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Determinants of Weight Disorders in Two- Year- Old Children in Isfahan, Iran
Bahareh Vard1,2, Sahand Deylam3, Roya Riahi1
1Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Childhood weight disorders, including underweight and overweight, affect 32.6% of 2-year-olds in Iran. Maternal education and socioeconomic status are linked to overweight risk, while breastfeeding duration shows a protective effect.
Area of Science:
- Pediatric Nutrition
- Public Health
- Child Development
Background:
- Childhood weight disorders pose lifelong health risks.
- Early identification of determinants is crucial for intervention.
- Iranian children's weight status requires focused research.
Purpose of the Study:
- To assess the determinants of weight disorders in 2-year-old Iranian children.
- To identify risk factors for underweight and overweight conditions.
- To inform public health strategies for early childhood nutrition.
Main Methods:
- Cross-sectional study in Isfahan, Iran, 2020.
- Included 2300 children aged 2 years.
- Weight disorders defined using NCHS/CDC growth charts; demographic data collected.
Main Results:
- 32.6% of children had weight disorders (underweight, overweight, obesity).
- Female gender, maternal university education, and higher socioeconomic status increased overweight risk.
- Extended breastfeeding showed a trend towards reduced overweight risk.
Conclusions:
- Underweight and overweight are prevalent weight disorders in Iranian 2-year-olds.
- Modifiable risk factors require attention within primary healthcare.
- Targeted interventions focusing on maternal education and socioeconomic factors are recommended.
Background:
Considering the importance of weight disorders in childhood and its impact until adulthood, this study was conducted to assess the determinants of weight disorders in 2-year-old Iranian children.
Materials And Methods:
This cross-sectional study was conducted in 2020 among on 2300 children registered in Comprehensive Health Centers of Isfahan, Iran. Weight disorders, including underweight and overweight were defined according to the standardized National Center for Health Statistics (NCHS)/Centers for Disease Control (CDC) growth charts. Demographic data including gender, birth weight, maternal educational levels and occupation, duration of breastfeeding and the age of beginning complementary food were gathered.
Results:
In the present study, 750 children (i.e., 32.6%) had weight disorders. Among them, 53.6% were underweight, 26.3% were overweight, and 12.9% were obese, 7.2%had severe underweight. Female gender, university education of mothers and higher levels of socio-economic status significantly increased the chance of overweight by 14.79%, 22.28%, 27.33% and 24.48%, respectively. Although with the increase in the duration of breastfeeding and the increase of family members, overweight, respectively, decreased by 0.86 and 0.93 fold, but it was not statistically significant. There was an inverse, significant relationship between the duration of breastfeeding with overweight versus underweight.
Conclusion:
Underweight and overweight were the two most common weight disorders among 2-year- children, respectively. Control of modifiable risk factors for weight disorders in early life should be underscored in the primary health care system.
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