Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations
The risk of child obesity is strongly related to socioeconomic factors such as individual socioeconomic position (SEP) and neighbourhood deprivation. The present study analyses whether the relationship between neighbourhood deprivation and child obesity differs by child’s individual SEP. Data from 5...
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| Veröffentlicht in: | European journal of pediatrics 2021-06, Vol.180 (6), p.1947-1954 |
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| creator | Nguyen, Thuy Ha Götz, Simon Kreffter, Katharina Lisak-Wahl, Stefanie Dragano, Nico Weyers, Simone |
| description | The risk of child obesity is strongly related to socioeconomic factors such as individual socioeconomic position (SEP) and neighbourhood deprivation. The present study analyses whether the relationship between neighbourhood deprivation and child obesity differs by child’s individual SEP. Data from 5656 children (5–7 years) from the mandatory school enrollment examinations of the pre-school cohorts 2017/2018 in Düsseldorf were analysed. Obesity was determined by the age- and gender-specific body mass index (BMI); neighbourhood deprivation by using the socio-spatial degree of deprivation of the children’s residential addresses; and individual SEP by the level of parental education. Using Poisson regression, we estimated prevalence ratios (PR with 95% confidence interval (CI)) of child obesity by neighbourhood deprivation and parental education. Interactions between neighbourhood deprivation and parental education were tested. The prevalence of child obesity increases with the degree of neighbourhood deprivation. Compared to children living in low deprivation neighbourhoods, the proportion of obese children was twice as high in high deprivation neighbourhoods (PR=2.02; CI=1.46–2.78). Likewise, children from families with medium and low education have twice the risk for obesity compared to children with high parental education (PR=2.05; CI=1.46–2.78). The relationship between neighbourhood deprivation and child obesity was significantly moderated by parental education; it was stronger for higher parental education than for medium and low parental education (
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| doi_str_mv | 10.1007/s00431-021-03988-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8105223</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2522967131</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-815d37e1a5e654190b70521d8555155f988e4d7b75f5c4084fc393c598c9abd73</originalsourceid><addsrcrecordid>eNp9kc9uFSEYxUmjaa9tX6ALQ-J6FAYYYNOkafyXNLrRNWGAmUszA1eY23gXJj6ET-iT-Nl7W3XjgrDgd875Pg5CF5S8pITIV5UQzmhDWjhMK9W0R2hFOWsbSmT3BK0I46TpqNYn6FmttwREmqpjdMKYkJ3SbIW-fQhxXPd5W9Y5e-zDpsQ7u8ScsE0e5z7UuOywnXMasehEhzclNNUBPWG3jpMvIf38_mOIycc0VjyUPOMZtHbJZYcPZEglT9Mc0oLDVzvHdB9Rz9DTwU41nB_uU_T5zetP1--am49v319f3TSOS740igrPZKBWhE5wqkkviWipV0IIKsQAuwfuZS_FIBwnig-OaeaEVk7b3kt2ii73vpttPwfvYI5iJwO7zrbsTLbR_PuS4tqM-c4oCkEtA4MXB4OSv2xDXcwtfFmCmU0LgO4kZRSodk-5kmstYXhMoMT8rszsKzNQmbmvzLQgev73bI-Sh44AYHugwlMaQ_mT_R_bX4M0pZI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2522967131</pqid></control><display><type>article</type><title>Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations</title><source>SpringerLink Journals - AutoHoldings</source><creator>Nguyen, Thuy Ha ; Götz, Simon ; Kreffter, Katharina ; Lisak-Wahl, Stefanie ; Dragano, Nico ; Weyers, Simone</creator><creatorcontrib>Nguyen, Thuy Ha ; Götz, Simon ; Kreffter, Katharina ; Lisak-Wahl, Stefanie ; Dragano, Nico ; Weyers, Simone</creatorcontrib><description>The risk of child obesity is strongly related to socioeconomic factors such as individual socioeconomic position (SEP) and neighbourhood deprivation. The present study analyses whether the relationship between neighbourhood deprivation and child obesity differs by child’s individual SEP. Data from 5656 children (5–7 years) from the mandatory school enrollment examinations of the pre-school cohorts 2017/2018 in Düsseldorf were analysed. Obesity was determined by the age- and gender-specific body mass index (BMI); neighbourhood deprivation by using the socio-spatial degree of deprivation of the children’s residential addresses; and individual SEP by the level of parental education. Using Poisson regression, we estimated prevalence ratios (PR with 95% confidence interval (CI)) of child obesity by neighbourhood deprivation and parental education. Interactions between neighbourhood deprivation and parental education were tested. The prevalence of child obesity increases with the degree of neighbourhood deprivation. Compared to children living in low deprivation neighbourhoods, the proportion of obese children was twice as high in high deprivation neighbourhoods (PR=2.02; CI=1.46–2.78). Likewise, children from families with medium and low education have twice the risk for obesity compared to children with high parental education (PR=2.05; CI=1.46–2.78). The relationship between neighbourhood deprivation and child obesity was significantly moderated by parental education; it was stronger for higher parental education than for medium and low parental education (
p
<.001).
