Overweight and school performance among primary school children: the PIAMA birth cohort study

Jorien Veldwijk1, Marieke C E Fries, Wanda J E Bemelmans

  • 1National Institute for Public Health and the Environment, Bilthoven, The Netherlands. Jorien.Veldwijk@rivm.nl

Insights

Overweight children showed lower school performance, but this association disappeared after accounting for parental education, breakfast habits, and screen time. Parental education strongly influenced results.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Childhood overweight is a growing concern with potential impacts on development.
  • School performance is a critical indicator of a child's developmental trajectory.

Purpose of the Study:

  • To examine the prospective association between overweight and school performance in primary school children.
  • To identify potential confounding and mediating factors influencing this relationship.

Main Methods:

  • Utilized data from 2,159 children in the Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort.
  • Assessed school performance using standardized achievement test (Cito-test) scores and teacher's secondary education advice.
  • Measured height and weight at ages 8 and 12, defining overweight using age/gender-specific cut-offs.

Main Results:

  • Overweight children exhibited lower Cito-test scores and teacher's school-level advice.
  • These associations became non-significant after adjusting for parental educational level, skipping breakfast, and screen time.
  • Parental educational level emerged as a significant confounder.

Conclusions:

  • No independent association was found between childhood overweight and school performance.
  • Parental educational level, breakfast consumption, and screen time significantly confound the relationship.
  • Further research should consider these factors in understanding child development and academic success.

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