Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children
OBJECTIVE: To identify risk factors for overweight in Hong Kong children aged 6-7 y. DESIGN: Case-control study. SETTING: Student Health Service Centres, Hong Kong. SUBJECTS: A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (>=92nd centil...
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| Veröffentlicht in: | International Journal of Obesity 2003-11, Vol.27 (11), p.1411-1418 |
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| creator | Hui, L.L Nelson, E.A.S Yu, L.M Li, A.M Fok, T.F |
| description | OBJECTIVE: To identify risk factors for overweight in Hong Kong children aged 6-7 y. DESIGN: Case-control study. SETTING: Student Health Service Centres, Hong Kong. SUBJECTS: A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (>=92nd centile for BMI), a normal middle-weight group (45th-55th centile for BMI) and a normal low-weight group (=25 kg/m(2), Asian reference) (paternal: OR=2.66, 95% CI=1.51-4.70; maternal: 5.07, 2.62-9.79) but not parental overweight (BMI=23-25 kg/m(2)). After adjustment for parental obesity, the odds ratio for childhood overweight was increased by birth weight (=3.5 kg: 4.89, 2.49-9.60) and decreased by sleeping duration (=11 h/day: 0.31, 0.11-0.87). Childhood overweight was also significantly associated with higher energy consumption (2.62, 1.20-5.74) and having a father who was a current smoker (2.08, 1.25-3.46). CONCLUSIONS: Although healthy diet and regular exercise will remain the cornerstones of obesity management in children, our data support the view that education about maintaining a healthy weight could be introduced much earlier in those families with high-risk children, as indicated by high parental BMI or high birth weight. The utility and practicality of such an approach should be carefully evaluated before becoming part of any public health policy. Further study of the role of short sleeping duration and parental smoking on childhood obesity development is warranted. |
| doi_str_mv | 10.1038/sj.ijo.0802423 |
| format | Article |
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DESIGN: Case-control study. SETTING: Student Health Service Centres, Hong Kong. SUBJECTS: A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (>=92nd centile for BMI), a normal middle-weight group (45th-55th centile for BMI) and a normal low-weight group (<=8th centile for BMI). MEASUREMENTS: Subjects and their parents/caregivers were interviewed at home. Data on lifestyle habits, dietary habits, family structure and demographic background were collected by questionnaire. A 3-day dietary record was administrated by the parents/caregivers to assess dietary intake of the children. RESULTS: Logistic regression analyses (overweight group compared with middle-weight plus low-weight groups) showed that childhood overweight was significantly associated with parental obesity (BMI >=25 kg/m(2), Asian reference) (paternal: OR=2.66, 95% CI=1.51-4.70; maternal: 5.07, 2.62-9.79) but not parental overweight (BMI=23-25 kg/m(2)). After adjustment for parental obesity, the odds ratio for childhood overweight was increased by birth weight (<3.0 kg as reference, 3.0-3.5 kg: 2.13, 1.18-3.84; >=3.5 kg: 4.89, 2.49-9.60) and decreased by sleeping duration (<9 h/day as reference, 9-11 h/day: 0.54, 0.30-0.97; >=11 h/day: 0.31, 0.11-0.87). Childhood overweight was also significantly associated with higher energy consumption (2.62, 1.20-5.74) and having a father who was a current smoker (2.08, 1.25-3.46). CONCLUSIONS: Although healthy diet and regular exercise will remain the cornerstones of obesity management in children, our data support the view that education about maintaining a healthy weight could be introduced much earlier in those families with high-risk children, as indicated by high parental BMI or high birth weight. The utility and practicality of such an approach should be carefully evaluated before becoming part of any public health policy. Further study of the role of short sleeping duration and parental smoking on childhood obesity development is warranted.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0802423</identifier><identifier>PMID: 14574354</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group</publisher><subject>Biological and medical sciences ; Birth Weight ; Body Mass Index ; Caregivers ; Case-Control Studies ; Child ; childhood obesity ; children ; Diet ; eating habits ; education ; energy ; Energy consumption ; Energy Intake ; Epidemiology ; exercise ; Families & family life ; Family Health ; family structure ; Female ; food intake ; Health care ; Health policy ; Health Promotion and Disease Prevention ; Health services ; healthy diet ; Humans ; Infant, Newborn ; Internal Medicine ; Life Style ; lifestyle ; Logistic Models ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Obesity ; Obesity - etiology ; Obesity - prevention & control ; odds ratio ; Overweight ; parents ; Pediatrics ; Physical Exertion ; Public Health ; questionnaires ; regression analysis ; Risk Factors ; Smoking ; Weight control</subject><ispartof>International Journal of Obesity, 2003-11, Vol.27 (11), p.1411-1418</ispartof><rights>Springer Nature Limited 2003</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2003 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Nov 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c567t-984a430490361efc1358059d36b08eba88dbc40f53922baa5ffea18d9f1675293</citedby><cites>FETCH-LOGICAL-c567t-984a430490361efc1358059d36b08eba88dbc40f53922baa5ffea18d9f1675293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15231562$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14574354$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hui, L.L</creatorcontrib><creatorcontrib>Nelson, E.A.S</creatorcontrib><creatorcontrib>Yu, L.M</creatorcontrib><creatorcontrib>Li, A.M</creatorcontrib><creatorcontrib>Fok, T.F</creatorcontrib><title>Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes Relat Metab Disord</addtitle><description>OBJECTIVE: To identify risk factors for overweight in Hong Kong children aged 6-7 y. DESIGN: Case-control study. SETTING: Student Health Service Centres, Hong Kong. SUBJECTS: A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (>=92nd centile for BMI), a normal middle-weight group (45th-55th centile for BMI) and a normal low-weight group (<=8th centile for BMI). MEASUREMENTS: Subjects and their parents/caregivers were interviewed at home. Data on lifestyle habits, dietary habits, family structure and demographic background were collected by questionnaire. A 3-day dietary record was administrated by the parents/caregivers to assess dietary intake of the children. RESULTS: Logistic regression analyses (overweight group compared with middle-weight plus low-weight groups) showed that childhood overweight was significantly associated with parental obesity (BMI >=25 kg/m(2), Asian reference) (paternal: OR=2.66, 95% CI=1.51-4.70; maternal: 5.07, 2.62-9.79) but not parental overweight (BMI=23-25 kg/m(2)). After adjustment for parental obesity, the odds ratio for childhood overweight was increased by birth weight (<3.0 kg as reference, 3.0-3.5 kg: 2.13, 1.18-3.84; >=3.5 kg: 4.89, 2.49-9.60) and decreased by sleeping duration (<9 h/day as reference, 9-11 h/day: 0.54, 0.30-0.97; >=11 h/day: 0.31, 0.11-0.87). Childhood overweight was also significantly associated with higher energy consumption (2.62, 1.20-5.74) and having a father who was a current smoker (2.08, 1.25-3.46). CONCLUSIONS: Although healthy diet and regular exercise will remain the cornerstones of obesity management in children, our data support the view that education about maintaining a healthy weight could be introduced much earlier in those families with high-risk children, as indicated by high parental BMI or high birth weight. The utility and practicality of such an approach should be carefully evaluated before becoming part of any public health policy. Further study of the role of short sleeping duration and parental smoking on childhood obesity development is warranted.</description><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Caregivers</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>childhood obesity</subject><subject>children</subject><subject>Diet</subject><subject>eating habits</subject><subject>education</subject><subject>energy</subject><subject>Energy consumption</subject><subject>Energy Intake</subject><subject>Epidemiology</subject><subject>exercise</subject><subject>Families & family life</subject><subject>Family Health</subject><subject>family structure</subject><subject>Female</subject><subject>food intake</subject><subject>Health care</subject><subject>Health policy</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health services</subject><subject>healthy diet</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Life Style</subject><subject>lifestyle</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Obesity</subject><subject>Obesity - etiology</subject><subject>Obesity - prevention & control</subject><subject>odds ratio</subject><subject>Overweight</subject><subject>parents</subject><subject>Pediatrics</subject><subject>Physical Exertion</subject><subject>Public Health</subject><subject>questionnaires</subject><subject>regression analysis</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Weight control</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kt1r1TAYxoMo7ji99U4NDr3rWT6b9HIM54YDQd11SNOkTe1ptqRV9t-bY4tHYRJI4H1_z_uQPAHgJUZbjKg8Tf3W92GLJCKM0Edgg5koC84q8RhsEEWiQLzkR-BZSj1CiHNEnoIjzLhglLMNuPri03fotJlCTNCFCE3nh6YLoYHhh40_rW-7CfoRlgWcAhTFfRGGBl6GsYWf9ttvPtrxOXji9JDsi_U8BjcXH76dXxbXnz9enZ9dF4aXYioqyTSjiFWIltg6gymXiFcNLWskba2lbGrDkOO0IqTWmjtnNZZN5XApOKnoMXi7zL2N4W62aVJ9mOOYLRXBFUUVJjJDJwvU6sEqP7owRW12Phl1hqWUiElBMrV9gMqrsTtvwmidz_V_BO__EnRWD1OXwjBPPozpwckmhpSideo2-p2O9wojtQ9OpV7l4NQaXBa8Xm811zvbHPA1qQy8WwGdjB5c1KPx6cBxQjEv986nC5dya2xtPDzPf61fLYpRT3O0f0Ye-m-WvtNB6TZm15uvBGGe_5OgleD0F4-Nvys</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Hui, L.L</creator><creator>Nelson, E.A.S</creator><creator>Yu, L.M</creator><creator>Li, A.M</creator><creator>Fok, T.F</creator><general>Nature Publishing Group</general><general>Nature Publishing Group UK</general><general>Nature