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Type of kindergarten and other potential determinants of overweight in pre-school children

Published online by Cambridge University Press:  02 January 2007

K Rapp ,
KH Schick ,
H Bode  and
SK Weiland
K Rapp*
Affiliation:
Department of Epidemiology, University of Ulm, Helmholtzstraße 22, D-89081 Ulm, Germany
KH Schick
Affiliation:
Public Health Office, Department of Paediatrics, Stuttgart, Germany
H Bode
Affiliation:
Department of Paediatrics, University of Ulm, Ulm, Germany
SK Weiland
Affiliation:
Department of Epidemiology, University of Ulm, Helmholtzstraße 22, D-89081 Ulm, Germany
*
*Corresponding author: Email kilian.rapp@medizin.uni-ulm.de
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Abstract

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Objective

The study aimed to assess the relationship of various types of kindergarten differing in length of care and food availability with the development of overweight in pre-school children.

Design, setting and subjects

A cross-sectional study was carried out in 2002 in Stuttgart, Germany, as part of the school entrance examination. Height and weight of 2140 children (participation 70.2%) were measured and information on type of kindergarten and other potential determinants of overweight was collected by a parental questionnaire. Change in relative body mass index (BMI) position between the ages of 4 and 6 years was assessed using medical records.

Results

The prevalence of overweight or change in relative BMI position did not differ according to the type of kindergarten. For the prevalence of overweight in German children, adjusted odds ratios (OR) comparing institutions that open only in the morning with those opening in the morning and afternoon or for the full day were 0.86 (95% confidence interval (CI) 0.40, 1.83) and 0.63 (95% CI 0.25, 1.58), respectively. Parental BMI and duration of television watching were positively associated, and maternal educational status and duration of breast-feeding were negatively associated, with overweight and/or change in relative BMI position. The prevalence of overweight was substantially higher among non-German than among German children (adjusted OR 2.17 (95% CI 1.53, 3.07)).

Conclusions

These data show no association between different types of kindergarten and the development of overweight in early childhood. Duration of television watching and breast-feeding, as well as the relatively high prevalence of overweight in ethnic minorities, deserve further attention.

Keywords

Breast-feedingChildrenKindergartenOverweightTelevision
Type
Research Article
Information
Public Health Nutrition , Volume 8 , Issue 6 , September 2005 , pp. 642 - 649
Copyright
Copyright © The Authors 2005

