| Popis: |
Childhood overweight & obesity is a growing public concern. We examined the association between eating behavior & weight status of 8 year old children (mean 8.26) of the Ulm birth cohort study (UBCS) in Ulm, Germany. 521 participants were recruited (255 male) between February 2009 & May 2010. We measured weight & height and calculated the bmi. Using gender and age specific percentiles obesity was defined as >97th percentile, overweight as 90th - 97th percentile, normal weight as 10th - 90th percentile and underweight as < 10th percentile. Eating behavior was assessed through the EPI-C (Eating Pattern Inventory for Children). BMI mean was 16,09 kg/m2 (girls 15,95 kg/m2, boys 16,23 kg/m2) with a overweight prevalence of 6,33 % & obesity of 2,11 %. Factor analysis showed the 4 factors restrictive eating, emotional eating, parental pressure to eat and external eating. Compared to Schacht et al. (2006), the authors of the EPI-C, the 2nd and 4th factors were switched. Cluster analysis showed 5 eating behavior clusters: normal eating behavior (21.5 %), external eating behavior (13.82 %), restrictive eating behavior (10,94 %), emotional and external eating behavior (12,48 %) and indifferent eating behavior (41,27 %). In contrast to Schacht et al. (2006) a 6th cluster emotional eating behavior was integrated in the cluster emotional and external eating behavior. The reduction from 6 to 5 clusters in our study is sufficiently explainable by the younger age of the study population compared to Schacht et al. (2006). We could show a significant affiliation between the different weight groups and the eating behavior clusters (p < 0.001). The cluster restrictive eating behavior held significantly more overweight and obese children (40.4 %) than the other clusters. Compared to the literature only the factor restrictive eating proved continuously associated with the child"s weight status. The other factors of the EPI-C showed contradictory associations to the child"s weight status. |
