contributing to adolescent and adult obesity. 36,37 Rising rates of youth obesity theoretically account for a reduction of between two and five years in average lifespan, 38,39 and are expected to shorten overall life expectancy in the U.S. for the first time in two centuries. 38 Timely diagnosis of abnormal weight status for children is critical, and prevention efforts are challenging, given that many parents of obese children are unlikely to initiate action to prevent obesity 1) if weight is not perceived as a problem, or 2) if the link between current and future adverse health outcomes is not appreciated.…”

Section: Discussionmentioning

confidence: 99%

Size Misperception Among Overweight and Obese Families

et al. 2014

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BACKGROUND: Perception of body size is a key factor driving health behavior. Mothers directly influence children's nutritional and exercise behaviors. Mothers of ethnic minority groups and lower socioeconomic status are less likely to correctly identify young children as overweight or obese. Little evaluation has been done of the inverse-the child's perception of the mother's weight. OBJECTIVE: To determine awareness of weight status among mother-child dyads (n=506). DESIGN: Cross-sectional study conducted in an outpatient pediatric dental clinic of Columbia University Medical Center, New York, NY. PARTICIPANTS: Primarily Hispanic (82.2 %) mothers (n= 253), 38.8±7.5 years of age, and children (n=253), 10.5± 1.4 years of age, responding to a questionnaire adapted from the validated Behavioral Risk Factor Surveillance System. MAIN MEASURES: Anthropometric measures-including height, weight, and waist circumference-and awareness of self-size and size of other generation were obtained. KEY RESULTS: 71.4 % of obese adults and 35.1 % of overweight adults underestimated size, vs. 8.6 % of normal-weight (NW) adults (both p < 0.001). Among overweight and obese children, 86.3 % and 62.3 % underestimated their size, vs. 14.9 % NW children (both p<0.001). Among mothers with overweight children, 80.0 % underestimated their child's weight, vs. 7.1 % of mothers with NW children (p<0.001); 23.1 % of mothers with obese children also underestimated their child's weight (p < 0.01). Among children with obese mothers, only 13.0 % correctly classified the adult's size, vs. 76.5 % with NW mothers (p<0.001). Among obese mothers, 20.8 % classified overweight body size as ideal, vs. 1.2 % among NW mothers (p<0.001). CONCLUSION: Overweight/obese adults and children frequently underestimate their size. Adults misjudge overweight/obese children as being of normal weight, and children of obese mothers often underestimate the adult's size. Failure to recognize overweight/obesity status among adults and children can lead to prolonged exposure to obesity-related comorbidities.

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Section: Discussionmentioning

confidence: 99%

Size Misperception Among Overweight and Obese Families

et al. 2014

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“…Child overweight and obesity is a global health epidemic that has long-term consequences for healthcare costs and society's overall well-being and productivity [1][2][3]. Overweight and obesity is commonly thought to be a public health concern for wealthy nations, and in particular, the well-documented case of the United States (U.S.) has led the way in the international obesity crisis.…”

Section: Introductionmentioning

confidence: 99%

Child Overweight and Obesity in Shanghai, China: Contextualizing Chinese Socioeconomic and Gender Differences

et al. 2017

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Purpose Childhood overweight and obesity is on the rise in China and in Chinese cities in particular. The aim of this study is to explore the extent of income differences in childhood overweight in Shanghai, China, and examine demographic, social, and behavioral explanations for these differences. Methods Using the 2014 Child Well-Being Study of Shanghai, China-a survey that included extensive contextual information on children and their families in China's most populous city, prevalence rates and adjusted odds ratios of child overweight and obesity at age 7 were calculated by income tercile controlling for a wide variety of sociodemographic variables. Results District aggregate income increases the odds of child overweight/obesity, but only for boys. In contrast, rural hukou status was associated with lower odds of overweight/obesity for girls. Conclusions Boys at age 7 are more likely to be overweight and obese than girls. District income further increases this likelihood for boys, while rural hukou status decreases this likelihood for girls, suggesting that preferences for boys and thinness ideals for girls may play a role in the income patterning of childhood overweight and obesity.

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“…[1][2][3][4] Children who become overweight/obese during this time have a fivefold increased risk of being overweight/obese adults. 4 Furthermore, evidence suggests that dietary preferences are established during this time and track into adulthood.…”

Section: Introductionmentioning

confidence: 99%

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

et al. 2016

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Background: Mealtime best practices for obesity prevention in child care have been developed from experimental studies and expert opinion. Our objective was to describe adherence to best practices in child care centers and to evaluate the association between mealtime practices and children's dietary intake.Methods: We conducted an observational study of 349 preschoolers, ages 36 to 72 months, from 30 child care centers in Cincinnati, Ohio (November 2009 to January 2011). Trained observers recorded providers' behaviors related to six mealtime best practice recommendations and documented children's intake (n = 60 group lunches). General linear mixed models were used to evaluate the association between practice use and children's total energy (caloric consumption) and fruit and vegetable consumption.Results: Adherence to individual mealtime best practices was variable (0%-77%). Staff sitting with children at lunch was associated with lower energy intake and higher vegetable intake. Staff eating some of the same foods was associated with higher energy intake and higher vegetable intake. Staff encouraging children to try new/less-favorite foods more than once was associated with lower fruit intake. Staff having general conversations with children (not addressed in recommendations) was associated with lower vegetable intake. Family-style meal service, staff talking about healthy foods, and staff helping children assess hunger before seconds were not significantly associated with intake.Conclusions: Few mealtime best practices were associated with dietary intake. Given the number of meals children consume in child care and the prevalence of childhood obesity, efforts to identify mealtime practices that improve children's dietary intake are crucial for obesity prevention.

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Identifying Risk for Obesity in Early Childhood

Cited by 658 publications

References 27 publications

Size Misperception Among Overweight and Obese Families

Size Misperception Among Overweight and Obese Families

Child Overweight and Obesity in Shanghai, China: Contextualizing Chinese Socioeconomic and Gender Differences

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

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