Prospective Associations between Social Vulnerabilities and Children's Weight Status: Results from the IDEFICS Study

Isabel Iguacel, Juan M. Fernandez-Alvira, Wolfgang Ahrens, Karin Bammann, Wencke Gwozdz, Lauren Lissner, Nathalie Michels, Lucia A. Reisch, Paola Russo, Aliz Szommer, Michael Tornaritis, Toomas Veidebaum, Claudia Börnhorst, Luis Alberto Moreno

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background/objectives: In high-income countries, childhood obesity follows a clear socioeconomic gradient with greater prevalence in children with lower socioeconomic status (SES). The extent to which the trend of other social vulnerabilities over time and the accumulation of these vulnerabilities can affect children’s weight is still unknown.
Subjects/methods: In the IDEFICS study, 8624 children aged 2.0–9.9 years from eight European countries were examined at baseline and after 2 years. Sociodemographic variables, maternal body mass index (BMI), and lifestyle were reported by parents. Children were measured and classified as thin, normal weight, and overweight/obese using the extended IOTF criteria. Four vulnerable groups were defined: children whose parents were migrants, children whose parents lack a social network, children from non-traditional families (children not living with both biological parents), and children with unemployed parents. Logistic mixed-effects models were used to study the association between vulnerabilities and children’s weight at baseline and follow-up, temporal trends in vulnerabilities and children’s weight and accumulation of vulnerabilities and children’s weight. Models were adjusted for lifestyle, maternal BMI, parental education, and income.
Results: Children whose parents lost their social support at follow-up were more likely to be thin than non-vulnerable children (OR = 1.69, 99% CI = 1.03–2.78). Children whose parents had a migrant background (OR = 1.30, 99% CI 1.04–1.62), children from non-traditional families at both time points (OR = 1.40, 99% CI 1.03–1.90) and whose parents were unemployed at baseline and follow-up (OR = 2.03, 99% CI 1.03–3.99) were more likely to be overweight/obese compared to non-vulnerable children. Cross-sectionally, we did not find an association between parental lack of network, non-traditional family structure, or employment and children’s weight status.
Conclusions: Policy actions are required to tackle inadequate weight loss and gain among vulnerable children (especially those exposed over the long term) since they are at a higher risk of thinness and overweight.
Background/objectives: In high-income countries, childhood obesity follows a clear socioeconomic gradient with greater prevalence in children with lower socioeconomic status (SES). The extent to which the trend of other social vulnerabilities over time and the accumulation of these vulnerabilities can affect children’s weight is still unknown.
Subjects/methods: In the IDEFICS study, 8624 children aged 2.0–9.9 years from eight European countries were examined at baseline and after 2 years. Sociodemographic variables, maternal body mass index (BMI), and lifestyle were reported by parents. Children were measured and classified as thin, normal weight, and overweight/obese using the extended IOTF criteria. Four vulnerable groups were defined: children whose parents were migrants, children whose parents lack a social network, children from non-traditional families (children not living with both biological parents), and children with unemployed parents. Logistic mixed-effects models were used to study the association between vulnerabilities and children’s weight at baseline and follow-up, temporal trends in vulnerabilities and children’s weight and accumulation of vulnerabilities and children’s weight. Models were adjusted for lifestyle, maternal BMI, parental education, and income.
Results: Children whose parents lost their social support at follow-up were more likely to be thin than non-vulnerable children (OR = 1.69, 99% CI = 1.03–2.78). Children whose parents had a migrant background (OR = 1.30, 99% CI 1.04–1.62), children from non-traditional families at both time points (OR = 1.40, 99% CI 1.03–1.90) and whose parents were unemployed at baseline and follow-up (OR = 2.03, 99% CI 1.03–3.99) were more likely to be overweight/obese compared to non-vulnerable children. Cross-sectionally, we did not find an association between parental lack of network, non-traditional family structure, or employment and children’s weight status.
Conclusions: Policy actions are required to tackle inadequate weight loss and gain among vulnerable children (especially those exposed over the long term) since they are at a higher risk of thinness and overweight.
LanguageEnglish
JournalInternational Journal of Obesity
Volume42
Issue number10
Pages1691-1703
Number of pages13
ISSN0307-0565
DOIs
StatePublished - 2018

