Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study
| Autor: | Greet Cardon, Yannis Manios, George Moschonis, Anna Świąder-Leśniak, Katrina A Lambert, Odysseas Androutsos, Christina Mavrogianni, Luis Alberto Moreno Aznar, Berthold Koletzko, Violeta Iotova, Eva Karaglani |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Parents MATERNAL PERCEPTIONS Percentile medicine.medical_specialty Pediatric Obesity media_common.quotation_subject Medicine (miscellaneous) Overweight Perinatal Body weight Body Mass Index Actual weight Pregnancy PREVENT OBESITY Intervention (counseling) Perception Medicine and Health Sciences Medicine Humans Weight Perception Prospective Studies Preschool EARLY-CHILDHOOD FETAL media_common Nutrition and Dietetics OVERWEIGHT business.industry Public health Body Weight Environmental and Occupational Health Public Health Environmental and Occupational Health Biology and Life Sciences medicine.disease Lifestyle FAMILY-INVOLVED INTERVENTION Obesity PREGNANCY Child Preschool RISK-FACTORS GROWTH Female Public Health ENERGY-BALANCE medicine.symptom business Demography |
| Zdroj: | PUBLIC HEALTH NUTRITION |
| ISSN: | 1368-9800 1475-2727 |
| Popis: | Objective:To examine the effect of the intervention implemented in the ToyBox-study on changes observed in age- and sex-specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change.Design:A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomised design. A standardised protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socio-economic status and school were used.Setting:Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain).Participants:A sample of 6268 preschoolers aged 3·5–5·5 years (51·9 % boys).Results:There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling.Conclusions:As part of a wide public health initiative or as part of a counseling intervention programme, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family. |
| Databáze: | OpenAIRE |
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