Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Diet Assoc. 2010 Oct;110(10):1527-31. doi: 10.1016/j.jada.2010.07.004.

Determinants of childhood obesity and association with maternal perceptions of their children's weight status: the "GENESIS" study.

Author information

  • 1Department of Nutrition and Dietetics, Harokopio University of Athens, Greece. manios@hua.gr

Abstract

Prevention of early childhood obesity requires a clear understanding of its determinants. This study examined perinatal, parental, and lifestyle determinants of childhood obesity and how these factors are associated with maternal misperceptions of their children's weight status. The current work presents a cross-sectional analysis of 2,374 children, age 1 to 5 years, living in Greece (April 2003 to July 2004). The 2000 Centers for Disease Control and Prevention growth charts were used to classify children as overweight (≥85th and <95th body mass index [BMI]-for-age percentile for children older than 24 months) and obese (≥95th weight-for-length percentile for children younger than 24 months and ≥95th BMI-for-age percentile for children older than 24 months). Maternal perceptions about their children's weight status were assessed via interviews with the mothers. Early infancy growth data were obtained from pediatric medical records. The present study showed that the prevalence of overweight and obesity was 16.2% and 17.5%, respectively. Each unit increase of maternal and paternal BMI significantly increased the likelihood of childhood obesity by a factor of 1.03 (95% confidence interval [CI]: 1.01 to 1.07) and 1.15 (95% CI: 1.10 to 1.20), respectively. Furthermore, children with a rapid weight gain in infancy were 1.9 (95% CI: 1.3 to 2.7) times more likely to be overweight and 1.5 (95% CI: 1.2 to 1.9) times more likely to have their weight status underestimated by their mother. In conclusion, rapid infancy weight gain and higher parental BMI were the main determinants of obesity in preschool years. Maternal underestimation of children's weight status was more likely for children with rapid weight gain in infancy.

Copyright © 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

PMID:
20869492
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk