Skip to main content
Log in

Risk factors of overweight and obesity among preschool children with different ethnic background

  • Original Article
  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

In this study, we evaluated the risk factors associated with overweight and obesity in 2,640 preschool children in Italy taking into account the ethnic background of the parents. Height and weight were measured and BMI was calculated. Personal and lifestyle data for the children (birth weight, type of breastfeeding, sleep duration, skipping breakfast, snacking, physical activity) and parents (ethnicity, educational level, occupation, weight, height) were collected by means of a questionnaire. Italian and Other European children generally showed the highest percentage of normal weight, while the other ethnic groups presented a greater imbalance. Overweight and obesity were high in African males, who also presented high birth weight. Breastfeeding was most common, although formula feeding was significantly higher in Italians than in immigrants. Immigrants, particularly males, tended to skip breakfast more than Italians. Physical activity was significantly higher in Italians than in immigrants. In the parents, underweight was particularly high in Italian and Other mothers. African parents had high rates of overweight and obesity and a low educational level. The most common profession was worker for the fathers and housewife for the mothers, with the exception of Italians in which clerical work prevailed. Multiple linear regression analysis showed that the BMI of children was closely related to the BMI of the parents and the birth weight. Hence, these are the most informative parameters in preventing obesity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. K.S. Balistreri, J. Van Hook, Trajectories of overweight among US school children: a focus on social and economic characteristics. Matern. Child Health J. 15, 610–619 (2011)

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  2. W. Wisemandle, L.M. Maynard, S.S. Guo, R.M. Siervogel, Childhood weight, stature, and body mass index among never overweight, early-onset overweight, and late-onset overweight groups. Pediatrics 106, E14 (2000)

    Article  CAS  PubMed  Google Scholar 

  3. R.C. Whitaker, J.A. Wright, M.S. Pepe, K.D. Seidel, W.H. Dietz, Predicting obesity in young adulthood from childhood and parental obesity. New Engl. J. Med. 37, 869–873 (1997)

    Article  Google Scholar 

  4. D.A. Dev, B.A. McBride, B.H. Fiese, B.L. Jones, H. Cho, Behalf Of The Strong Kids Research Team, Risk factors for overweight/obesity in preschool children: an ecological approach. Child. Obes. 9, 399–408 (2013)

  5. L. Zhou, G. He, J. Zhang, R. Xie, M. Walker, S.W. Wen, Risk factors of obesity in preschool children in an urban area in China. Eur. J. Pediatr. 170, 1401–1406 (2011)

    Article  PubMed  Google Scholar 

  6. P.J. Surkan, C.C. Hseish, A.L.V. Johansson, P.W. Dickman, S. Cnattingius, Reasons for increasing trends in large for gestational age births. Obstet. Gynecol. 104, 720–726 (2004)

    Article  PubMed  Google Scholar 

  7. J. Oldroyd, A. Renzaho, H. Skouteris, Low and high birth weight as risk factors for obesity among 4 to 5-year-old Australian children: does gender matter? Eur. J. Pediatr. 170, 899–906 (2011)

    Article  CAS  PubMed  Google Scholar 

  8. N. Li, E. Liu, S. Sun, J. Guo, L. Pan, P. Wang, J. Liu, L. Tan, G. Liu, G. Hu, Birth weight and overweight or obesity risk in children under 3 years in China. Am. J. Hum. Biol. 26(3), 331–336 (2014). doi:10.1002/ajhb.22506

    Article  PubMed  Google Scholar 

  9. S. Brophy, R. Cooksey, M.B. Gravenor, R. Mistry, N. Thomas, R.A. Lyons, R. Williams, Risk factors for childhood obesity at age 5: analysis of the millennium cohort study. BMC Public Health 9, 467 (2009)

    Article  PubMed Central  PubMed  Google Scholar 

  10. L. Dubois, M. Girard, Early determinants of overweight at 4.5 years in a population-based longitudinal study. Int. J. Obes. 30, 610–617 (2006)

    Article  CAS  Google Scholar 

  11. V. Hirschler, J. Bugna, M. Roque, T. Gilligan, C. Gonzalez, Does low birth weight predict obesity/overweight and metabolic syndrome in elementary school children? Arch. Med. Res. 39, 796–802 (2008)

    Article  PubMed  Google Scholar 

  12. X. Zhang, E. Liu, Z. Tian, W. Wang, T. Ye, G. Liu, Y. Li, P. Wang, X. Yang, Z. Yu, G. Hu, High birth weight and overweight or obesity among Chinese children 3–6 years old. Prev. Med. 49, 172–178 (2009)

