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Influence of Siblings on Child Health Behaviors and Obesity: A Systematic Review

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Abstract

Family structure plays an important role in childhood obesity but the association between having siblings and childhood obesity is not well established. The purpose of this systematic review was to examine the relationship between sibling factors and child health behaviors and child obesity. CINAHL, Cochrane Reviews, PsycINFO and PubMed were searched to identify relevant publications between 2000 and 2016. Of 141 identified studies, 22 peer-reviewed, primary research reports satisfied inclusion criteria and were included in the review. Findings indicated that children without siblings are more likely to be overweight or obese. Having fewer siblings was associated with decreased physical activity, inadequate sleep, and unhealthy dietary habits. The relationship between the number of siblings and childhood obesity persisted over time. All but two studies reported an association between birth order and childhood obesity. Youngest siblings were at a higher risk of becoming overweight or obese than their older siblings. Overall, the findings emphasize the importance of sibling factors in the development of childhood obesity. Further studies are needed to understand the dynamics underlying the effect of siblings on child’s health-related behaviors in order to develop effective childhood obesity prevention programs. Healthcare professionals should focus on family structure and at-risk children when intervening to prevent childhood obesity.

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References

  • * References marked with asterisk indicate articles included in the systematic review.

  • Berge, J. M., Trofholz, A., Schulte, A., Conger, K., & Neumark-Sztainer, D. (2016). A qualitative investigation of parents’ perspectives about feeding practices with siblings among racially/ethnically and socioeconomically diverse households. Journal of Nutrition Education and Behavior, 48, 496–504.

    Article  PubMed  PubMed Central  Google Scholar 

  • Berge, J. M., Wall, M., Larson, N., Loth, K. A., & Neumark-Sztainer, D. (2013). Family functioning: Associations with weight status, eating behaviors, and physical activity in adolescents. Jourral of Adolescet Health, 52, 351–357.

    Article  Google Scholar 

  • Biehl, A., Hovengen, R., Groholt, E., Hjelmesath, H., Strand, B. H., & Meyer, H. E. (2014). Parental marital status and childhood overweight and obesity in Norway: A nationally representative cross-sectional study. BMJ Open, 4. http://bmjopen.bmj.com/content/4/6/e004502.full.

  • Byrne, L. K., Cook, K. E., Skouteris, H., & Do, H. (2011). Parental status and childhood obersity in Australia. International Journal of Pediatric Obesity, 6, 415–418.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (CDC). (2016). Childhood obesity causes & consequences. https://www.cdc.gov/obesity/childhood/causes.html.

  • *Chen, Y. C., Chen, P., Hsieh, W., Portnov, B. A., Chen, Y., & Lee, Y. L. (2012). Environmental factors associated with overweight and obesity in Taiwanese children. Paediatric & Perinatal Epidemiology, 26, 561–571.

    Article  Google Scholar 

  • *Chen, A. Y., & Escarce, J. J. (2010). Family structure and childhood obesity, early childhood longitudinal study — Kindergarten cohort. Preventing Chronic Disease, 7, A50. https://www.cdc.gov/pcd/issues/2010/may/pdf/09_0156.pdf.

  • *Chen, A. Y., & Escarce, J. J. (2014). Family structure and childhood obesity: An analysis through 8th grade. Maternal Child Health Journal, 18, 1772–1777.

    Article  PubMed  Google Scholar 

  • Datar, A. (2017). The more the heavier? Family size and childhood obesity in the U.S.Social Science and Medicine, 180, 143–151.

    Article  PubMed  Google Scholar 

  • *Formisano, A., Hunsberger, M., Bammann, K., Vanaelst, B., Molnar, D., Moreno, L. A., & Siani, A. (2014). Family structure and childhood obesity: Results of the IDEFICS Project. Public Health Nutrition, 17, 2307–2315.

    Article  PubMed  Google Scholar 

  • *Granich, J., Rosenberg, M., Knuiman, M., & Timperio, A. (2010). Understanding children’s sedentary behaviour: A qualitative study of the family home environment. Health Education Research, 25, 199–210.

