Abstract
The aim of this paper was to systematically review the published evidence on the relationship between the type of childcare and risk of childhood overweight or obesity. The databases PubMed, MEDLINE, Cochrane Library and EMBASE were searched using combinations of the various search terms to identify eligible observational studies published between 2000 and May 2016 in English. Fifteen publications from 7 countries matched the inclusion criteria. The most commonly reported childcare arrangements were centre-based (e.g. crèche) and informal care (e.g. relatives, neighbours, friends). Informal care was most frequently associated with an increased risk of childhood overweight and obesity. Associations were also found for other lifestyle variables such as low maternal education, high birth-weight, maternal employment, ethnicity, maternal overweight/obesity and father’s Body Mass Index (BMI).
Conclusion: The relationship between childcare and childhood overweight/obesity is multi-faceted with many aspects linked to childhood adiposity, in particular the age of initiation to care, type of care (i.e. informal care) and shorter breastfeeding duration were related with infant adiposity.
What is known: |
• Lifestyle factors during early years affect health outcomes in adulthood, particularly in children with low birth weight. |
• Pre-school stage influences children’s body composition and growth. |
What is new: |
• This is the first systematic review of observational studies examining the association between childcare and childhood overweight and obesity in preschool children. |
• ‘Informal’ care is linked to early introduction to solid foods, less physical activity and obesity. |
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Abbreviations
- BMI:
-
Body Mass Index
- OECD:
-
Organisation for Economic Co-operation and Development
- SES:
-
Socioeconomic Status
References
S. C. Langley-Evans, Nutrition in early life and the programming of adult disease: a review, J Hum Nutr Diet, vol. 28 Suppl 1, pp. 1–14 2015.
Kim J, Peterson KE (2008) Association of infant child care with infant feeding practices and weight gain among US infants. Arch Pediatr Adolesc Med 162:627–633
Sanders RH, Han A, Baker JS, Cobley S (2015) Childhood obesity and its physical and psychological co-morbidities: a systematic review of Australian children and adolescents. Eur J Pediatr 174:715–746
Benjamin SE, Rifas-Shiman SL, Taveras EM, Haines J, Finkelstein J, Kleinman K, et al. (2009) Early child care and adiposity at ages 1 and 3 years. Pediatrics 124:555–562
Growing-Up-Ireland ST (2011) Key findings: infant cohort (at 9 months) no. 3 childcare and parenting support , ed. Dublin, Ireland, Office of the Minister for Children and Youth Affairs
Lin SL, Leung GM, Hui LL, Lam TH, Schooling CM (2011) Is informal child care associated with childhood obesity? Evidence from Hong Kong’s children of 1997 birth cohort. Int J Epidemiol 40:1238–1246
Maher EJ, Li G, Carter L, Johnson DB (2008) Preschool child care participation and obesity at the start of kindergarten. Pediatrics 122:322–330
Takahashi E, Yoshida K, Sugimori H, Miyakawa M, Izuno T, Yamagami T, et al. (1999) Influence factors on the development of obesity in 3-year-old children based on the Toyama study. Prev Med 28:293–296
Walton J (2012) National Pre-School Nutrition Survey. Summary report on: food and nutrient intakes, physical measurements and barriers to healthy eating, ed. Irish University Nutrition Alliance, Dublin
Pearce A, Li L, Abbas J, Ferguson B, Graham H, Law C, et al. (2010) Is childcare associated with the risk of overweight and obesity in the early years? Findings from the UK millennium cohort study. Int J Obes 34:1160–1168
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6:e1000100
de Onis M, Blössner M, Borghi E (2010) Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 92:1257–1264
Downs SH, Black N (1998) The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 52:377–384
Benjamin Neelon SE, Schou Andersen C, Schmidt Morgen C, Kamper-Jørgensen M, Oken E, Gillman MW, et al. (2015) Early child care and obesity at 12 months of age in the Danish National Birth Cohort. Int J Obes 39:33–38
Flores G, Lin H (2013) Factors predicting severe childhood obesity in kindergarteners. Int J Obes 37:31–39
M. C. Geoffroy, C. Power, E. Touchette, L. Dubois, M. Boivin, J. R. Séguin, et al., Childcare and overweight or obesity over 10 years of follow-up, J Pediatr, vol. 162, pp. 753–758.e (1), 2013.
