Child-caregivers’ body weight and habitual physical activity status is associated with overweight in kindergartners

BMC Public Health

Perikles Simon¹  Suzan Tug¹  Sascha W Hoffmann² 

[1]Department of Sports Medicine, Disease Prevention and Rehabilitation, Faculty of Social Science, Johannes Gutenberg-University Mainz, Media and Sport, Albert-Schweitzer-Str. 22, 55128 Mainz, Germany

[2]Department of Sports Medicine/Sports Physiology, Institute of Sport Science, University of Bayreuth, Universitätsstraße 30, 95440 Bayreuth, Germany

关键词: Perception;    Children’s weight status;    Kindergarten teacher;    Habitual physical activity;    Weight status;    Association;    Child-caregivers;   

Others  :  1128695
DOI  :  10.1186/1471-2458-14-822

 received in 2014-03-26, accepted in 2014-07-29,  发布年份 2014

【 摘 要 】

Background

The aim of this study was to examine whether child-caregivers’, both parents and kindergarten teachers, health parameters (age, weight status, habitual physical activity score) are significantly associated with the risk of overweight in young children.

Methods

We assessed the individual body mass index standard deviation score in a regional cross-sectional health study and matched a representative sample of 434 kindergartners aged 3 to 6-years with their caregivers’ weight and habitual physical activity status. Furthermore, we identified factors associated with the general ability of child-caregivers to identify overweight in children, and the awareness to classify a child within the correct weight category.

Results

Our study confirmed most of the known associations between parental anthropometrics and psychosocial factors with childhood overweight and obesity. A significantly higher proportion of boys tended to be overweight or obese (p = 0.027) and parents were more likely to misclassified boys overweight as normal weight (OR: 1.86; 95% CI 1.21-2.86). Adjusted for confounders, logistic regression analysis revealed that kindergarten teachers’ weight status (OR: 1.97; 95%-CI: 1.01-3.83) and habitual physical activity scores (OR: 2.32; 95%-CI: 1.10-4.92) were associated with children’s weight status.

Conclusions

Kindergarten teachers’ weight and habitual physical activity score seem to be new independent risk factors for overweight in kindergartners 3 to 6-years of age. Our results suggest that the psychosocial, non-genetic association of non-parental child-caregivers on children’s weight is relatively high and that the association of non-parental child-caregivers warrants further investigation.

