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Updated: Aug 20, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Food Intake Compared to Exercise Association with Obesity in Children Ages 3-6
David Bedell1, Tim Sevcik1, Jeanette M Daly1
1From Department of Family Medicine, University of Iowa (DB, TS, JMD, BTL).
Insights
Physical activity monitoring is feasible in preschoolers aged 3-6 years. Decreased activity, not caloric intake, is linked to overweight and obesity in this age group.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood obesity is a significant public health issue in the US, affecting 19.3% of children and disproportionately impacting Hispanic children (25.6%).
- Understanding obesity risk factors in preschool-aged children (3-6 years) is crucial for early intervention.
Purpose of the Study:
- To evaluate the feasibility of monitoring physical activity and caloric intake in young children.
- To determine if established obesity risk factors are relevant for the 3-6 year age group.
- To explore factors contributing to higher obesity rates in Hispanic preschoolers.
Main Methods:
- Recruitment of 37 children (ages 3-6) during well-child visits.
- Parental questionnaires on physical activity and screen time, alongside dietary assessments.
- Utilizing fitness trackers for 5-day activity monitoring and conducting dietary recalls.
Main Results:
- 92% of participants provided usable activity data, and 97% completed initial dietary recalls.
- The average Body Mass Index (BMI) was at the 60th percentile, with 32% classified as overweight or obese.
- No significant difference in daily caloric intake was observed between children with and without overweight/obesity.
Conclusions:
- Pedometer-based activity tracking is a feasible method for monitoring physical activity in children aged 3-6.
- Reduced physical activity is more strongly correlated with overweight and obesity in preschoolers than caloric intake.
Background:
Childhood obesity affects 19.3% of children ages 2 to 19 years in the US, and 25.6% of Hispanic children. Study objectives were to (1) assess the feasibility of monitoring physical activity and daily caloric intake in children ages 3 to 6 years, (2) assess whether known obesity risk factors apply to this age-group, and (3) explore the factors that may contribute to the higher prevalence of obesity in Hispanic preschooler. METHODS: Children ages 3 to 6 years were recruited at well child visits (n = 37, 65% male, 30% Hispanic). Parents completed a questionnaire (child's physical activity and screen time) along with a detailed dietary assessment. Children were provided with a fitness tracker worn for 5 days. Fisher's exact test, RESULTS: Thirty-four (92%) participants produced usable activity data. Baseline dietary recall was completed by 35 (97%) of the parents and 25 (68%) completed the second unassisted dietary recall. Mean body mass index of the study sample was 60th percentile, 12 (32%) classified as overweight/obese. Children with overweight/obesity showed no significant difference in mean daily calories compared with those without (1403.9 vs 1406.1 Kcal/day, DISCUSSION: Findings indicate that pedometer activity tracking can be used in children 3 to 6 years old and that decreased physical activity correlates more closely to preschool overweight/obesity than caloric intake.
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