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Updated: Mar 31, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Biological, environmental, and social influences on childhood obesity
M Karen Campbell1,2,3,4
1Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada.
Insights
Childhood obesity remains a global concern, influenced by biological, social, and environmental factors across a child's life. Effective prevention requires understanding these multilevel determinants for targeted early interventions.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Global childhood obesity rates have risen significantly over the last 30 years.
- Recent trends suggest a plateau in prevalence within developed nations.
- Addressing high obesity rates necessitates a comprehensive understanding of underlying causes.
Purpose of the Study:
- To review current and emerging literature on childhood obesity determinants.
- To synthesize findings within a multilevel, life-course framework.
- To inform early health promotion and primary prevention strategies.
Main Methods:
- Narrative review of existing scientific literature.
- Analysis of multilevel determinants (individual, family, community).
- Consideration of life-course perspectives and critical developmental periods.
Main Results:
- Childhood obesity is shaped by a complex interplay of biological, social, and behavioral factors.
- Family and community environments significantly influence individual risk.
- Evidence suggests critical developmental periods and sex/gender differences in obesity pathways.
Conclusions:
- Understanding multilevel determinants is crucial for effective childhood obesity prevention.
- Interventions should address individual, family, and environmental factors across the life course.
- Policy relevance for early health promotion and primary prevention programs is highlighted.
Abstract:
The prevalence of childhood obesity has increased globally over the past three decades, with evidence of recent leveling off in developed countries. Reduction in the, currently high, prevalence of obesity will require a full understanding of the biological and social pathways to obesity in order to develop appropriately targeted prevention strategies in early life. Determinants of childhood obesity include individual level factors, including biological, social, and behavioral risks, acting within the influence of the child's family environment, which is, in turn, imbedded in the context of the community environment. These influences act across childhood, with suggestions of early critical periods of biological and behavioral plasticity. There is evidence of sex and gender differences in the responses of boys and girls to their environments. The evidence that determinants of childhood obesity act at many levels and at different stages of childhood is of policy relevance to those planning early health promotion and primary prevention programs as it suggests the need to address the individual, the family, the physical environment, the social environment, and social policy. The purpose of this narrative review is to summarize current, and emerging, literature in a multilevel, life course framework.
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