Bibliographical note

CBS Library does not have access to the material

Keywords

  • Epidemiology
  • Health policy
  • Obesity
  • Risk factors

Cite this

Iguacel, I., Fernandez-Alvira, J. M., Ahrens, W., Bammann, K., Gwozdz, W., Lissner, L., ... Moreno, L. A. (2018). Prospective Associations between Social Vulnerabilities and Children's Weight Status: Results from the IDEFICS Study. International Journal of Obesity, 42(10), 1691-1703. DOI: 10.1038/s41366-018-0199-6
Iguacel, Isabel ; Fernandez-Alvira, Juan M. ; Ahrens, Wolfgang ; Bammann, Karin ; Gwozdz, Wencke ; Lissner, Lauren ; Michels, Nathalie ; Reisch, Lucia A. ; Russo, Paola ; Szommer, Aliz ; Tornaritis, Michael ; Veidebaum, Toomas ; Börnhorst, Claudia ; Moreno, Luis Alberto. / Prospective Associations between Social Vulnerabilities and Children's Weight Status : Results from the IDEFICS Study. In: International Journal of Obesity. 2018 ; Vol. 42, No. 10. pp. 1691-1703
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abstract = "Background/objectives: In high-income countries, childhood obesity follows a clear socioeconomic gradient with greater prevalence in children with lower socioeconomic status (SES). The extent to which the trend of other social vulnerabilities over time and the accumulation of these vulnerabilities can affect children’s weight is still unknown.Subjects/methods: In the IDEFICS study, 8624 children aged 2.0–9.9 years from eight European countries were examined at baseline and after 2 years. Sociodemographic variables, maternal body mass index (BMI), and lifestyle were reported by parents. Children were measured and classified as thin, normal weight, and overweight/obese using the extended IOTF criteria. Four vulnerable groups were defined: children whose parents were migrants, children whose parents lack a social network, children from non-traditional families (children not living with both biological parents), and children with unemployed parents. Logistic mixed-effects models were used to study the association between vulnerabilities and children’s weight at baseline and follow-up, temporal trends in vulnerabilities and children’s weight and accumulation of vulnerabilities and children’s weight. Models were adjusted for lifestyle, maternal BMI, parental education, and income.Results: Children whose parents lost their social support at follow-up were more likely to be thin than non-vulnerable children (OR = 1.69, 99{\%} CI = 1.03–2.78). Children whose parents had a migrant background (OR = 1.30, 99{\%} CI 1.04–1.62), children from non-traditional families at both time points (OR = 1.40, 99{\%} CI 1.03–1.90) and whose parents were unemployed at baseline and follow-up (OR = 2.03, 99{\%} CI 1.03–3.99) were more likely to be overweight/obese compared to non-vulnerable children. Cross-sectionally, we did not find an association between parental lack of network, non-traditional family structure, or employment and children’s weight status.Conclusions: Policy actions are required to tackle inadequate weight loss and gain among vulnerable children (especially those exposed over the long term) since they are at a higher risk of thinness and overweight.",
keywords = "Epidemiology, Health policy, Obesity, Risk factors, Epidemiology, Health policy, Obesity, Risk factors",
author = "Isabel Iguacel and Fernandez-Alvira, {Juan M.} and Wolfgang Ahrens and Karin Bammann and Wencke Gwozdz and Lauren Lissner and Nathalie Michels and Reisch, {Lucia A.} and Paola Russo and Aliz Szommer and Michael Tornaritis and Toomas Veidebaum and Claudia B{\"o}rnhorst and Moreno, {Luis Alberto}",
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Iguacel, I, Fernandez-Alvira, JM, Ahrens, W, Bammann, K, Gwozdz, W, Lissner, L, Michels, N, Reisch, LA, Russo, P, Szommer, A, Tornaritis, M, Veidebaum, T, Börnhorst, C & Moreno, LA 2018, 'Prospective Associations between Social Vulnerabilities and Children's Weight Status: Results from the IDEFICS Study' International Journal of Obesity, vol. 42, no. 10, pp. 1691-1703. DOI: 10.1038/s41366-018-0199-6

Prospective Associations between Social Vulnerabilities and Children's Weight Status : Results from the IDEFICS Study. / Iguacel, Isabel; Fernandez-Alvira, Juan M.; Ahrens, Wolfgang; Bammann, Karin; Gwozdz, Wencke; Lissner, Lauren; Michels, Nathalie; Reisch, Lucia A.; Russo, Paola; Szommer, Aliz; Tornaritis, Michael; Veidebaum, Toomas; Börnhorst, Claudia; Moreno, Luis Alberto.

In: International Journal of Obesity, Vol. 42, No. 10, 2018, p. 1691-1703.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Prospective Associations between Social Vulnerabilities and Children's Weight Status

T2 - International Journal of Obesity

AU - Iguacel,Isabel

AU - Fernandez-Alvira,Juan M.

