Child-care use and the association with body mass index and overweight in children from 7 months to 2 years of age

Objectives: Studies regarding the association of child-care use with body mass index (BMI), overweight or obesity development show contradictory results. This study examined the relationship between child-care use and BMI z-scores and overweight, as well as associates of child-care use in children u...

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Bibliographic Details
Published in:International Journal of Obesity 2010-10, Vol.34 (10), p.1480-1486
Main Authors: Gubbels, J.S, Kremers, S.P.J, Stafleu, A, Dagnelie, P.C, Vries, N.K. de, Buuren, S. van, Thijs, C
Format: Article
Language:English
Subjects:
692/699/2743/393
692/700/1720
692/700/228
Age
Biological and medical sciences
Body Mass Index
Child care
Child Care - statistics & numerical data
Child Development
child nutrition
Child, Preschool
children
Children & youth
cohort studies
Epidemiology
Exercise
Female
General aspects
Health aspects
Health promotion
Health Promotion and Disease Prevention
Humans
Infant
Internal Medicine
Lifestyles
Longitudinal Studies
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism
Netherlands - epidemiology
Nutrition
Obesity
Obesity - epidemiology
Obesity - etiology
Obesity - prevention & control
Obesity in children
Odds Ratio
Overweight
Parenting
pediatric-highlight
preschool children
prevalence
Prevention
Prospective Studies
Public Health
Quality of life
questionnaires
Regression analysis
Risk Assessment
Risk factors
Standard scores
Toxicology
Working hours
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Summary:Objectives: Studies regarding the association of child-care use with body mass index (BMI), overweight or obesity development show contradictory results. This study examined the relationship between child-care use and BMI z-scores and overweight, as well as associates of child-care use in children up to 2 years old. Methods: Longitudinal data originated from the Dutch KOALA Birth Cohort Study. Questionnaires assessed child-care use at ages 7 months and 1 and 2 years (N=2396). Height and weight assessed at 1 and 2 years were used to calculate BMI z-scores. Overweight was defined as a BMI z-score of >or= 85th percentile. The influence of child-care use on weight development was tested using backward linear and logistic regression analyses. Outcomes were: (1) BMI z-score at 1 and 2 years; (2) change in BMI z-score between 1 and 2 years; (3) overweight vs non-overweight at 1 and 2 years; and (4) change from normal weight to overweight vs remaining normal weight between 1 and 2 years. The association between child-care use and parental background characteristics was tested using backward logistic regression analyses. Results: Child-care use (no/yes) at 1 and 2 years positively predicted BMI z-scores at age 2 years, as well as change in BMI z-score between 1 and 2 years. These associations were adjusted for various covariates (for example, parental working hours). Furthermore, child-care use significantly increased the odds of being overweight at age 1year. There were few differences in BMI or overweight between intensive (>16 h per week) and limited child-care use (
ISSN:0307-0565
1476-5497
DOI:10.1038/ijo.2010.100