Conclusion
: Our findings suggest that children from deprived neighbourhoods and families with lower education have a higher risk for child obesity. The identification of particularly deprived neighbourhoods with structural interventions in combination with the strengthening of parental health literacy seems reasonable.
What is Known:
• Studies show that children from disadvantaged neighbourhoods are more frequently obese.
What is New:
• The relationship between neighbourhood deprivation and child obesity is significantly moderated by parental education. It is stronger for children with higher parental education than for children with medium and low parental education.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-021-03988-2</identifier><identifier>PMID: 33576893</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Body mass index ; Children ; Children & youth ; Education ; Enrollments ; Medicine ; Medicine & Public Health ; Obesity ; Original ; Original Article ; Pediatrics ; Preschool children ; Socioeconomic factors</subject><ispartof>European journal of pediatrics, 2021-06, Vol.180 (6), p.1947-1954</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-815d37e1a5e654190b70521d8555155f988e4d7b75f5c4084fc393c598c9abd73</citedby><cites>FETCH-LOGICAL-c474t-815d37e1a5e654190b70521d8555155f988e4d7b75f5c4084fc393c598c9abd73</cites><orcidid>0000-0003-4759-1939</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-021-03988-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-021-03988-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33576893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyen, Thuy Ha</creatorcontrib><creatorcontrib>Götz, Simon</creatorcontrib><creatorcontrib>Kreffter, Katharina</creatorcontrib><creatorcontrib>Lisak-Wahl, Stefanie</creatorcontrib><creatorcontrib>Dragano, Nico</creatorcontrib><creatorcontrib>Weyers, Simone</creatorcontrib><title>Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>The risk of child obesity is strongly related to socioeconomic factors such as individual socioeconomic position (SEP) and neighbourhood deprivation. The present study analyses whether the relationship between neighbourhood deprivation and child obesity differs by child’s individual SEP. Data from 5656 children (5–7 years) from the mandatory school enrollment examinations of the pre-school cohorts 2017/2018 in Düsseldorf were analysed. Obesity was determined by the age- and gender-specific body mass index (BMI); neighbourhood deprivation by using the socio-spatial degree of deprivation of the children’s residential addresses; and individual SEP by the level of parental education. Using Poisson regression, we estimated prevalence ratios (PR with 95% confidence interval (CI)) of child obesity by neighbourhood deprivation and parental education. Interactions between neighbourhood deprivation and parental education were tested. The prevalence of child obesity increases with the degree of neighbourhood deprivation. Compared to children living in low deprivation neighbourhoods, the proportion of obese children was twice as high in high deprivation neighbourhoods (PR=2.02; CI=1.46–2.78). Likewise, children from families with medium and low education have twice the risk for obesity compared to children with high parental education (PR=2.05; CI=1.46–2.78). The relationship between neighbourhood deprivation and child obesity was significantly moderated by parental education; it was stronger for higher parental education than for medium and low parental education (
p
<.001).
Conclusion
: Our findings suggest that children from deprived neighbourhoods and families with lower education have a higher risk for child obesity. The identification of particularly deprived neighbourhoods with structural interventions in combination with the strengthening of parental health literacy seems reasonable.
What is Known:
• Studies show that children from disadvantaged neighbourhoods are more frequently obese.
