Preschool child care participation and obesity at the start of kindergarten
Preschool child care participation and obesity at the start of kindergarten
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DOI：
10.1542/peds.2007-2233
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发表时间：
2008-08-01
期刊：
影响因子：
8
通讯作者：
Johnson, Donna B.
中科院分区：
文献类型：
--
作者：
Maher, Erin J.;Li, Guanghui;Johnson, Donna B.
客观的。我们研究了儿童保育类型、幼儿园前一年参与不同类型儿童保育的情况与幼儿园开始时肥胖的可能性之间的关系。方法。我们使用来自早期儿童纵向研究-幼儿园队列的 15 691 名首次上幼儿园的全国代表性样本，使用逻辑回归来估计初级托儿安排类型与儿童在幼儿园开始时肥胖的可能性之间的关系。我们的模型控制了与肥胖和儿童保育选择相关的家庭和儿童特征。为了研究儿童保育参与对肥胖高危群体的不同影响，我们测试了儿童的种族和收入与主要儿童保育类型之间的相互作用。结果。在幼儿园开始时，12%的孩子患有肥胖症。在不控制儿童和家庭的其他特征的情况下，与其他初级托儿机构中的儿童相比，不在托儿所中的儿童肥胖的可能性显着降低，而在家庭、朋友和邻居托儿所中的儿童肥胖的可能性明显更高。与其他族裔群体的儿童相比，白人儿童肥胖的可能性明显较低，拉丁裔儿童肥胖的可能性更高。在控制了相关的儿童和家庭特征后，在家庭、朋友和邻居看护中的儿童以及 Head Start 中的非拉丁裔儿童比不在托儿所看护的儿童更有可能肥胖。然而，对于拉丁裔儿童来说，参与某些类型的非父母儿童保育对他们肥胖的可能性有保护作用。结论。主要的儿童保育类型与儿童肥胖有关。对于肥胖风险更大的拉丁裔儿童来说，参与非父母儿童保育似乎具有保护作用。这些结果表明，儿童保育机构可能是关键发展时期政策干预的重要场所。可能有必要努力帮助家人、朋友和邻居的照顾者支持儿童的身体健康。
OBJECTIVE. We examined the association between type of child care, participation in different types of child care in the year before kindergarten and the likelihood of obesity at the start of kindergarten.METHODS. Using a nationally representative sample of 15 691 first-time kindergartners from the Early Childhood Longitudinal Study-Kindergarten Cohort, we used logistic regression to estimate the relationship between type of primary child care arrangement and children's likelihood of being obese at the start of kindergarten. Our models controlled for family and child characteristics associated with obesity and choice of child care. To examine differential effects of child care participation for groups at high risk for obesity, we tested interactions between children's ethnicity and income with primary type of child care.RESULTS. At the start of kindergarten, 12% of the children were obese. Without controlling for other characteristics of children and families, children not in child care were significantly less likely and children in family, friend, and neighbor care were significantly more likely to be obese than children in other primary child care arrangements. White children were significantly less likely and Latino children more likely to be obese than children of other ethnic groups. After controlling for relevant child and family characteristics, children in family, friend, and neighbor care and non-Latino children in Head Start were more likely to be obese than children not in child care. For Latino children, however, participation in some types of nonparental child care had protective effects on their likelihood of being obese.CONCLUSIONS. Primary type of child care is associated with children's obesity. For Latino children, who are at a greater risk of being obese, participation in nonparental child care seems to have a protective effect. These results suggest that child care settings may be an important site for policy intervention during a crucial developmental period. Efforts to help family, friend, and neighbor caregivers support children's physical health may be warranted.