【 授权许可】

   
2014 Hoffmann et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]de Onis M, Blossner M, Borghi E: Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010, 92(5):1257-1264.
• [2]Kalies H, Lenz J, von Kries R: Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982-1997. Int J Obes Relat Metab Disord 2002, 26(9):1211-1217.
• [3]Kurth BM, Schaffrath Rosario A: [Overweight and obesity in children and adolescents in Germany]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2010, 53(7):643-652.
• [4]Kaplan MS, Huguet N, Newsom JT, McFarland BH, Lindsay J: Prevalence and correlates of overweight and obesity among older adults: findings from the Canadian National Population Health Survey. J Gerontol A Biol Sci Med Sci 2003, 58(11):1018-1030.
• [5]Haffner SM: Relationship of metabolic risk factors and development of cardiovascular disease and diabetes. Obesity (Silver Spring) 2006, 14(Suppl 3):121S-127S.
• [6]Haslam DW, James WP: Obesity. Lancet 2005, 366(9492):1197-1209.
• [7]Barry VW, Baruth M, Beets MW, Durstine JL, Liu J, Blair SN: Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis 2014, 56(4):382-390.
• [8]Orpana HM, Berthelot JM, Kaplan MS, Feeny DH, McFarland B, Ross NA: BMI and mortality: results from a national longitudinal study of Canadian adults. Obesity (Silver Spring) 2010, 18(1):214-218.
• [9]Baker JL, Olsen LW, Sorensen TI: Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med 2007, 357(23):2329-2337.
• [10]Hoffmann SW, Ulrich R, Simon P: Refined analysis of the critical age ranges of childhood overweight: implications for primary prevention. Obesity (Silver Spring) 2012, 20(10):2151-2154.
• [11]Lobstein T, Frelut ML: Prevalence of overweight among children in Europe. Obes Rev 2003, 4(4):195-200.
• [12]Monasta L, Batty GD, Cattaneo A, Lutje V, Ronfani L, Van Lenthe FJ, Brug J: Early-life determinants of overweight and obesity: a review of systematic reviews. Obes Rev 2010, 11(10):695-708.
• [13]Griffiths LJ, Hawkins SS, Cole TJ, Dezateux C: Risk factors for rapid weight gain in preschool children: findings from a UK-wide prospective study. Int J Obes (Lond) 2010, 34(4):624-632.
• [14]Han JC, Lawlor DA, Kimm SY: Childhood obesity. Lancet 2010, 375(9727):1737-1748.
• [15]Gundersen C, Mahatmya D, Garasky S, Lohman B: Linking psychosocial stressors and childhood obesity. Obes Rev 2011, 12(5):e54-63.
• [16]Puder JJ, Munsch S: Psychological correlates of childhood obesity. Int J Obes (Lond) 2010, 34(Suppl 2):S37-43.
• [17]Bjorntorp P: Do stress reactions cause abdominal obesity and comorbidities? Obes Rev 2001, 2(2):73-86.
• [18]Hoffmann SW, Tug S, Simon P: Obesity prevalence and unfavorable health risk behaviors among German kindergarten teachers: Cross-sectional results of the Kindergarten Teacher Health Study (KTHS). BMC Public Health 2013, 13:927.
• [19]Ong KK: Size at birth, postnatal growth and risk of obesity. Horm Res 2006, 65(Suppl 3):65-69.
• [20]Martin JA, Hamilton BE, Ventura SJ, Osterman MJ, Kirmeyer S, Mathews TJ, Wilson EC: Births: final data for 2009. Natl Vital Stat Rep 2011, 60(1):1-70.
• [21]Lee PA, Chernausek SD, Hokken-Koelega AC, Czernichow P: International Small for Gestational Age Advisory Board consensus development conference statement: management of short children born small for gestational age, April 24-October 1, 2001. Pediatrics 2003, 111(6 Pt 1):1253-1261.
• [22]Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink GB, Neuhauser H, Rosario AS, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U: The challenge of comprehensively mapping children's health in a nation-wide health survey: design of the German KiGGS-Study. BMC Public Health 2008, 8:196.
• [23]Baecke JA, Burema J, Frijters JE: A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982, 36(5):936-942.
• [24]Deforche B, Lefevre J, De Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J: Physical fitness and physical activity in obese and nonobese Flemish youth. Obesity Research 2003, 11(3):434-441.
• [25]Vogels N, Westerterp KR, Posthumus DL, Rutters F, Westerterp-Plantenga MS: Daily physical activity counts vs structured activity counts in lean and overweight Dutch children. Physiol Behav 2007, 92(4):611-616.
• [26]Maia JA, Thomis M, Beunen G: Genetic factors in physical activity levels: a twin study. Am J Prev Med 2002, 23(2 Suppl):87-91.
• [27]Philippaerts RM, Westerterp KR, Lefevre J: Doubly labelled water validation of three physical activity questionnaires. Int J Sports Med 1999, 20(5):284-289.
• [28]Pols MA, Peeters PH, Bueno-De-Mesquita HB, Ocke MC, Wentink CA, Kemper HC, Collette HJ: Validity and repeatability of a modified Baecke questionnaire on physical activity. Int J Epidemiol 1995, 24(2):381-388.
• [29]Lampert T, Sygusch R, Schlack R: [Use of electronic media in adolescence. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007, 50(5-6):643-652.
• [30]Rapp K, Schick KH, Bode H, Weiland SK: Type of kindergarten and other potential determinants of overweight in pre-school children. Public Health Nutrition 2005, 8(6):642-649.
• [31]WHO: Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser 2000, 894:i-xii. 1-253
• [32]Sacerdote C, Ricceri F, Rolandsson O, Baldi I, Chirlaque MD, Feskens E, Bendinelli B, Ardanaz E, Arriola L, Balkau B, Bergmann M, Beulens JW, Boeing H, Clavel-Chapelon F, Crowe F, de Lauzon-Guillain B, Forouhi N, Franks PW, Gallo V, Gonzalez C, Halkjær J, Illner AK, Kaaks R, Key T, Khaw KT, Navarro C, Nilsson PM, Dal Ton SO, Overvad K, Pala V, Palli D, Panico S, Polidoro S, Quirós JR, Romieu I, Sánchez MJ, Slimani N, Sluijs I, Spijkerman A, Teucher B, Tjønneland A, Tumino R, van der AD, Vergnaud AC, Wennberg P, Sharp S, Langenberg C, Riboli E, Vineis P, Wareham N: Lower educational level is a predictor of incident type 2 diabetes in European countries: the EPIC-InterAct study. Int J Epidemiol 2012, 41(4):1162-1173.