What is New:
• The relationship between neighbourhood deprivation and child obesity is significantly moderated by parental education. It is stronger for children with higher parental education than for children with medium and low parental education.</description><subject>Age</subject><subject>Body mass index</subject><subject>Children</subject><subject>Children & youth</subject><subject>Education</subject><subject>Enrollments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Preschool children</subject><subject>Socioeconomic factors</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc9uFSEYxUmjaa9tX6ALQ-J6FAYYYNOkafyXNLrRNWGAmUszA1eY23gXJj6ET-iT-Nl7W3XjgrDgd875Pg5CF5S8pITIV5UQzmhDWjhMK9W0R2hFOWsbSmT3BK0I46TpqNYn6FmttwREmqpjdMKYkJ3SbIW-fQhxXPd5W9Y5e-zDpsQ7u8ScsE0e5z7UuOywnXMasehEhzclNNUBPWG3jpMvIf38_mOIycc0VjyUPOMZtHbJZYcPZEglT9Mc0oLDVzvHdB9Rz9DTwU41nB_uU_T5zetP1--am49v319f3TSOS740igrPZKBWhE5wqkkviWipV0IIKsQAuwfuZS_FIBwnig-OaeaEVk7b3kt2ii73vpttPwfvYI5iJwO7zrbsTLbR_PuS4tqM-c4oCkEtA4MXB4OSv2xDXcwtfFmCmU0LgO4kZRSodk-5kmstYXhMoMT8rszsKzNQmbmvzLQgev73bI-Sh44AYHugwlMaQ_mT_R_bX4M0pZI</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Nguyen, Thuy Ha</creator><creator>Götz, Simon</creator><creator>Kreffter, Katharina</creator><creator>Lisak-Wahl, Stefanie</creator><creator>Dragano, Nico</creator><creator>Weyers, Simone</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4759-1939</orcidid></search><sort><creationdate>20210601</creationdate><title>Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations</title><author>Nguyen, Thuy Ha ; Götz, Simon ; Kreffter, Katharina ; Lisak-Wahl, Stefanie ; Dragano, Nico ; Weyers, Simone</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-815d37e1a5e654190b70521d8555155f988e4d7b75f5c4084fc393c598c9abd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Body mass index</topic><topic>Children</topic><topic>Children & youth</topic><topic>Education</topic><topic>Enrollments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Preschool children</topic><topic>Socioeconomic factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Thuy Ha</creatorcontrib><creatorcontrib>Götz, Simon</creatorcontrib><creatorcontrib>Kreffter, Katharina</creatorcontrib><creatorcontrib>Lisak-Wahl, Stefanie</creatorcontrib><creatorcontrib>Dragano, Nico</creatorcontrib><creatorcontrib>Weyers, Simone</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</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>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</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 Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Thuy Ha</au><au>Götz, Simon</au><au>Kreffter, Katharina</au><au>Lisak-Wahl, Stefanie</au><au>Dragano, Nico</au><au>Weyers, Simone</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>180</volume><issue>6</issue><spage>1947</spage><epage>1954</epage><pages>1947-1954</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>The risk of child obesity is strongly related to socioeconomic factors such as individual socioeconomic position (SEP) and neighbourhood deprivation. The present study analyses whether the relationship between neighbourhood deprivation and child obesity differs by child’s individual SEP. Data from 5656 children (5–7 years) from the mandatory school enrollment examinations of the pre-school cohorts 2017/2018 in Düsseldorf were analysed. Obesity was determined by the age- and gender-specific body mass index (BMI); neighbourhood deprivation by using the socio-spatial degree of deprivation of the children’s residential addresses; and individual SEP by the level of parental education. Using Poisson regression, we estimated prevalence ratios (PR with 95% confidence interval (CI)) of child obesity by neighbourhood deprivation and parental education. Interactions between neighbourhood deprivation and parental education were tested. The prevalence of child obesity increases with the degree of neighbourhood deprivation. Compared to children living in low deprivation neighbourhoods, the proportion of obese children was twice as high in high deprivation neighbourhoods (PR=2.02; CI=1.46–2.78). Likewise, children from families with medium and low education have twice the risk for obesity compared to children with high parental education (PR=2.05; CI=1.46–2.78). The relationship between neighbourhood deprivation and child obesity was significantly moderated by parental education; it was stronger for higher parental education than for medium and low parental education (
p
<.001).
Conclusion
: Our findings suggest that children from deprived neighbourhoods and families with lower education have a higher risk for child obesity. The identification of particularly deprived neighbourhoods with structural interventions in combination with the strengthening of parental health literacy seems reasonable.
What is Known:
• Studies show that children from disadvantaged neighbourhoods are more frequently obese.
What is New:
• The relationship between neighbourhood deprivation and child obesity is significantly moderated by parental education. It is stronger for children with higher parental education than for children with medium and low parental education.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33576893</pmid><doi>10.1007/s00431-021-03988-2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4759-1939</orcidid><oa>free_for_read</oa></addata></record> |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Age Body mass index Children Children & youth Education Enrollments Medicine Medicine & Public Health Obesity Original Original Article Pediatrics Preschool children Socioeconomic factors |
| title | Neighbourhood deprivation and obesity among 5656 pre-school children—findings from mandatory school enrollment examinations |
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