Publishing</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20031101</creationdate><title>Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children</title><author>Hui, L.L ; Nelson, E.A.S ; Yu, L.M ; Li, A.M ; Fok, T.F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c567t-984a430490361efc1358059d36b08eba88dbc40f53922baa5ffea18d9f1675293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Body Mass Index</topic><topic>Caregivers</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>childhood obesity</topic><topic>children</topic><topic>Diet</topic><topic>eating habits</topic><topic>education</topic><topic>energy</topic><topic>Energy consumption</topic><topic>Energy Intake</topic><topic>Epidemiology</topic><topic>exercise</topic><topic>Families & family life</topic><topic>Family Health</topic><topic>family structure</topic><topic>Female</topic><topic>food intake</topic><topic>Health care</topic><topic>Health policy</topic><topic>Health Promotion and Disease Prevention</topic><topic>Health services</topic><topic>healthy diet</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Life Style</topic><topic>lifestyle</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Obesity</topic><topic>Obesity - etiology</topic><topic>Obesity - prevention & control</topic><topic>odds ratio</topic><topic>Overweight</topic><topic>parents</topic><topic>Pediatrics</topic><topic>Physical Exertion</topic><topic>Public Health</topic><topic>questionnaires</topic><topic>regression analysis</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hui, L.L</creatorcontrib><creatorcontrib>Nelson, E.A.S</creatorcontrib><creatorcontrib>Yu, L.M</creatorcontrib><creatorcontrib>Li, A.M</creatorcontrib><creatorcontrib>Fok, T.F</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hui, L.L</au><au>Nelson, E.A.S</au><au>Yu, L.M</au><au>Li, A.M</au><au>Fok, T.F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes Relat Metab Disord</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>27</volume><issue>11</issue><spage>1411</spage><epage>1418</epage><pages>1411-1418</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>OBJECTIVE: To identify risk factors for overweight in Hong Kong children aged 6-7 y. DESIGN: Case-control study. SETTING: Student Health Service Centres, Hong Kong. SUBJECTS: A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (>=92nd centile for BMI), a normal middle-weight group (45th-55th centile for BMI) and a normal low-weight group (<=8th centile for BMI). MEASUREMENTS: Subjects and their parents/caregivers were interviewed at home. Data on lifestyle habits, dietary habits, family structure and demographic background were collected by questionnaire. A 3-day dietary record was administrated by the parents/caregivers to assess dietary intake of the children. RESULTS: Logistic regression analyses (overweight group compared with middle-weight plus low-weight groups) showed that childhood overweight was significantly associated with parental obesity (BMI >=25 kg/m(2), Asian reference) (paternal: OR=2.66, 95% CI=1.51-4.70; maternal: 5.07, 2.62-9.79) but not parental overweight (BMI=23-25 kg/m(2)). After adjustment for parental obesity, the odds ratio for childhood overweight was increased by birth weight (<3.0 kg as reference, 3.0-3.5 kg: 2.13, 1.18-3.84; >=3.5 kg: 4.89, 2.49-9.60) and decreased by sleeping duration (<9 h/day as reference, 9-11 h/day: 0.54, 0.30-0.97; >=11 h/day: 0.31, 0.11-0.87). Childhood overweight was also significantly associated with higher energy consumption (2.62, 1.20-5.74) and having a father who was a current smoker (2.08, 1.25-3.46). CONCLUSIONS: Although healthy diet and regular exercise will remain the cornerstones of obesity management in children, our data support the view that education about maintaining a healthy weight could be introduced much earlier in those families with high-risk children, as indicated by high parental BMI or high birth weight. The utility and practicality of such an approach should be carefully evaluated before becoming part of any public health policy. Further study of the role of short sleeping duration and parental smoking on childhood obesity development is warranted.</abstract><cop>London</cop><pub>Nature Publishing Group</pub><pmid>14574354</pmid><doi>10.1038/sj.ijo.0802423</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Biological and medical sciences Birth Weight Body Mass Index Caregivers Case-Control Studies Child childhood obesity children Diet eating habits education energy Energy consumption Energy Intake Epidemiology exercise Families & family life Family Health family structure Female food intake Health care Health policy Health Promotion and Disease Prevention Health services healthy diet Humans Infant, Newborn Internal Medicine Life Style lifestyle Logistic Models Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases Obesity Obesity - etiology Obesity - prevention & control odds ratio Overweight parents Pediatrics Physical Exertion Public Health questionnaires regression analysis Risk Factors Smoking Weight control |
| title | Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children |
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