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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.
Abstract:
The aim of this study was to assess the association between overweight and school performance among primary school children prospectively and including a broad range of potential confounding factors. In addition it was investigated what factors mediate this association. For this purpose, data of 2,159 12-year-old children who participated in the Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort study were used. Two indicators of school performance were parental reported when children were 12 years of age and included (i): the score on a standardized achievement test that Dutch children have to complete at the end of their primary education (Cito)-test and (ii): the teacher's advice regarding a child's potential performance level in secondary education. Children's height and weight were measured by a trained research assistant at the age of 8 and by their parents at the age of 12. Overweight was defined using age and gender specific cut-off points. Multivariate regression analyses were performed to assess the association between overweight and school performance. Besides, both confounder and mediation analyses were conducted. Results showed lower Cito-test scores and lower teacher's school-level advice among overweight children. These associations were no longer significant when adjusting for parental educational level, skipping breakfast, and screen time. This study found no independent association between overweight and school performance among primary school children. Results showed strong confounding by parental educational level.
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