AU - Ahrens,Wolfgang

AU - Bammann,Karin

AU - Gwozdz,Wencke

AU - Lissner,Lauren

AU - Michels,Nathalie

AU - Reisch,Lucia A.

AU - Russo,Paola

AU - Szommer,Aliz

AU - Tornaritis,Michael

AU - Veidebaum,Toomas

AU - Börnhorst,Claudia

AU - Moreno,Luis Alberto

N1 - CBS Library does not have access to the material

PY - 2018

Y1 - 2018

N2 - Background/objectives: In high-income countries, childhood obesity follows a clear socioeconomic gradient with greater prevalence in children with lower socioeconomic status (SES). The extent to which the trend of other social vulnerabilities over time and the accumulation of these vulnerabilities can affect children’s weight is still unknown.Subjects/methods: In the IDEFICS study, 8624 children aged 2.0–9.9 years from eight European countries were examined at baseline and after 2 years. Sociodemographic variables, maternal body mass index (BMI), and lifestyle were reported by parents. Children were measured and classified as thin, normal weight, and overweight/obese using the extended IOTF criteria. Four vulnerable groups were defined: children whose parents were migrants, children whose parents lack a social network, children from non-traditional families (children not living with both biological parents), and children with unemployed parents. Logistic mixed-effects models were used to study the association between vulnerabilities and children’s weight at baseline and follow-up, temporal trends in vulnerabilities and children’s weight and accumulation of vulnerabilities and children’s weight. Models were adjusted for lifestyle, maternal BMI, parental education, and income.Results: Children whose parents lost their social support at follow-up were more likely to be thin than non-vulnerable children (OR = 1.69, 99% CI = 1.03–2.78). Children whose parents had a migrant background (OR = 1.30, 99% CI 1.04–1.62), children from non-traditional families at both time points (OR = 1.40, 99% CI 1.03–1.90) and whose parents were unemployed at baseline and follow-up (OR = 2.03, 99% CI 1.03–3.99) were more likely to be overweight/obese compared to non-vulnerable children. Cross-sectionally, we did not find an association between parental lack of network, non-traditional family structure, or employment and children’s weight status.Conclusions: Policy actions are required to tackle inadequate weight loss and gain among vulnerable children (especially those exposed over the long term) since they are at a higher risk of thinness and overweight.

AB - Background/objectives: In high-income countries, childhood obesity follows a clear socioeconomic gradient with greater prevalence in children with lower socioeconomic status (SES). The extent to which the trend of other social vulnerabilities over time and the accumulation of these vulnerabilities can affect children’s weight is still unknown.Subjects/methods: In the IDEFICS study, 8624 children aged 2.0–9.9 years from eight European countries were examined at baseline and after 2 years. Sociodemographic variables, maternal body mass index (BMI), and lifestyle were reported by parents. Children were measured and classified as thin, normal weight, and overweight/obese using the extended IOTF criteria. Four vulnerable groups were defined: children whose parents were migrants, children whose parents lack a social network, children from non-traditional families (children not living with both biological parents), and children with unemployed parents. Logistic mixed-effects models were used to study the association between vulnerabilities and children’s weight at baseline and follow-up, temporal trends in vulnerabilities and children’s weight and accumulation of vulnerabilities and children’s weight. Models were adjusted for lifestyle, maternal BMI, parental education, and income.Results: Children whose parents lost their social support at follow-up were more likely to be thin than non-vulnerable children (OR = 1.69, 99% CI = 1.03–2.78). Children whose parents had a migrant background (OR = 1.30, 99% CI 1.04–1.62), children from non-traditional families at both time points (OR = 1.40, 99% CI 1.03–1.90) and whose parents were unemployed at baseline and follow-up (OR = 2.03, 99% CI 1.03–3.99) were more likely to be overweight/obese compared to non-vulnerable children. Cross-sectionally, we did not find an association between parental lack of network, non-traditional family structure, or employment and children’s weight status.Conclusions: Policy actions are required to tackle inadequate weight loss and gain among vulnerable children (especially those exposed over the long term) since they are at a higher risk of thinness and overweight.

KW - Epidemiology

KW - Health policy

KW - Obesity

KW - Risk factors

KW - Epidemiology

KW - Health policy

KW - Obesity

KW - Risk factors

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DO - 10.1038/s41366-018-0199-6

M3 - Journal article

VL - 42

SP - 1691

EP - 1703

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

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