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Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese.

ABSTRACT: Objectives:The present study addressed the risk factors in early life for Korean preschool children that are associated with being overweight or obese. Methods:A descriptive cross-sectional design was used to conduct this study, which included 507 mothers with preschool children aged 3-5 years, who attended daycare centers. Data were acquired via a self-administered questionnaire completed by the mothers. Of the 650 questionnaires that were distributed, 507 (78%) were completed and sent back. Multivariate logistic regression analyses were used to identify risk factors in early life, which may contribute to being overweight or obese in preschool children. Results:Fifty-eight (11.4%) preschool children were overweight and 41 (8.1%) were obese. Multivariate logistic regression analysis with adjustment for covariates, revealed a significant association with the introduction of solid foods before 4 months of age [adjusted odds ratio (aOR) = 9.49, p = 0.029] and a nonresponsive feeding style (aOR = 2.80, p = 0.043) with being overweight or obese in preschool children. Conclusion:The findings of this study highlighted the need for parenting education programs on feeding practices to increase their understanding of hunger and satiety cues in infants, and appropriate timing for the introduction of solid foods.

SUBMITTER: Ra JS

PROVIDER: S-EPMC7045879 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese.

Ra Jin Suk JS Yun Hyun Jung HJ

Osong public health and research perspectives 20200201 1

<h4>Objectives</h4>The present study addressed the risk factors in early life for Korean preschool children that are associated with being overweight or obese.<h4>Methods</h4>A descriptive cross-sectional design was used to conduct this study, which included 507 mothers with preschool children aged 3-5 years, who attended daycare centers. Data were acquired via a self-administered questionnaire completed by the mothers. Of the 650 questionnaires that were distributed, 507 (78%) were completed an ...[more]

PMID: 32149038

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Project description:BackgroundChildhood obesity is a worldwide health challenge and risk factor for adult life obesity, which predisposes to development of type 2 diabetes and cardiovascular diseases. However, also thinness in early life has been related to these diseases, especially if followed by fat gain. In European countries, susceptibility to cardio-metabolic diseases varies considerably between ethnic groups. We investigated ethnic differences in overweight and thinness in a multi-ethnic, population-based cohort of preschool children in Norway, and associations with maternal and early postnatal factors.MethodsParticipants were children aged 4-5 years (n = 570) drawn from the population-based STORK Groruddalen cohort of healthy women and offspring followed from early pregnancy. Ethnic groups were: European (n = 298), South Asian (n = 154), and Middle East/North African (n = 118). Children's growth data were provided from routine visits at local Child Health Clinics. Weight status was defined by the International Obesity Task Force. Using multinomial logistic regression analysis, we explored ethnic differences in overweight and thinness, and associations with maternal-, pre, - and postnatal factors.ResultsChildren of Middle East/North African origin had higher prevalence of overweight (22.0%) compared to European (12.8%) children, and in adjusted logistic regression analysis almost the double risk (OR 1.98; 95%CI: 1.08-3.63). Prevalence was lower in children of South Asian origin (5.2%). Children with South Asian background had higher prevalence of thinness (26.0%) compared to ethnic Europeans (10.4%), and the double risk (OR 2.20; 95%CI: 1.25-3.87) in adjusted models. Applying newly suggested BMI adjustments in South Asian children, taking into account their relatively increased adiposity, markedly increased the prevalence of overweight, and decreased the prevalence of thinness in this subgroup. Birthweight and maternal prepregnant overweight were strongly, positively associated with overweight, and inversely associated with thinness. Lower maternal age was associated with overweight only.ConclusionsIn a multi-ethnic cohort we found strikingly different patterns of overweight and thinness among children of different ethnic groups at age 4-5 years, and a strong association between maternal BMI and their children's weight status. More knowledge is needed on what characterizes and what promotes healthy growth patterns in multi-ethnic populations.

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Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese.

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Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese.

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