    Article  PubMed  Google Scholar 

  13. N. Padilla, M.L. Biason, B. Ledésert, Prevalence and risk factors of overweight among 5- to 11-year-old schoolchildren in Narbonne. France. Sante Publique 24, 317–328 (2012)

    PubMed  Google Scholar 

  14. W.W. Wong, C.L. Ortiz, D. Lathan, L.A. Moore, K.L. Konzelmann, A.L. Adolph, E.O. Smith, N.F. Butte, Sleep duration of underserved minority children in a cross-sectional study. BMC Public Health 13, 648 (2013)

    Article  PubMed Central  PubMed  Google Scholar 

  15. U. Ekelund, L.B. Sardinha, S.A. Anderssen, M. Harro, P.W. Franks, S. Brage, A.R. Cooper, L.B. Andersen, C. Riddoch, K. Froberg, Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-old European children: a population-based study from 4 distinct regions in Europe (the European Youth Heart Study). Am. J. Clin. Nutr. 80, 584–590 (2004)

    CAS  PubMed  Google Scholar 

  16. M.S. Kramer, Do breast-feeding and delayed introduction of solid foods protect against subsequent obesity? J. Pediatr. 98, 883–887 (1981)

    Article  CAS  PubMed  Google Scholar 

  17. S. Arenz, R. Rückerl, B. Koletzko, R. von Kries, Breast-feeding and childhood obesity—a systematic review. Int. J. Obes. Relat. Metab. Disord. 28, 1247–1256 (2004)

    Article  CAS  PubMed  Google Scholar 

  18. V. Burke, L.J. Beilin, K. Simmer, W.H. Oddy, K.V. Blake, D. Doherty, G.E. Kendall, J.P. Newnham, L.I. Landau, F.J. Stanley, Breastfeeding and overweight: longitudinal analysis in an Australian birth cohort. J. Pediatr. 147, 56–61 (2005)

    Article  PubMed  Google Scholar 

  19. T. Harder, R. Bergmann, G. Kallischnigg, A. Plagemann, Duration of breastfeeding and risk of overweight: a meta-analysis. Am. J. Epidemiol. 162, 397–403 (2005)

    Article  PubMed  Google Scholar 

  20. C.G. Owen, R.M. Martin, P.H. Whincup, G.D. Smith, D.G. Cook, Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics 115, 1367–1377 (2005)

    Article  PubMed  Google Scholar 

  21. E.J. Mayer-Davis, S.L. Rifas-Shiman, L. Zhou, F.B. Hu, G.A. Colditz, M.W. Gillman, Breast-feeding and risk for childhood obesity. Diabetes Care 29, 2231–2237 (2006)

    Article  PubMed Central  PubMed  Google Scholar 

  22. L. Shields, M. O’Callaghan, G.M. Williams, J.M. Najman, W. Bor, Breastfeeding and obesity at 14 years: a cohort study. J. Paediatr. Child Health 42, 289–296 (2006)

    Article  PubMed  Google Scholar 

  23. M. Weyermann, D. Rothenbacher, H. Brenner, Duration of breastfeeding and risk of overweight in childhood: a prospective birth cohort study from Germany. Int. J. Obes. 30, 1281–1287 (2006)

    Article  CAS  Google Scholar 

  24. M.W. Gillman, D. Barker, D. Bier, F. Cagampang, J. Challis, C. Fall, K. Godfrey, P. Gluckman, M. Hanson, D. Kuh, P. Nathanielsz, P. Nestel, K.L. Thornburg, Meeting report on the 3rd International Congress on Developmental Origins of Health and Disease (DOHaD). Pediatr. Res. 61, 625–629 (2007)

    Article  PubMed  Google Scholar 

  25. D.D. Bingham, M.I. Varela-Silva, M.M. Ferrão, G. Augusta, M.I. Mourão, H. Nogueira, V.R. Marques, C. Padez, Socio-demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in Portuguese children. Am. J. Hum. Biol. 25, 733–742 (2013)

    Article  PubMed  Google Scholar 

  26. R.A. Forshee, P.A. Anderson, M.L. Storey, Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis. Am. J. Clin. Nutr. 87, 1662–1671 (2008)