    Article  PubMed  Google Scholar 

  • Gulliford, M., Mahabir, D., Rocke, B., Chinn, S., & Rona, R. (2001). Overweight, obesity and skinfold thicknesses of children of African or Indian descent in Trinidad and Tobago. International Epidemiological Association, 30, 989–998.

    Article  Google Scholar 

  • *Hardy, L. L., Baur, L. A., Garnett, S. P., Crawford, D., Campbell, K. J., Shrewsbury, V. A., et al. (2006). Family and home correlates of television viewing in 12–13 year old adolescents: The Nepean study. International Journal of Behavioral Nutrition and Physical Activity, 3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1594572/.

  • *Haugaard, L. K., Ajslev, T. A., Zimmermann, E., Angquist, L., & Sorensen, T.A. (2013). Being an only or last-born child increases later risk of obesity. PLoS ONE, 8. http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0056357&type=printable.

  • *Hesketh, K., Crawford, D., Salmon, J., Jackson, M., & Campbell, K. (2007). Associations between family circumstance and weight status of Australian children. International Journal of Pediatric Obesity, 2, 86–96.

    Article  PubMed  Google Scholar 

  • Hotz, V. J., & Pantano, J. (2013). Stretegic parenting, birth order and school performance. The National Bureu of Economic Research, http://www.nber.org/papers/w19542.pdf.

  • Hunsberger, M. (2014). Early feeding practices and family structure: Associations with overweight in children. The Proceedings of the Nutrition Society, 73, 132–6.

    Article  PubMed  Google Scholar 

  • *Koirala, M., Katri, R. B., Khanal, V., & Amatya, A. (2015). Prevalence and factors associated with childhood overweight/obesity of private school children in Nepal. Obesity Research and Clinical Practice, 9, 220–227.

    Article  PubMed  Google Scholar 

  • Kramer, L., & Conger, K. J. (2009). What we learn from our sisters and brothers: For better or for worse. New Directions for Child and Adolescent Development, 126, 1–12.

    Article  Google Scholar 

  • Kromeyer-Hauschild, K., Zellner, K., Jaeger, U., & Hoyer, H. (1999). Prevalence of overweight and obesity among school children in Jena (Germany). International Journal of Obesity, 23, 1143–1150.

    Article  PubMed  Google Scholar 

  • *Lee, K., & Won, S. (2015). Effect of Enrollment Length in Migrant Head Start on Children’s Weight Outcomes. Health & Social Work, 40, 142–150.

    Article  Google Scholar 

  • *Martinovic, M., Belojevic, G., Evans, G. W., Lausevic, D., Asanin, B., Samardzic, M., et al. (2015). Prevalence of and contributing factors for overweight and obesity among Montenegrin schoolchildren. The European Journal of Public Health. http://eurpub.oxfordjournals.org/content/eurpub/early/2015/04/03/eurpub.ckv071.full.pdf.

  • McHale, S. M., Updegraff, K. A., & Whiteman, S. D. (2012). Sibling relationships and influences in childhood and adolescence. Journal of Marriage and Family, 74, 913–930.

    Article  PubMed  PubMed Central  Google Scholar 

  • Metzger, M. W., & McDade, T. W. (2010). Breastfeeding as obesity prevention in the United States: A sibling difference model. American Journal of Human Biology, 22, 291–296.

    Article  PubMed  Google Scholar 

  • Mosli, R. H., Kaciroti, N., Corwyn, R. F., Bradley, R. H., & Lumeng, J. C. (2016). Effect of sibling birth on BMI trajectory in the first 6 years of life. Pediatrics, 137, https://doi.org/10.1542/peds.2015-2456. Epub 2016 Mar 11.

  • *Mosli, R. H., Lumeng, J. C., Kaciroti, N., Pterson, K. E., Rosenblum, K., Baylin, A., & Miller, A. L. (2015). Higher weight status of only and last-born children. Maternal feeding and child eating behaviors as underlying processes among 4–8 year olds. Appetite, 92, 167–172.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Mosli, R. H., Miller, A. L., Peterson, K. E., Kaciroti, N., Rosenblum, K., Baylin, A., & Lumeng, J. C. (2016). Birth order and sibship composition as predictors of overweight or obesity among low-income 4- to 8-year-old children. Pediatric Obesity, 11, 40–46.

