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- Title
Classification tree analyses reveal limited potential for early targeted prevention against childhood overweight.
- Authors
Beyerlein, Andreas; Kusian, Dennis; Ziegler, Anette‐Gabriele; Schaffrath‐Rosario, Angelika; Kries, Rüdiger
- Abstract
Objective Whether specific combinations of risk factors in very early life might allow identification of high-risk target groups for overweight prevention programs was examined. Design and Methods Data of n = 8981 children from the German KiGGS study were analyzed. Using a classification tree approach, predictive risk factor combinations were assessed for overweight in 3-6, 7-10, and 11-17-year-old children. Results In preschool children, the subgroup with the highest overweight risk were migrant children with at least one obese parent, with a prevalence of 36.6 (95% confidence interval or CI: 22.9, 50.4)%, compared to an overall prevalence of 10.0 (8.9, 11.2)%. The prevalence of overweight increased from 18.3 (16.8, 19.8)% to 57.9 (46.6, 69.3)% in 7-10-year-old children, if at least one parent was obese and the child had been born large-for-gestational-age. In 11-17-year-olds, the overweight risk increased from 20.1 (18.9, 21.3)% to 63.0 (46.4, 79.7)% in the highest risk group. However, high prevalence ratios were found only in small subgroups, containing <10% of all overweight cases in the respective age group. Conclusions Our results indicate only a limited potential for early targeted preventions against overweight in children and adolescents.
- Subjects
OVERWEIGHT children; OVERWEIGHT persons; OBESITY; PRESCHOOL children; CHILDREN of migrant laborers; HEALTH
- Publication
Obesity (19307381), 2014, Vol 22, Issue 2, p512
- ISSN
1930-7381
- Publication type
Article
- DOI
10.1002/oby.20628