    CAS  PubMed  Google Scholar 

  27. V. Ebenegger, P.M. Marques-Vidal, A. Nydegger, J. Laimbacher, I. Niederer, F. Bürgi, V. Giusti, P. Bodenmann, S. Kriemler, J.J. Puder, Independent contribution of parental migrant status and educational level to adiposity and eating habits in preschool children. Eur. J. Clin. Nutr. 65, 210–218 (2011)

    Article  CAS  PubMed  Google Scholar 

  28. T.A. Nicklas, S.J. Yang, T. Baranowski, I. Zakeri, G. Berenson, Eating patterns and obesity in children. The Bogalusa Heart Study. Am. J. Prev. Med. 25, 9–16 (2003)

    Article  PubMed  Google Scholar 

  29. S.A. Bowman, S.L. Gortmaker, C.B. Ebbeling, M.A. Pereira, D.S. Ludwig, Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics 113, 112–118 (2004)

    Article  PubMed  Google Scholar 

  30. W.S. Wolfe, C.C. Campbell, E.A. Frongillo Jr, J.D. Haas, T.A. Melnik, Overweight schoolchildren in New York State: prevalence and characteristics. Am. J. Public Health 84, 807–813 (1994)

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  31. K.A. Coon, K.L. Tucker, Television and children’s consumption patterns. A review of the literature. Minerva Pediatr. 54, 423–436 (2002)

    CAS  PubMed  Google Scholar 

  32. E.M. Blass, D.R. Anderson, H.L. Kirkorian, T.A. Pempek, I. Price, M.F. Koleini, On the road to obesity: television viewing increases intake of high-density foods. Physiol. Behav. 88, 597–604 (2006)

    Article  CAS  PubMed  Google Scholar 

  33. L. Dubois, A. Farmer, M. Girard, K. Peterson, Social factors and television use during meals and snacks is associated with higher BMI among pre-school children. Public Health Nutr. 11, 1267–1279 (2008)

    Article  PubMed  Google Scholar 

  34. E. Gualdi-Russo, L. Zaccagni, V.S. Manzon, S. Masotti, N. Rinaldo, M. Khyatti, Obesity and physical activity in children of immigrants. Eur. J. Public Health 24(suppl 1), 40–46 (2014)

  35. A.M. Lasserre, A. Chiolero, F. Cachat, F. Paccaud, P. Bovet, Overweight in Swiss children and associations with children’s and parents’ characteristics. Obesity 15, 2912–2919 (2007)

    Article  PubMed  Google Scholar 

  36. S. Caprio, S.R. Daniels, A. Drewnowski, F.R. Kaufman, L.A. Palinkas, A.L. Rosenbloom, J.B. Schwimmer, Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment: a consensus statement of Shaping America’s Health and the Obesity Society. Diabetes Care 31, 2211–2221 (2008)

    Article  PubMed Central  PubMed  Google Scholar 

  37. J. Van Hook, K. Balistreri, Immigrant generation, socioeconomic status and economic development of countries of origin: a longitudinal study of body mass index among children. Soc. Sci. Med. 65, 976–989 (2007)

    Article  PubMed  Google Scholar 

  38. K.S. Balistreri, J. Van Hook, Socioeconomic status and body mass index among hispanic children of immigrants and children of natives. Am. J. Public Health 99, 1–8 (2009)

    Article  Google Scholar 

  39. S. Toselli, P. Brasili, F. Spiga, Body image, body dissatisfaction and weight status in children from Emilia-Romagna (Italy): comparison between immigrant and native-born. Ann. Hum. Biol. 41, 23–28 (2014)

    Article  PubMed  Google Scholar 

  40. E. Gualdi-Russo, V.S. Manzon, S. Masotti, S. Toselli, A. Albertini, F. Celenza, L. Zaccagni, Weight status and perception of body image in children: the effect of maternal immigrant status. Nutr. J. 11, 85 (2012)

    Article  PubMed Central  PubMed  Google Scholar 

  41. S. Sausenthaler, I. Kompauer, A. Mielck, M. Borte, O. Herbarth, B. Schaaf, A. von Berg, J. Heinrich, Impact of parental education and income inequality on children’s food intake. Public Health Nutr. 10, 24–33 (2007)

    Article  PubMed  Google Scholar 

  42. T.A. Glass, M.J. McAtee, Behavioral science at the crossroads in public health: extending horizons, envisioning the future. Soc. Sci. Med. 62, 1650–1670 (2006)

    Article  PubMed  Google Scholar 

  43. A.K. Ventura, L.L. Birch, Does parenting affect children’s eating and weight status? Int. J. Behav. Nutr. Phys. Act 5, 15 (2008)