    Article  PubMed  Google Scholar 

  • Mosli, R. H., Miller, A. L., Peterson, K. E., & Lumeng, J. C. (2016). Sibling feeding behavior: Mothers as role models during mealtimes. Appetite, 96, 617–620.

    Article  PubMed  Google Scholar 

  • *Mushtaq, M. U., Gull, S., Shahid, U., Shafique, M. M., Abdullah, H. M., Shad, M. A., & Siddiqui, A. M. (2011). Family-based factors associated with overweight and obesity among Pakistani primary school children. BMC Pediatrics. http://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-11-114.

  • *Mushtaq, M. U., Gull, S., Mushtaq, K., Shahid, U., Shad, M. A., & Akram, J. (2011). Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. International Journal of Behavioral Nutrition and Physical Activity, 25. https://ijbnpa.biomedcentral.com/articles/10.1186/1479-5868-8-130.

  • *Ochiai, H., Shirasawa, T., Ohtsu, T., Nishimura, R., Morimoto, A, Obuchi, R. et al. (2012). Number of siblings, birth order, and childhood overweight: A population-based cross-sectional study in Japan. BMC Public Health. http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-766.

  • *Olds, T. S., Maher, C. A., & Matricciani, L. (2011). Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep, 34, 1299–1307.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Pachucki, M. C., Lovenheim, Mf, & Harding, M. (2014). Within-family obesity associations evaluation of parent, child, and sibling relationships. American Journal of Preventive Medicine, 47, 382–391.

    Article  PubMed  Google Scholar 

  • Price, J. H., Khubchandani, J., McKinney, M., Braun, R. (2013). Racial/ethnic disparities in chronic diseases of youths and access to health care in the United States, BioMed Research International. https://www.hindawi.com/journals/bmri/2013/787616/.

  • *Santiago, S., Zazpe, I., Cuervo, M., & Martínez, J. A. (2012). Perinatal and parental determinants of childhood overweight in 6-12 years old children. Nutricion Hospitalaria, 27, 599–605.

    PubMed  Google Scholar 

  • Town, N., & D’Auria, J. (2009). Parental perceptions of their child’s overweight: An integrative review of the literature. Journal of Pediatric Nursing, 24, 115–130.

    Article  Google Scholar 

  • *Wake, M., Hesketh, K., & Waters, E. (2003). Television, computer use and body mass index in Australian primary school children. Journal of Paediatrics and Child Health, 39, 130–134.

    Article  PubMed  Google Scholar 

  • *Wang, H., Sekine, M., Chen, X., Kanayama, H., Yamagami, T., & Kagaimori, S. (2007). Sib-size, birth order and risk of overweight in junior high school students in Japan: Results of the Toyama Birth Cohort Study. Preventive Medicine, 44, 45–51.

    Article  PubMed  Google Scholar 

  • Watanabe, E., Lee, J. S., & Kawakubo, K. (2011). Associations of maternal employment and three-generation families with pre-school children’s overweight and obesity in Japan. International Journal of Obesity, 35, 945–52.

    Article  PubMed  Google Scholar 

  • Wells, J. K., Hallal, P. C., Reichert, F. F., Dumith, S. C., Menezes, A. M., & Victora, C. G. (2011). Associations of birth order with early growth and adolescent height, body composition, and blood pressure: Prospective birth cohort from Brazil. American Journal of Epidemiology, 174, 1028–1035.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Zurriaga, O., Perez-Panades, J. P., Izquierdo, J. Q., Costa, M. G., Anes, Y., & Quinones, C., Recent OBICE Research Group. (2011). Factors associated with childhood obesity in Spain. The OBICE study: A case-control study based on sentinel networks. Public Health Nutrition, 14, 1105–1113.

    Article  PubMed  Google Scholar 

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  1. College of Nursing, Florida State University, Tallahassee, FL, USA

    So Hyun Park & Eileen Cormier

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  1. So Hyun Park
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  2. Eileen Cormier
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Correspondence to So Hyun Park.

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Park, S.H., Cormier, E. Influence of Siblings on Child Health Behaviors and Obesity: A Systematic Review. J Child Fam Stud 27, 2069–2081 (2018). https://doi.org/10.1007/s10826-018-1049-9

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