Obesity in a provincial population of Canadian preschool children: differences between 1984 and 1997 birth cohorts

Patricia Canning1, Mary L Courage, Lynn M Frizzell

  • 1Centre of Excellence for Children and Adolescents with Special Needs and the Faculty of Education, Memorial University, St. John's, NL, Canada. pcanning@mun.ca

Insights

Overweight and obesity rates significantly increased in Canadian preschoolers between 1984 and 2000. This trend highlights the urgent need for monitoring and interventions for childhood obesity.

Area of Science:

  • Pediatric Health
  • Public Health Nutrition
  • Epidemiology

Background:

  • Childhood overweight and obesity are growing public health concerns globally.
  • Previous research indicated rising trends in older children and adults.
  • The prevalence in preschool-aged children in Canada remained less understood.

Purpose of the Study:

  • To investigate the prevalence of overweight and obesity in Canadian preschoolers.
  • To determine if trends observed in older populations are also present in younger children.
  • To compare prevalence rates between two birth cohorts.

Main Methods:

  • Utilized archival government and health authority records for two cohorts of preschoolers in Newfoundland and Labrador.
  • Included 3857 children born in 1984 (measured 1987-1989) and 4161 children born in 1997 (measured 2000-2002).
  • Calculated Body Mass Index (BMI) from nurse-measured heights and weights, applying International Obesity Task Force (IOTF) and Centres for Disease Control (CDC) criteria.

Main Results:

  • Combined overweight and obesity rates were significantly higher in the 1997 birth cohort (25.6% IOTF, 36.0% CDC) compared to the 1984 cohort (16.9% IOTF, 25.1% CDC).
  • Prevalence rates were already considered high in the earlier cohort.
  • Minor variations observed between sexes and classification systems.

Conclusions:

  • A rapid increase in overweight and obesity was observed in preschoolers over a decade.
  • This trend underscores the critical need for ongoing monitoring and effective public health interventions.
  • Population-based strategies are essential to address the rising prevalence of preschool overweight and obesity.
Abstract

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