• [33]Warschburger P, Kröller K: Maternal perception of weight status and health risks associated with obesity in children. Pediatrics 2009, 124(1):e60-68.
• [34]Monasta L, Lobstein T, Cole TJ, Vignerova J, Cattaneo A: Defining overweight and obesity in pre-school children: IOTF reference or WHO standard? Obes Rev 2011, 12(4):295-300.
• [35]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320(7244):1240-1243.
• [36]Cole TJ, Freeman JV, Preece MA: British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Stat Med 1998, 17(4):407-429.
• [37]Cole TJ, Freeman JV, Preece MA: Body mass index reference curves for the UK, 1990. Arch Dis Child 1995, 73(1):25-29.
• [38]Freeman JV, Cole TJ, Chinn S, Jones PR, White EM, Preece MA: Cross sectional stature and weight reference curves for the UK, 1990. Arch Dis Child 1995, 73(1):17-24.
• [39]Pfeiffer U, Kemper J, Braun R, Metzger H, Wiesemann L, Kleinhans K: Sozialraumanalyse 2005. Mainz: Department of social issues, children, youth, school, and health; 2005:1-283.
• [40]Dubois L, Farmer A, Girard M, Peterson K: Social factors and television use during meals and snacks is associated with higher BMI among pre-school children. Public Health Nutrition 2008, 11(12):1267-1279.
• [41]DESTATIS: Mikrozensus - Fragen zur Gesundheit (Körpermaße der Bevölkerung). Wiesbaden: German Federal Statistical Office; 2011:15.
• [42]Cecil JE, Tavendale R, Watt P, Hetherington MM, Palmer CN: An obesity-associated FTO gene variant and increased energy intake in children. N Engl J Med 2008, 359(24):2558-2566.
• [43]Llewellyn CH, Trzaskowski M, van Jaarsveld CH, Plomin R, Wardle J: Satiety Mechanisms in Genetic Risk of Obesity. JAMA Pediatr 2014, 168(4):338-44.
• [44]Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, Gortmaker SL: The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011, 378(9793):804-814.
• [45]Veugelers P, Sithole F, Zhang S, Muhajarine N: Neighborhood characteristics in relation to diet, physical activity and overweight of Canadian children. Int J Pediatr Obes 2008, 3(3):152-159.
• [46]Kosti RI, Panagiotakos DB, Tountas Y, Mihas CC, Alevizos A, Mariolis T, Papathanassiou M, Zampelas A, Mariolis A: Parental Body Mass Index in association with the prevalence of overweight/obesity among adolescents in Greece; dietary and lifestyle habits in the context of the family environment: the Vyronas study. Appetite 2008, 51(1):218-222.
• [47]Kourlaba G, Kondaki K, Liarigkovinos T, Manios Y: Factors associated with television viewing time in toddlers and preschoolers in Greece: the GENESIS study. J Public Health (Oxf) 2009, 31(2):222-230.
• [48]Lumeng JC, Rahnama S, Appugliese D, Kaciroti N, Bradley RH: Television exposure and overweight risk in preschoolers. Arch Pediatr Adolesc Med 2006, 160(4):417-422.
• [49]Manios Y, Kourlaba G, Kondaki K, Grammatikaki E, Anastasiadou A, Roma-Giannikou E: Obesity and television watching in preschoolers in Greece: the GENESIS study. Obesity (Silver Spring) 2009, 17(11):2047-2053.
• [50]Taylor RW, Murdoch L, Carter P, Gerrard DF, Williams SM, Taylor BJ: Longitudinal study of physical activity and inactivity in preschoolers: the FLAME study. Med Sci Sports Exerc 2009, 41(1):96-102.
• [51]Eriksson M, Nordqvist T, Rasmussen F: Associations between parents’ and 12-year-old children’s sport and vigorous activity: the role of self-esteem and athletic competence. J Phys Act Health 2008, 5(3):359-373.
• [52]Dunton GF, Liao Y, Almanza E, Jerrett M, Spruijt-Metz D, Chou CP, Pentz MA: Joint physical activity and sedentary behavior in parent-child pairs. Med Sci Sports Exerc 2012, 44(8):1473-1480.
• [53]Hnatiuk J, Ridgers ND, Salmon J, Campbell K, McCallum Z, Hesketh K: Physical activity levels and patterns of 19-month-old children. Med Sci Sports Exerc 2012, 44(9):1715-1720.
• [54]Van Cauwenberghe E, Jones RA, Hinkley T, Crawford D, Okely AD: Patterns of physical activity and sedentary behaviour in preschool children. Int J Behav Nutr Phys Act 2012, 9:138.
• [55]Finn K, Johannsen N, Specker B: Factors associated with physical activity in preschool children. J Pediatr 2002, 140(1):81-85.
• [56]Mensink GB, Schienkiewitz A, Haftenberger M, Lampert T, Ziese T, Scheidt-Nave C: [Overweight and obesity in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013, 56(5–6):786-794.
• [57]Olds T, Maher C, Zumin S, Peneau S, Lioret S, Castetbon K, Bellisle , de Wilde J, Hohepa M, Maddison R, Lissner L, Sjöberg A, Zimmermann M, Aeberli I, Ogden C, Flegal K, Summerbell C: Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes 2011, 6(5–6):342-360.
• [58]Cullum A, McCarthy A, Gunnell D, Davey Smith G, Sterne JA, Ben-Shlomo Y: Dietary restraint and the mis-reporting of anthropometric measures by middle-aged adults. Int J Obes Relat Metab Disord 2004, 28(3):426-433.
• [59]Spencer EA, Appleby PN, Davey GK, Key TJ: Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutrition 2002, 5(4):561-565.
• [60]Visscher TL, Viet AL, Kroesbergen IH, Seidell JC: Underreporting of BMI in adults and its effect on obesity prevalence estimations in the period 1998 to 2001. Obesity (Silver Spring) 2006, 14(11):2054-2063.
• [61]Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol 2007, 17(9):643-653.
• [62]Morinis J, Maguire J, Khovratovich M, McCrindle BW, Parkin PC, Birken CS: Paediatric obesity research in early childhood and the primary care setting: the TARGet Kids! research network. Int J Environ Res Public Health 2012, 9(4):1343-1354.