Gubbels JS, Kremers SP, Stafleu A, Dagnelie PC, de Vries NK, van Buuren S, et al. (2010) Child-care use and the association with body mass index and overweight in children from 7 months to 2 years of age. Int J Obes 34:1480–1486
Koleilat M, Harrison GG, Whaley S, McGregor S, Jenks E, Afifi A (2012) Preschool enrollment is associated with lower odds of childhood obesity among WIC participants in LA County. Matern Child Health J 16:706–712
McLaren L, Zarrabi M, Dutton DJ, Auld MC, Emery JC (2012) Child care: implications for overweight / obesity in Canadian children? Chronic Dis Inj Can 33:1–11
O’Brien M, Nader PR, Houts RM, Bradley R, Friedman SL, Belsky J, et al. (2007) The ecology of childhood overweight: a 12-year longitudinal analysis. Int J Obes 31:1469–1478
Rapp K, Schick KH, Bode H, Weiland SK (2005) Type of kindergarten and other potential determinants of overweight in pre-school children. Public Health Nutr 8:642–649
Tanskanen AO (2013) The association between grandmaternal investment and early years overweight in the UK. Evol Psychol 11:417–425
Watanabe E, Lee JS, Kawakubo K (2011) Associations of maternal employment and three-generation families with pre-school children’s overweight and obesity in Japan. Int J Obes 35:945–952
Wolfenden L, Hardy LL, Wiggers J, Milat AJ, Bell C, Sutherland R (2011) Prevalence and socio-demographic associations of overweight and obesity among children attending child-care services in rural and regional Australia. Nutr Diet 68:15–20
Zahir N, Heyman MB, Wojcicki JM (2013) No association between childcare and obesity at age 4 in low-income Latino children. Pediatr Obes 8:e24–e28
Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. (2002) 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11:1–190
Garza C, de Onis M (2004) Rationale for developing a new international growth reference. Food Nutr Bull 25:S5–14
Sijtsma A, Koller M, Sauer PJ, Corpeleijn E (2015) Television, sleep, outdoor play and BMI in young children: the GECKO Drenthe cohort. Eur J Pediatr 174:631–639
CASP-NHS, Critical Appraisal Skills Programme, ed. Oxford: Public Health Resource Unit, NHS, 2003.
Acknowledgments
This study was supported by the Health Research Board Ireland, the Health Research Centre for diet, and Health research and the European Union’s Seventh Framework Programme (FP7/2007-2013), project Early Nutrition under grant agreement no. 289346.
Author contributions
AEM conducted the literature search, completed data collection and interpretation and wrote the manuscript. GA and KLL assisted with the literature search, data interpretation and writing of the manuscript. HAS and MHH assisted with writing of the paper. ERG and FMM conceived the idea for this project and approved the final draft.
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Goiuri Alberdi declares that she has no conflict of interest. Aoife E. McNamara declares that she has no conflict of interest. Karen L. Lindsay declares that she has no conflict of interest. Helena Scully declares that she has no conflict of interest. Mary H. Horan declares that she has no conflict of interest. Eileen R. Gibney declares that she has no conflict of interest. Fionnuala M. McAuliffe declares that she has no conflict of interest. Goiuri Alberdi, Karen L. Lindsay and Mary H. Horan were funded by European Union’s Seventh Framework Programme (FP7/2007–2013).
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Communicated by Mario Bianchetti
Revisions received: 4 July 2016; 16 August 2016
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Alberdi, G., McNamara, A.E., Lindsay, K.L. et al. The association between childcare and risk of childhood overweight and obesity in children aged 5 years and under: a systematic review. Eur J Pediatr 175, 1277–1294 (2016). https://doi.org/10.1007/s00431-016-2768-9
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DOI: https://doi.org/10.1007/s00431-016-2768-9