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South Australian four-year-old Aboriginal children: residence and socioeconomic status influence weight
Nicola J Spurrier1, Robert E Volkmer, Christina Abi Abdallah
1University of Adelaide, South Australia. nicola.spurrier@health.sa.gov.au
Insights
Childhood obesity is rising in Australia. Aboriginal children aged four have significantly higher rates of overweight and obesity compared to non-Aboriginal children, indicating a critical public health concern.
Area of Science:
- Pediatric Public Health
- Anthropometry
- Epidemiology
Background:
- Childhood obesity rates have escalated in Australia over the past 15 years.
- Limited population data exists on overweight and obesity prevalence among Aboriginal children.
Purpose of the Study:
- To determine the prevalence of overweight and obesity in Aboriginal children.
- To compare weight status between Aboriginal and non-Aboriginal children.
Main Methods:
- Utilized anthropometric data from 11,859 four-year-old children collected during 2009 preschool health checks.
- Applied age and gender-specific International Obesity Task Force (IOTF) cut-points to classify weight status.
Main Results:
- Aboriginal children (3% of the study population) exhibited significantly higher rates of overweight and obesity (28%) compared to non-Aboriginal children (18%).
- A statistically significant association between higher Body Mass Index z-score (BMIz) and identifying as Aboriginal persisted after controlling for rural/urban residence and socioeconomic status.
Conclusions:
- Aboriginal children demonstrate higher rates of overweight and obesity by age four.
- Interventions are needed to support maternal and child health, focusing on nutrition and growth management for Aboriginal children.
Objective:
Obesity rates have increased in children in Australia in the past 15 years. However, there is little available population data describing rates of overweight and obesity in Aboriginal children.
Methods:
Anthropometric data of four-year-old children (n=11,859) were collected by trained nurses at routine statewide preschool health checks during 2009. Weight status (underweight, healthy weight, overweight and obese) was determined using age and gender specific International Obesity Task Force (IOTF) cut-points.
Results:
There were 337 Aboriginal children (3%) in the study population. Aboriginal children had significantly higher rates of overweight and obesity compared to non-Aboriginal children (28% compared to 18% respectively, χ(2) p=0.0001). A statistically significant association between BMIz score and identifying as Aboriginal remained after controlling for rural/urban residence and socioeconomic status using multiple regression analyses.
Conclusions:
Aboriginal children have higher rates of overweight and obesity compared to their non-Aboriginal peers by the time they are four years of age. Aboriginal children have higher BMIz scores compared to non-Aboriginal children after controlling for rural/urban residence and socioeconomic status.
Implications:
A significant investment is required to optimise the health of Aboriginal women before pregnancy and throughout pregnancy. A rethink may be necessary in the approach to dietary management and catch-up growth of Aboriginal children of low birth weight or having growth failure in early childhood.
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