    Article  PubMed Central  PubMed  Google Scholar 

  44. A. Tripodi, A. Albertini, R. Cecchetti, A. Fabbri, E. Dalle Donne, C. Saletti, M. Mattioli, S. De Giorgi, G. Cavrini, E. Gualdi-Russo, B. Veronesi, A. Rauti, C. Cortesi, E. Di Martino, M. Nicolucci, F. Celenza, S. Toselli, M.T. Beccari, C. Rizzoli, I. Stefanelli, C. Sardo Cardalano, M. Spano, Sorveglianza Nutrizionale. Determinanti e indicatori di rischio obesità nella popolazione infantile. Emilia Romagna. Indagine 2003 e 2005. In: Prevenzione nei luoghi di vita e di lavoro. 49. Servizio Sanitario Emilia-Romagna Bologna: Centro Stampa Giunta (2006)

  45. E. Gualdi-Russo, A. Albertini, L. Argnani, F. Celenza, M. Nicolucci, S. Toselli, Weight status and body image perception in Italian children. J. Hum. Nutr. Diet. 21, 39–45 (2008)

    Article  CAS  PubMed  Google Scholar 

  46. R. Muckelbauer, L. Libuda, K. Clausen, A.M. Toschke, T. Reinehr, M. Kersting, Immigrational background affects the effectiveness of a school-based overweight prevention program promoting water consumption. Obesity 18, 528–534 (2010)

    Article  PubMed  Google Scholar 

  47. T.J. Cole, M.C. Bellizzi, K.M. Flegal, W.H. Dietz, Establishing a standard definition for child overweight and obesity worldwide: international survey. Br. Med. J. 320, 1240–1245 (2000)

    Article  CAS  Google Scholar 

  48. T.J. Cole, K.M. Flegal, D. Nicholls, A.A. Jackson, Body mass index cut offs to define thinness in children and adolescents: international survey. Br. Med. J. 335, 194–201 (2007)

    Article  Google Scholar 

  49. World Health Organization, Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ. Tech. Rep. Ser. 854, 1–452 (1995)

    Google Scholar 

  50. National Institute for Health and Clinical Excellence: Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. http://www.ncbi.nlm.nih.gov/books/NBK63696/pdf/TOC.pdf. Accessed 3 Sep 2014

  51. G. Flores, H. Lin, Factors predicting overweight in US kindergartners. Am. J. Clin. Nutr. 97, 1178–1187 (2013)

    Article  CAS  PubMed  Google Scholar 

  52. C.L. Falconer, M.H. Park, H. Croker, A.S. Kessel, S. Saxena, R.M. Viner, S. Kinra, Can the relationship between ethnicity and obesity-related behaviours among school-aged children be explained by deprivation? A cross-sectional study. BMJ Open 4(1), e003949 (2014). doi:10.1136/bmjopen-2013-003949

    Article  PubMed Central  PubMed  Google Scholar 

  53. S. Toselli, L. Argnani, E. Gualdi-Russo, Growth of Chinese Italian infants in the first 2 years of life. Ann. Hum. Biol. 32, 15–29 (2005)

    Article  CAS  PubMed  Google Scholar 

  54. A. Drewnowski, N. Darmon, A. Briend, Replacing fats and sweets with vegetables and fruits-a question of cost. Am. J. Public Health 94, 1555–1559 (2004)

    Article  PubMed Central  PubMed  Google Scholar 

  55. C.M. Potter, S.J. Ulijaszek, Predicting adult obesity from measures in earlier life. J. Epidemiol. Community Health 67, 1032–1037 (2013)

    Article  PubMed  Google Scholar 

  56. E. Gualdi-Russo, S. Toselli, S. Masotti, D. Marzouk, K. Sundquist, J. Sundquist, Health, growth and psychosocial adaptation of immigrant children. European Journal of Public Health 24 (suppl 1), 26–30 (2014)

Download references

Acknowledgments

This study was supported by the Italian Health Ministry and by the European Union Seventh Framework Programme (FP7/2007-2013, Grant 260715). The authors gratefully acknowledge the contribution of the participating parents and children, and public health services.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luciana Zaccagni.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Toselli, S., Zaccagni, L., Celenza, F. et al. Risk factors of overweight and obesity among preschool children with different ethnic background. Endocrine 49, 717–725 (2015). https://doi.org/10.1007/s12020-014-0479-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-014-0479-4

Keywords

Navigation