Behavioral risk factors for overweight in early childhood; the ‘Be active, eat right’ study

International Journal of Behavioral Nutrition and Physical Activity

Hein Raat²  Remy A HiraSing¹  Anke Oenema²  Lenie van Rossem²  Carry M Renders³  Ineke Vogel²  Lydian Veldhuis² 

[1] Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands;Department of Public Health, Erasmus MC – University Medical Centre Rotterdam, Dr Molewaterplein 50, PO Box 2040, 3000 CA, Rotterdam, The Netherlands;Institute of Health Sciences, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands

关键词: Lifestyle;    Obesity;    Overweight;    Preschool child;   

Others  :  824795
DOI  :  10.1186/1479-5868-9-74

 received in 2012-01-13, accepted in 2012-06-15,  发布年份 2012

【 摘 要 】

Background

The lifestyle-related behaviors having breakfast, drinking sweet beverages, playing outside and watching TV have been indicated to have an association with childhood overweight, but research among young children (below 6 years old) is limited. The aim of the present study was to assess the associations between these four behaviors and overweight among young children.

Methods

This cross-sectional study used baseline data on 5-year-old children (n = 7505) collected for the study ‘Be active, eat right’. Age and sex-specific cut-off points for body mass index of the International Obesity Task Force were used to assess overweight/obesity. Multivariable logistic regression analyses were applied.

Results

For children whom had breakfast <7 days/week and watched TV >2 hours/day, the odds ratio (OR) for having overweight (obesity included) was, respectively, 1.49 (95% confidence interval (CI): 1.13-1.95), and 1.25 (95% CI: 1.03-1.51). There was a positive association between the number of risk behaviors present and the risk for having overweight. For children with 3 or all of the risk behaviors having breakfast <7 days/week, drinking sweet beverages >2 glasses/day, playing outside <1 h/day, watching TV >2 hs/day, the OR for overweight was 1.73 (95% CI: 1.11-2.71) (all models adjusted for children’s sex and sociodemographic characteristics).

Conclusion

Given the positive association between the number of behavioral risk factors and overweight, further studies are needed to evaluate the effectiveness of behavioral counseling of parents of toddlers in preventing childhood overweight. In the meantime we recommend physicians to target all four behaviors for counseling during well-child visits.

【 授权许可】

   
2012 Veldhuis et al.; licensee BioMed Central Ltd.

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