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Preschoolers' parent-rated health disparities are strongly associated with measures of adiposity in the Lifeways cohort study children.
BMJ Open. 2014 Jul 21; 4(7):e005328.BO

Abstract

OBJECTIVE

To examine the relationship between lifecourse factors from preschoolers' microecosystem and their parent-reported (mother-reported) health (PRH), following them prospectively from preconception to age 5 years. To investigate if preschoolers' body mass index (BMI) and waist circumference were associated with preschoolers' PRH when controlled for lifecourse predictors.

DESIGN

Lifeways cross-generation cohort study.

SETTING

Ireland.

PARTICIPANTS

Of 1082 families, 62% mothers responded on a health and lifestyle questionnaire at follow-up. Food frequency, BMI and waist circumference were measured. There were 547 family data sets available for analysis of children's PRH.

MAIN OUTCOME MEASURE

Mother-reported children's PRH at age 5. Associations with child's individual and familial exposures from preconception to age 5 years examined using logistic regression.

RESULTS

In univariate analysis, relatively positive rating of children's PRH were associated with children's lower intake of fats (OR (95% CI) 2.2 (1.1 to 4.3)), higher intake of fruits/vegetables (OR (95% CI) 2.2 (1.1 to 4.3)); as well as familial socioeconomic characteristics {higher household income (OR (95% CI) 3.0 (1.6 to 5.9)), non-entitlement to means-tested healthcare (OR (95% CI) 2.1 (1.0 to 4.3)), mothers' higher education (OR (95% CI) 1.9 (1.0 to 3.6))}, psychosocial characteristics {father's participation in study (OR (95% CI) 2.1 (1.0 to 4.3)), mothers' perceiving better support from partner (OR (95% CI) 2.3 (1.2 to 4.3)), children (OR (95% CI) 1.9 (1.0 to 3.7)) or relatives (OR (95% CI) 2.2 (1.1 to 4.1))}, parents' lifestyle {mothers' lower intake of energy (OR (95% CI) 2.2 (1.1 to 4.3)), fathers' non-smoking status (OR (95% CI) 2.2 (1.1 to 4.4))} and parents' health {mothers' self-rated health relatively positive (OR (95% CI) 5.1 (2.6 to 9.9)), fathers' self-rated health relatively positive (OR (95% CI) 3.0 (1.5 to 6.0))}. In multivariable analysis (χ(2)=34.2, df=21, N=303, R(2)= 0.26, p<0.05), one of the two strong predictors of children's relatively positive PRH was child not being obese by International Obesity Task Force classification (OR (95% CI) 5.5 (1.4 to 21.0)), observed also using BMI (kg/m(2); OR (95% CI) 0.73 (0.58 to 0.93)) or waist circumference (cm; OR (95% CI) 0.89 (0.81 to 0.98)) as continuous variables. The other significant predictor was mothers' self-rated health relatively positive (OR (95% CI) 4.2 (1.5 to 12.2)).

CONCLUSIONS

Preschoolers' health is adversely associated with obesity and this is independent of lifecourse and social and environmental inequalities. The findings suggest that reducing childhood obesity and improving maternal health may be useful ways to improve child's global health.

Authors+Show Affiliations

School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin 4, Republic of Ireland.School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin 4, Republic of Ireland.School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin 4, Republic of Ireland.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25052171

