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Type of kindergarten and other potential determinants of overweight in pre-school children
1Department of Epidemiology, University of Ulm, Heimholtzstrasse 22, D-89081 Ulm, Germany. kilian.rapp@medizin.uni-ulm.de
Insights
Kindergarten type and duration of care did not influence childhood overweight. Factors like television habits, breastfeeding, and ethnicity were more significant predictors of obesity in preschoolers.
Area of Science:
- Pediatric obesity research
- Early childhood development studies
- Public health and nutrition
Background:
- Childhood overweight is a growing public health concern.
- Understanding factors influencing obesity in early childhood is crucial for prevention strategies.
- Kindergarten settings may play a role in children's health behaviors and weight status.
Purpose of the Study:
- To investigate the association between different kindergarten types (based on care duration and food availability) and the development of overweight in preschool children.
- To identify other potential determinants of overweight in early childhood.
Main Methods:
- A cross-sectional study involving 2140 children in Stuttgart, Germany.
- Data collected via parental questionnaires and medical records.
- Measured height, weight, and assessed changes in relative Body Mass Index (BMI) position between ages 4 and 6.
Main Results:
- No significant association was found between kindergarten type and overweight prevalence or BMI changes.
- Positive associations with overweight included parental BMI and television watching duration.
- Negative associations included maternal education and breastfeeding duration.
- Non-German children showed a substantially higher prevalence of overweight compared to German children.
Conclusions:
- Kindergarten characteristics do not appear to influence the development of overweight in preschool children.
- Television viewing, breastfeeding, and ethnic background are important factors to consider in childhood obesity.
- Further research is needed on the high overweight prevalence in ethnic minority children.
Objective:
The study aimed to assess the relationship of various types of kindergarten differing in length of care and food availability with the development of overweight in pre-school children.
Design, Setting And Subjects:
A cross-sectional study was carried out in 2002 in Stuttgart, Germany, as part of the school entrance examination. Height and weight of 2140 children (participation 70.2%) were measured and information on type of kindergarten and other potential determinants of overweight was collected by a parental questionnaire. Change in relative body mass index (BMI) position between the ages of 4 and 6 years was assessed using medical records.
Results:
The prevalence of overweight or change in relative BMI position did not differ according to the type of kindergarten. For the prevalence of overweight in German children, adjusted odds ratios (OR) comparing institutions that open only in the morning with those opening in the morning and afternoon or for the full day were 0.86 (95% confidence interval (CI) 0.40, 1.83) and 0.63 (95% CI 0.25, 1.58), respectively. Parental BMI and duration of television watching were positively associated, and maternal educational status and duration of breast-feeding were negatively associated, with overweight and/or change in relative BMI position. The prevalence of overweight was substantially higher among non-German than among German children (adjusted OR 2.17 (95% CI 1.53, 3.07)).
Conclusions:
These data show no association between different types of kindergarten and the development of overweight in early childhood. Duration of television watching and breast-feeding, as well as the relatively high prevalence of overweight in ethnic minorities, deserve further attention.
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