Show simple item record

2022-07-26Zeitschriftenartikel
Associations of individual factors and early childhood education and care (ECEC) centres characteristics with preschoolers’ BMI in Germany
dc.contributor.authorHerr, Raphael M.
dc.contributor.authorde Bock, Freia
dc.contributor.authorDiehl, Katharina
dc.contributor.authorWiedemann, Eva
dc.contributor.authorSterdt, Elena
dc.contributor.authorBlume, Miriam
dc.contributor.authorHoffmann, Stephanie
dc.contributor.authorHerke, Max
dc.contributor.authorReuter, Marvin
dc.contributor.authorIashchenko, Iryna
dc.contributor.authorSchneider, Sven
dc.date.accessioned2024-09-16T15:12:14Z
dc.date.available2024-09-16T15:12:14Z
dc.date.issued2022-07-26none
dc.identifier.other10.1186/s12889-022-13814-5
dc.identifier.urihttp://edoc.rki.de/176904/12179
dc.description.abstractBackground The number of obese children is rising worldwide. Many studies have investigated single determinants of children’s body mass index (BMI), yet studies measuring determinants at different potential levels of influence are sparse. The aim of this study is to investigate the independent role of parental socioeconomic position (SEP), additional family factors at the micro level, as well as early childhood education and care (ECEC) centre characteristics at the meso level regarding BMI. Methods Analyses used the baseline data of the PReschool INtervention Study (PRINS) including up to 1,151 children from 53 ECEC centres. Multi-level models first estimated the associations of parental SEP indicators (parental school education, vocational training, and household income) with the children’s standard deviation scores for BMI (SDS BMI, standardised for age and gender). Second, structural (number of siblings), psychosocial (strained family relationships), and nutrition behavioural (soft-drink consumption, frequency of fast-food restaurant visits) family factors at the micro level were included. Third, characteristics of the ECEC centre at the meso level in terms of average group size, the ratio of overweight children in the group, ECEC centre type (all-day care), and the location of the ECEC centre (rural vs urban) were included. All analyses were stratified by gender and adjusted for age, migration background, and parental employment status. Results Estimates for boys and girls appeared to differ. In the full model, for boys the parental SEP indicators were not related to SDS BMI. Factors related to SDS BMI in boys were: two or more siblings; B = -.55; p = 0.045 [ref.: no sibling]), the characteristics of the ECEC centre in terms of average group size (20 – 25 children; B = -.54; p = 0.022 [ref.: < 20 children]), and the ratio of overweight children (more overweight children B = -1.39; p < 0.001 [ref.: few overweight children]). For girls the number of siblings (two and more siblings; B = .67; p = 0.027 [ref.: no sibling]) and average group size (> 25 children; B = -.52; p = 0.037 [ref.: < 20 children]) were related to SDS BMI. Conclusions The BMI of preschool children appears to be associated with determinants at the micro and meso level, however with some gender differences. The identified factors at the micro and meso level appear largely modifiable and can inform about possible interventions to reduce obesity in preschool children.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectBMIeng
dc.subjectobesityeng
dc.subjectpreschool childreneng
dc.subjectECEC centreseng
dc.subjectKindergarteneng
dc.subjectmeso leveleng
dc.subjectsocioeconomic positioneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleAssociations of individual factors and early childhood education and care (ECEC) centres characteristics with preschoolers’ BMI in Germanynone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/12179-1
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Public Healthnone
local.edoc.container-issn1471-2458none
local.edoc.pages13none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcpublichealth.biomedcentral.com/none
local.edoc.container-publisher-nameSpringer Naturenone
local.edoc.container-volume22none
local.edoc.container-reportyear2022none
dc.description.versionPeer Reviewednone

Show simple item record