Risk Factors for Overweight and Obesity in Children Attending the First Year of Primary Schools in Modena, Italy
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Over the last four decades, childhood overweight/obesity has dramatically increased, becoming a significant public health concern. The main aims of this study were to investigate the prevalence of overweight/obesity among first-year primary schools children in Modena and to identify the associated risk factors. Data were collected on the socio-demographic characteristics of family and weight, height, dietary habits and sedentary behaviours of the children, and on the parents’ perception of their child’s weight status, through an anonymous questionnaire administered to parents. The questionnaires were delivered by 660 out of 890 (74.2%) families, and after excluding those without anthropometric data, 588 children were included in the study. The prevalence of overweight/obesity among the children was 25.2%, significantly lower in children born to parents with a high education, and higher among children born to foreign parents and overweight/obese mothers. The multivariable analysis showed that the children most likely to become overweight/obese were those who skipped breakfast (OR 2.3, 95%CI 1.3–4.2) and/or mid-morning snacks (OR 3.2, 95%CI 1.5–6.5). Breakfast consumption was positively associated with higher parental education levels, whereas skipping mid-morning snacks is more frequent among children born to foreign parents and overweight/obese mothers. Moreover, 84.7% of the parents of overweight/obese children underestimated their child’s weight status. One in four 6–7 year-old children is already overweight or obese. Childhood overweight/obesity is significantly associated with unhealthy lifestyles and family lifestyle. It is therefore essential to implement public health intervention programs aimed at both parents and children, in order to promote healthy lifestyles in early childhood.
KeywordsChildhood overweight/obesity Dietary habits Parental education Lifestyle
This study was carried out with the support of the Urban Multicentre Environment and Health (M.U.S.A.) of the Modena municipality: Elena Mori, Bruna Rodia, Alberto Turci and Sonia Giuliani and the teachers employed in the primary schools involved in the project.
No funding source.
Compliance with Ethical Standards
Conflict of interest
- 1.Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., et al. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128 9 million children, adolescents, and adults. The Lancet, 390(10113), 2627–2642.CrossRefGoogle Scholar
- 2.WHO. (2018). Taking action on childhood obesity. Retrieved July 2, 2019, from https://apps.who.int/iris/bitstream/handle/10665/274792/WHO-NMH-PND-ECHO-18.1-eng.pdf?ua=1.
- 4.Nardone, P. S. A., Buoncristiano, M., Lauria, L., Pierannunzio, D., & Galeone, D. (2018). Il Sistema di sorveglianza OKkio alla SALUTE: risultati 2016. Retrieved July 2, 2019, from https://www.epicentro.iss.it/okkioallasalute/pdf/ONLINE_OKKIO_ALLA_SALUTE.pdf.
- 8.Quek, Y.-H., Tam, W. W. S., Zhang, M. W. B., & Ho, R. C. M. (2017). Exploring the association between childhood and adolescent obesity and depression: A meta-analysis. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 18(7), 742–754. https://doi.org/10.1111/obr.12535.CrossRefGoogle Scholar
- 10.Farpour-Lambert, N. J., Baker, J. L., Hassapidou, M., et al. (2015). Childhood obesity is a chronic disease demanding specific health care—A position statement from the childhood obesity task force (COTF) of the European Association for the Study of Obesity (EASO). Obesity Facts, 8(5), 342–349. https://doi.org/10.1159/000441483.CrossRefGoogle Scholar
- 12.Rietmeijer-Mentink, M., Paulis, W. D., van Middelkoop, M., Bindels, P. J. E., & van der Wouden, J. C. (2013). Difference between parental perception and actual weight status of children: A systematic review. Maternal & Child Nutrition, 9(1), 3–22. https://doi.org/10.1111/j.1740-8709.2012.00462.x.CrossRefGoogle Scholar
- 19.WHO. (2018). Childhood Obesity Surveillance Initiative HIGHLIGHTS 2015-17. Retrieved July 2, 2019, from http://www.euro.who.int/__data/assets/pdf_file/0006/372426/WH14_COSI_factsheets_v2.pdf?ua=1.
- 22.Kleiser, C., Schaffrath Rosario, A., Mensink, G. B. M., Prinz-Langenohl, R., & Kurth, B.-M. (2009). Potential determinants of obesity among children and adolescents in Germany: Results from the cross-sectional KiGGS Study. BMC Public Health, 9, 46. https://doi.org/10.1186/1471-2458-9-46.CrossRefGoogle Scholar
- 27.Grassi, T., De Donno, A., Bagordo, F., et al. (2016). Socio-economic and environmental factors associated with overweight and obesity in children aged 6-8 years living in five Italian cities (the MAPEC_LIFE Cohort). International Journal of Environmental Research and Public Health., 13(10), 1002. https://doi.org/10.3390/ijerph13101002.CrossRefGoogle Scholar
- 28.Huerta, M., Bibi, H., Haviv, J., Scharf, S., & Gdalevich, M. (2006). Parental smoking and education as determinants of overweight in Israeli children. Preventing Chronic Disease, 3(2), A48.Google Scholar
- 31.Okada, C., Tabuchi, T., & Iso, H. (2018). Association between skipping breakfast in parents and children and childhood overweight/obesity among children: A nationwide 10.5-year prospective study in Japan. International Journal of Obesity (2005), 42(10), 1724–1732. https://doi.org/10.1038/s41366-018-0066-5.CrossRefGoogle Scholar
- 33.Wardle, J., Guthrie, C., Sanderson, S., Birch, L., & Plomin, R. (2001). Food and activity preferences in children of lean and obese parents. International Journal of Obesity and Related Metabolic Disorders: Journal of the International Association for the Study of Obesity., 25(7), 971–977. https://doi.org/10.1038/sj.ijo.0801661.CrossRefGoogle Scholar
- 36.Maher, C., Olds, T. S., Eisenmann, J. C., & Dollman, J. (2012). Screen time is more strongly associated than physical activity with overweight and obesity in 9- to 16-year-old Australians. Acta Paediatrica (Oslo, Norway: 1992), 101(11), 1170–1174. https://doi.org/10.1111/j.1651-2227.2012.02804.x.CrossRefGoogle Scholar