References

1Troiano, RP, Flegal, KM, Kuczmarski, RJ, Campbell, SM, Johnson, CL. Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Archives of Pediatrics & Adolescent Medicine 1995; 149(10): 1085–91.CrossRefGoogle ScholarPubMed
2Freedman, DS, Srinivasan, SR, Valdez, RA, Williamson, DF, Berenson, GS. Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. Pediatrics 1997; 99(3): 1085–91.CrossRefGoogle ScholarPubMed
3Kalies, H, Lenz, J, von Kries, R. Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982–1997. International Journal of Obesity and Related Metabolic Disorders 2002; 26(9): 1211–7.CrossRefGoogle ScholarPubMed
4Stunkard, AJ, Harris, JR, Pedersen, NL, McClearn, GE. The body-mass index of twins who have been reared apart. New England Journal of Medicine 1990; 322(21): 1483–7.CrossRefGoogle ScholarPubMed
5Stunkard, AJ, Sorensen, TI, Hanis, C, Teasdale, TW, Chakraborty, R, Schull, WJ, et al. An adoption study of human obesity. New England Journal of Medicine 1986; 314(4): 193–8.CrossRefGoogle ScholarPubMed
6Livingstone, B. Epidemiology of childhood obesity in Europe. European Journal of Pediatrics 2000; 159(Suppl. 1): S14–34.Google ScholarPubMed
7Canetti, L, Bachar, E, Berry, EM. Food and emotion. Behavioural Processes 2002; 60(2): 157–64.CrossRefGoogle ScholarPubMed
8Macht, M, Simons, G. Emotions and eating in everyday life. Appetite 2000; 35(1): 65–71.CrossRefGoogle ScholarPubMed
9Lowe, MR, Fisher, EB Jr. Emotional reactivity, emotional eating, and obesity: a naturalistic study. Journal of Behavioral Medicine 1983; 6(2): 135–49.CrossRefGoogle ScholarPubMed
10Poskitt, EM. Defining childhood obesity: the relative body mass index (BMI). European Childhood Obesity Group. Acta Paediatrica 1995; 84(8): 961–3.CrossRefGoogle ScholarPubMed
11Kromeyer-Hauschild, K, Wabitsch, M, Kunze, D, Geller, F, Geiss, HC, Hesse, V. Perzentile für den Body-Mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift für Kinderheilkunde 1995; 149: 807–18.CrossRefGoogle Scholar
12Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320(7244): 1240–3.CrossRefGoogle ScholarPubMed
13Rolland-Cachera, MF, Deheeger, M, Bellisle, F, Sempe, M, Guilloud-Bataille, M, Patois, E. Adiposity rebound in children: a simple indicator for predicting obesity. American Journal of Clinical Nutrition 1984; 39(1): 129–35.CrossRefGoogle ScholarPubMed
14Cole, TJ. The LMS method for constructing normalized growth standards. European Journal of Clinical Nutrition 1990; 44(1): 45–60.Google ScholarPubMed
15Koivisto Hursti UK. Factors influencing children's food choice. Annals of Medicine 1999; 31(Suppl. 1): 26–32.CrossRefGoogle Scholar
16Duran-Tauleria, E, Rona, RJ, Chinn, S. Factors associated with weight for height and skinfold thickness in British children. Journal of Epidemiology and Community Health 1995; 49(5): 466–73.CrossRefGoogle ScholarPubMed
17Maffeis, C, Talamini, G, Tato, L. Influence of diet, physical activity and parents' obesity on children's adiposity: a four-year longitudinal study. International Journal of Obesity and Related Metabolic Disorders 1998; 22(8): 758–64.CrossRefGoogle ScholarPubMed
18Goran, MI, Shewchuk, R, Gower, BA, Nagy, TR, Carpenter, WH, Johnson, RK. Longitudinal changes in fatness in white children: no effect of childhood energy expenditure. American Journal of Clinical Nutrition 1998; 67(2): 309–16.CrossRefGoogle ScholarPubMed
19von Kries, R, Koletzko, B, Sauerwald, T, von Mutius, E, Barnert, D, Grunert, V, et al. Breast feeding and obesity: cross sectional study. British Medical Journal 1999; 319(7203): 147–50.CrossRefGoogle ScholarPubMed
20von Kries, R, Toschke, AM, Koletzko, B, Slikker, W Jr. Maternal smoking during pregnancy and childhood obesity. American Journal of Epidemiology 2002; 156(10): 954–61.Google ScholarPubMed
21Ravelli, GP, Stein, ZA, Susser, MW. Obesity in young men after famine exposure in utero and early infancy. New England Journal of Medicine 1976; 295(7): 349–53.CrossRefGoogle ScholarPubMed
22Andersen, RE, Crespo, CJ, Bartlett, SJ, Cheskin, LJ, Pratt, M. Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. Journal of the American Medical Association 1998; 279(12): 938–42.CrossRefGoogle ScholarPubMed
23Müller, MJ, Koertringer, I, Mast, M, Langnase, K, Grund, A. Physical activity and diet in 5 to 7 years old children. Public Health Nutrition 1999; 2(3A): 443–4.CrossRefGoogle ScholarPubMed
24Robinson, TN. Television viewing and childhood obesity. Pediatric Clinics of North America 2001; 48(4): 1017–25.CrossRefGoogle ScholarPubMed
25Butte, NF. The role of breastfeeding in obesity. Pediatric Clinics of North America 2001; 48(1): 189–98.CrossRefGoogle ScholarPubMed
26Bergmann, KE, Bergmann, RL, Von Kries, R, Bohm, O, Richter, R, Dudenhausen, JW, et al. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. International Journal of Obesity and Related Metabolic Disorders 2003; 27(2): 162–72.CrossRefGoogle Scholar
27Wilson, AC, Forsyth, JS, Greene, SA, Irvine, L, Hau, C, Howie, PW. Relation of infant diet to childhood health: seven year follow up of cohort of children in Dundee infant feeding study. British Medical Journal 1998; 316(7124): 21–5.CrossRefGoogle ScholarPubMed
28Gillman, MW, Rifas-Shiman, SL, Camargo, CA Jr. Berkey, CS, Frazier, AL, Rockett, HR, et al. Risk of overweight among adolescents who were breastfed as infants. Journal of the American Medical Association 2001; 285(19): 2461–7.CrossRefGoogle ScholarPubMed
29Hediger, ML, Overpeck, MD, Kuczmarski, RJ, Ruan, WJ. Association between infant breastfeeding and overweight in young children. Journal of the American Medical Association 2001; 285(19): 2453–60.CrossRefGoogle ScholarPubMed
30Liese, AD, Hirsch, T, von Mutius, E, Keil, U, Leupold, W, Weiland, SK. Inverse association of overweight and breast feeding in 9 to 10-y-old children in Germany. International Journal of Obesity and Related Metabolic Disorders 2001; 25(11): 1644–50.CrossRefGoogle ScholarPubMed
31Toschke, AM, Vignerova, J, Lhotska, L, Osancova, K, Koletzko, B, Von Kries, R. Overweight and obesity in 6- to 14-year-old Czech children in 1991: protective effect of breast-feeding. Journal of Pediatrics 2002 141(6): 764–9.CrossRefGoogle ScholarPubMed
32Strauss, RS, Pollack, HA. Epidemic increase in childhood overweight, 1986–1998. Journal of the American Medical Association 2001; 286(22): 2845–8.CrossRefGoogle ScholarPubMed