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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Associations between obesity and developmental functioning in pre-school children: a population-based study
1School of Medicine, James Cook University, Townsville, Queensland, Australia. jonathan.mond@jcu.edu.au
Insights
Obesity is linked to developmental impairments in preschoolers. Obese boys showed more gross motor skill issues, while obese girls had more attention difficulties, suggesting gender-specific effects.
Area of Science:
- Pediatric developmental psychology
- Childhood obesity research
- Public health and epidemiology
Background:
- Childhood obesity is a growing public health concern.
- Developmental functioning in early childhood is crucial for long-term outcomes.
- Understanding the interplay between obesity and development is vital for early intervention.
Purpose of the Study:
- To investigate the relationship between obesity and developmental functioning in preschool children.
- To identify potential gender-specific associations between obesity and developmental impairments.
Main Methods:
- A large-scale study involving 9415 preschool children (aged 4.4-8.6 years) from Germany.
- Standardized medical examinations and developmental assessments across motor, speech, cognitive, and psychosocial domains.
- Statistical analysis controlling for age, gender, and other covariates.
Main Results:
- Obesity prevalence was higher in girls (4.3%) than boys (2.4%).
- Obese boys had a higher prevalence of gross motor skill impairment (adjusted OR=1.76).
- Obese girls showed a higher prevalence of attention impairment (adjusted OR=1.86).
Conclusions:
- Gender-specific associations exist between childhood obesity and specific developmental impairments.
- Obesity may impact gross motor skills in boys and attention abilities in girls.
- Early identification and intervention for obesity-related developmental issues are important.
Objective:
To examine associations between obesity and impairment in developmental functioning in a general population sample of pre-school children.
Method:
Standardized medical examinations were conducted in nine consecutive cohorts of male and female children (n=9415) aged between 4.4 and 8.6 years (mean=6.0, s.d.=0.37) residing in the Lower Bavaria region of Germany. Tests designed to assess performance in subdivisions representing four broad developmental domains, namely, motor development, speech development, cognitive development and psycho-social development, were completed by all participants.
Results:
Boys had significantly higher rates of impairment than girls. The prevalence of obesity in boys was 2.4%, whereas in girls it was 4.3% (chi (2)=21.51, P< 0.01). After controlling for age, gender, year of recruitment and other potential covariates, the prevalence of impairment in gross motor skills was higher among obese male children than normal-weight male children (adjusted odds ratio=1.76, 95% confidence interval (CI)=1.02, 3.01, P< 0.05), whereas the prevalence of impairment in the ability to focus attention was higher in obese female children than normal-weight female children (adjusted odds ratio=1.86, 95% CI=1.00, 3.44, P< 0.05).
Conclusions:
The findings suggest that gender-specific associations between obesity and impairment in specific aspects of developmental functioning may be evident in younger children.
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