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The impact of familial, behavioural and psychosocial factors on the SES gradient for childhood overweight in Europe. A longitudinal study
Univ Bremen, Inst Publ Hlth & Nursing Res ipp, Fac Human & Hlth Sci, FB 11,Grazer Str 2a, D-28359 Bremen, Germany.;Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.ORCID iD: 0000-0002-4397-3721
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2017 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 41, no 1, p. 54-60Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In highly developed countries, childhood overweight and many overweight-related risk factors are negatively associated with socioeconomic status (SES). OBJECTIVE: The objective of this study is to investigate the longitudinal association between parental SES and childhood overweight, and to clarify whether familial, psychosocial or behavioural factors can explain any SES gradient. METHODS: The baseline and follow-up surveys of the identification and prevention of dietary and lifestyle induced health effects in children and infants (IDEFICS) study are used to investigate the longitudinal association between SES, familial, psychosocial and behavioural factors, and the prevalence of childhood overweight. A total of 5819 children (50.5% boys and 49.5% girls) were included. RESULTS: The risk for being overweight after 2 years at follow-up in children who were non-overweight at baseline increases with a lower SES. For children who were initially overweight, a lower parental SES carries a lower probability for a non-overweight weight status at follow-up. The effect of parental SES is only moderately attenuated by single familial, psychosocial or behavioural factors; however, it can be fully explained by their combined effect. Most influential of the investigated risk factors were feeding/eating practices, parental body mass index, physical activity behaviour and proportion of sedentary activity. CONCLUSION: Prevention strategies for childhood overweight should focus on actual behaviours, whereas acknowledging that these behaviours are more prevalent in lower SES families.

Place, publisher, year, edition, pages
Nature Publishing Group, 2017. Vol. 41, no 1, p. 54-60
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14409DOI: 10.1038/ijo.2016.137ISI: 000394143100007PubMedID: 27528253Scopus ID: 2-s2.0-84987679542OAI: oai:DiVA.org:his-14409DiVA, id: diva2:1157464
Note

Group Author(s): IDEFICS Consortium

Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved

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Eiben, Gabriele

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