Citation

Shrivastava, Aakash, et al. "Preschoolers' Parent-rated Health Disparities Are Strongly Associated With Measures of Adiposity in the Lifeways Cohort Study Children." BMJ Open, vol. 4, no. 7, 2014, pp. e005328.
Shrivastava A, Murrin C, Kelleher CC. Preschoolers' parent-rated health disparities are strongly associated with measures of adiposity in the Lifeways cohort study children. BMJ Open. 2014;4(7):e005328.
Shrivastava, A., Murrin, C., & Kelleher, C. C. (2014). Preschoolers' parent-rated health disparities are strongly associated with measures of adiposity in the Lifeways cohort study children. BMJ Open, 4(7), e005328. https://doi.org/10.1136/bmjopen-2014-005328
Shrivastava A, Murrin C, Kelleher CC. Preschoolers' Parent-rated Health Disparities Are Strongly Associated With Measures of Adiposity in the Lifeways Cohort Study Children. BMJ Open. 2014 Jul 21;4(7):e005328. PubMed PMID: 25052171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preschoolers' parent-rated health disparities are strongly associated with measures of adiposity in the Lifeways cohort study children. AU - Shrivastava,Aakash, AU - Murrin,Celine, AU - Kelleher,Cecily C, Y1 - 2014/07/21/ PY - 2014/7/24/entrez PY - 2014/7/24/pubmed PY - 2014/7/24/medline KW - BMI KW - Lifecourse KW - obesity KW - preschool children KW - self-rated health KW - waist circumference SP - e005328 EP - e005328 JF - BMJ open JO - BMJ Open VL - 4 IS - 7 N2 - OBJECTIVE: To examine the relationship between lifecourse factors from preschoolers' microecosystem and their parent-reported (mother-reported) health (PRH), following them prospectively from preconception to age 5 years. To investigate if preschoolers' body mass index (BMI) and waist circumference were associated with preschoolers' PRH when controlled for lifecourse predictors. DESIGN: Lifeways cross-generation cohort study. SETTING: Ireland. PARTICIPANTS: Of 1082 families, 62% mothers responded on a health and lifestyle questionnaire at follow-up. Food frequency, BMI and waist circumference were measured. There were 547 family data sets available for analysis of children's PRH. MAIN OUTCOME MEASURE: Mother-reported children's PRH at age 5. Associations with child's individual and familial exposures from preconception to age 5 years examined using logistic regression. RESULTS: In univariate analysis, relatively positive rating of children's PRH were associated with children's lower intake of fats (OR (95% CI) 2.2 (1.1 to 4.3)), higher intake of fruits/vegetables (OR (95% CI) 2.2 (1.1 to 4.3)); as well as familial socioeconomic characteristics {higher household income (OR (95% CI) 3.0 (1.6 to 5.9)), non-entitlement to means-tested healthcare (OR (95% CI) 2.1 (1.0 to 4.3)), mothers' higher education (OR (95% CI) 1.9 (1.0 to 3.6))}, psychosocial characteristics {father's participation in study (OR (95% CI) 2.1 (1.0 to 4.3)), mothers' perceiving better support from partner (OR (95% CI) 2.3 (1.2 to 4.3)), children (OR (95% CI) 1.9 (1.0 to 3.7)) or relatives (OR (95% CI) 2.2 (1.1 to 4.1))}, parents' lifestyle {mothers' lower intake of energy (OR (95% CI) 2.2 (1.1 to 4.3)), fathers' non-smoking status (OR (95% CI) 2.2 (1.1 to 4.4))} and parents' health {mothers' self-rated health relatively positive (OR (95% CI) 5.1 (2.6 to 9.9)), fathers' self-rated health relatively positive (OR (95% CI) 3.0 (1.5 to 6.0))}. In multivariable analysis (χ(2)=34.2, df=21, N=303, R(2)= 0.26, p<0.05), one of the two strong predictors of children's relatively positive PRH was child not being obese by International Obesity Task Force classification (OR (95% CI) 5.5 (1.4 to 21.0)), observed also using BMI (kg/m(2); OR (95% CI) 0.73 (0.58 to 0.93)) or waist circumference (cm; OR (95% CI) 0.89 (0.81 to 0.98)) as continuous variables. The other significant predictor was mothers' self-rated health relatively positive (OR (95% CI) 4.2 (1.5 to 12.2)). CONCLUSIONS: Preschoolers' health is adversely associated with obesity and this is independent of lifecourse and social and environmental inequalities. The findings suggest that reducing childhood obesity and improving maternal health may be useful ways to improve child's global health. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/25052171/Preschoolers'_parent_rated_health_disparities_are_strongly_associated_with_measures_of_adiposity_in_the_Lifeways_cohort_study_children_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&amp;pmid=25052171 DB - PRIME DP - Unbound Medicine ER -