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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Dietary-related and physical activity-related predictors of obesity in children: a 2-year prospective study
Jordan A Carlson1, Noe C Crespo, James F Sallis
1Joint Doctoral Program in Public Health, San Diego State University, CA 92123, USA.
Insights
Increased physical activity and family breakfasts are linked to better childhood weight outcomes. Reducing sedentary time and sugary drinks also helps decrease body fat in children.
Area of Science:
- Pediatric obesity research
- Childhood health behaviors
- Preventive medicine
Background:
- Childhood obesity is a significant public health concern.
- Understanding behavioral factors influencing BMI and body fat is crucial for prevention.
- This study focuses on children aged 6-9 years.
Purpose of the Study:
- To examine associations between physical activity and dietary behaviors with Body Mass Index (BMI) and body fat.
- To investigate both cross-sectional and longitudinal relationships over 24 months.
- To identify key behaviors for intervention in childhood obesity prevention.
Main Methods:
- Observational study of 271 children from a community-based obesity prevention program (control group).
- Baseline and 24-month assessments included anthropometrics and parent-reported child behaviors.
- Statistical analyses included ANOVA and mixed-effects linear regression models.
Main Results:
- Obese children showed less physical activity and more sedentary behavior at baseline.
- Higher physical activity and family breakfast frequency correlated with lower BMI z-scores and body fat.
- Reduced sedentary behavior and sugar-sweetened beverage intake were linked to decreased body fat.
Conclusions:
- Physical activity, family meals, and reduced screen time are associated with improved adiposity in children.
- Targeting these behaviors may be important for childhood obesity prevention strategies.
- Future research should incorporate body fat percentage for more precise outcome assessment.
Background:
This observational study examined cross-sectional and 24-month longitudinal associations of physical activity and dietary behaviors with change in BMI and percent body fat among children aged 6–9 years old.
Methods:
Data were from the control group (n = 271; 48% Latino) of a community-based childhood obesity prevention program. Assessments were conducted at baseline and at 24 months and included height and weight, bioelectrical impedance–derived percent body fat, and 10 physical activity and dietary behaviors measured via parent report of their child. Cross-sectional analysis of variances (ANOVA) (normal weight, overweight, obese) and longitudinal mixed-effects linear regression models were used to investigate the relation of each physical activity and dietary behavior with BMI and percent body fat.
Results:
At baseline, obese children engaged in less physical activity and more sedentary behavior than normal-weight children (p < 0.05). Increased physical activity (p < 0.01) and number of breakfasts eaten with family (p < 0.05) were associated with decreased BMI z-score and percent body fat. Decreased sedentary behavior and sugar-sweetened beverage consumption were associated with decreased percent body fat (p < 0.05) but not BMI.
Conclusions:
In this cohort of 271 children, increased physical activity and eating breakfast with family and reduced screen-based sedentary behaviors and sugar-sweetened beverage consumption were associated with more favorable trends in adiposity. Therefore, attention to these behaviors may be of particular importance. Results also suggest that future studies should include percent body fat as an outcome for a more precise assessment of the association of behavior with adiposity.
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