Association between neonatal conditions and anthropometric indicators among children attending daycare centers in

Luiz Felipe de Paiva Lourenção1, Lara Campos Borim1, Laura Thaciane Rodrigues Cassiano1

  • 1Universidade Federal de Alfenas, Faculdade de Nutrição, Alfenas, MG, Brazil.

Insights

Neonatal factors and food insecurity are linked to excess weight in children, not short stature. Early interventions are crucial for addressing these early-life determinants of childhood obesity.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Child Development

Background:

  • Childhood obesity is a growing public health concern.
  • Early life factors significantly influence long-term health outcomes.
  • Understanding the interplay between neonatal conditions, socioeconomic status, and nutritional status in early childhood is vital.

Purpose of the Study:

  • To investigate the association between neonatal conditions and anthropometric indicators in children attending daycare.
  • To describe the prevalence of food insecurity among these children.
  • To identify early-life determinants of nutritional status, particularly excess weight.

Main Methods:

  • Cross-sectional study involving 139 children in Early Childhood Education Centers in Brazil.
  • Data collection included neonatal conditions, socioeconomic factors, food insecurity, and nutritional status (Height-for-age Z-score [HAZ] and Body Mass Index-for-age Z-score [BAZ]).
  • Poisson regression with robust variance was used to estimate prevalence ratios (PR).

Main Results:

  • Prevalence of overweight (BAZ) was 34.4% and short stature (HAZ) was 22.6%.
  • BAZ was significantly associated with birth weight, food insecurity, socioeconomic status, and high-risk pregnancy.
  • Higher food insecurity levels correlated with higher BAZ, while lower socioeconomic status showed an inverse association. No significant associations were found for HAZ.

Conclusions:

  • Body Mass Index-for-age Z-score (BAZ) is influenced by perinatal and socioeconomic factors.
  • Food insecurity plays a significant role in the development of excess weight in early childhood.
  • These findings underscore the necessity of early interventions targeting early-life determinants of childhood obesity.
Abstract