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- Title
Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study.
- Authors
Manios, Yannis; Lambert, Katrina A; Karaglani, Eva; Mavrogianni, Christina; Moreno Aznar, Luis A; Iotova, Violeta; Świąder-Leśniak, Anna; Koletzko, Berthold; Cardon, Greet; Androutsos, Odysseas; Moschonis, George; Toy Box Study Group
- Abstract
<bold>Objective: </bold>To examine the effect of the intervention implemented in the ToyBox-study on changes observed in age- and sex-specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change.<bold>Design: </bold>A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomised design. A standardised protocol was used to measure children's body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socio-economic status and school were used.<bold>Setting: </bold>Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain).<bold>Participants: </bold>A sample of 6268 preschoolers aged 3·5-5·5 years (51·9 % boys).<bold>Results: </bold>There was no intervention effect on the change in children's BMI percentile. However, parents' underestimation of their children's actual weight status, parental overweight and mothers' pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children's BMI percentile in multivariate modelling.<bold>Conclusions: </bold>As part of a wide public health initiative or as part of a counseling intervention programme, it is important to assist parents/caregivers to correctly perceive their own and their children's weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.
- Subjects
OBESITY; BODY weight; CHILDHOOD obesity; SENSORY perception; BODY mass index; PARENTS; LONGITUDINAL method
- Publication
Public Health Nutrition, 2022, Vol 25, Issue 6, p1552
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980021001518