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Updated: May 7, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Family structure and childhood obesity: results of the IDEFICS Project
Annarita Formisano1, Monica Hunsberger2, Karin Bammann3
11Epidemiology and Population Genetics,Institute of Food Science,National Research Council,Via Roma 64,83100 Avellino,Italy.
Insights
Family structure impacts childhood adiposity. Children living with grandparents had higher BMI, while more siblings were linked to lower childhood obesity risk.
Area of Science:
- Pediatric Health
- Public Health
- Childhood Obesity Research
Background:
- Childhood obesity is a growing public health concern.
- Family structure is a potential determinant of child health outcomes.
- Understanding these associations can inform targeted interventions.
Purpose of the Study:
- To investigate the relationship between family structure and adiposity in children.
- To analyze how different family compositions influence body mass index (BMI) and obesity risk.
Main Methods:
- Cross-sectional and longitudinal analysis of the IDEFICS cohort.
- Involved anthropometry of over 12,000 children aged 5-7 years.
- Family structure analyzed by number/type of adults and siblings.
Main Results:
- Living with grandparents associated with higher BMI Z-scores.
- Increased number of siblings correlated with lower BMI Z-scores and reduced risk of overweight/obesity.
- Longitudinal data showed differences in weight gain across family structures.
Conclusions:
- An independent association exists between family structure and childhood obesity.
- Family composition, particularly sibling number, plays a role in adiposity.
- Findings highlight the need to consider family environment in obesity prevention strategies.
Objective:
To analyse the association between family structure and adiposity in children.
Design:
Cross-sectional and longitudinal analysis of the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study cohort.
Setting:
Primary schools and kindergartens.
Subjects:
Children (n 12 350; aged 7·9 (SD 1·8) years) for the cross-sectional analysis and children (n 5236; at baseline: normal weight, aged 5·9 (SD 1·8) years) for the longitudinal study underwent anthropometry. Family structure was analysed as (i) number and type of cohabiting adults and (ii) number of siblings.
Results:
In the cross-sectional analysis, after controlling for covariates, children living with grandparents had significantly higher BMI Z-score than those living with both parents (0·63; 95% CI 0·33, 0·92 v. 0·19; 95% CI 0·17, 0·22; P < 0·01); in addition, the higher the number of siblings, the lower the BMI Z-score (only child = 0·31; 95% CI 0·24, 0·38; 1 sibling = 0·19; 95% CI 0·16, 0·23; 2 siblings = 0·15; 95% CI 0·09, 0·20; >2 siblings = 0·07, 95% CI 0·04, 0·19; P < 0·001). Over the 2-year follow-up, differences in weight gain were observed across family-structure categories. Further, the risk of incidence of overweight/obesity was significantly lower the higher the number of siblings living in the household (v. only child: 1 sibling = 0·74, 95% CI 0·57, 0·96; 2 siblings = 0·63, 95% CI 0·45, 0·88; >2 siblings = 0·40, 95% CI 0·21, 0·77), independently of confounders.
Conclusions:
The study suggests that an independent association between family structure and childhood obesity exists.
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