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Weight status and weight-related behaviors of children commencing school
Authors:Louise L. Hardy  Lesley King  Debra Hector  Beverley Lloyd
Affiliation:1. Physical Activity Nutrition Obesity Research Group, School of Public Health, University of Sydney, NSW, Australia;2. Centre for Population Health, NSW Ministry of Health, North Sydney, Australia;1. Department of Public & Allied Health, Bowling Green State University, 216 Health Center, Bowling Green, OH 43403, USA;2. Department of Health & Recreation Professions, University of Toledo, 2801 West Bancroft Street, MS 119, Toledo, OH 43606, USA;3. Department of Political Science & Public Administration, University of Toledo, 2801 West Bancroft Street, MS 119, Toledo, OH 43606, USA;1. Department of Dermatology, Stanford University School of Medicine, Redwood City, CA 94036, USA;2. Berman Gladstone Skin Institute; 900 Welch Rd, Suite 300, Palo Alto, CA, 94304, USA;3. Department of Community and Family Medicine, Duke University, Durham, NC 27710, USA;1. Department of General Surgery, Kathmandu Model Hospital, GPO Box: 6064, Pradarshani Marg, Kathmandu, Nepal;2. Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK;3. Neurosurgery Unit, Department of Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Kathmandu, Nepal;1. University of Southern California Keck School of Medicine, USA;2. University of Miami, USA
Abstract:ObjectiveTo describe the weight status and weight-related behaviors of children commencing school.MethodsThis study is a representative cross-sectional survey of Australian children in their first year of schooling (n = 1141) in 2010. Height and weight were measured, and parents reported their child's diet, physical activity and screen-time.Results18.7% of children were overweight/obese. Compared with non-overweight/obese peers, overweight/obese boys were 1.73 times (95% CI 1.08, 2.79) as likely to exceed recommended screen time and 2.07 times (95% CI 1.11, 3.87) as likely to eat dinner three or more times/week in front of the TV. Overweight/obese girls were twice as likely to have a TV in their bedroom (OR 2.00, 95% CI 1.12, 3.59) and usually be rewarded with sweets for good behavior (OR 1.96, 95% CI 1.09, 3.51) and were 1.65 times as likely to be inactive (95% CI 1.08, 2.55).ConclusionWe showed that many children begin school with established weight-related behaviors that occur in the home environment. The inclusion of parents and the home environment in intervention strategies will be important to support changes to reduce childhood obesity. The weight status and weight-related behaviors of children entering school may potentially be a general indicator of the overall effectiveness of obesity prevention interventions among preschool-aged children.
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