Family structure in relation to body mass index and metabolic score in European children and adolescents.
BMI
family structure
metabolic score
only child
overweight
single parent
Journal
Pediatric obesity
ISSN: 2047-6310
Titre abrégé: Pediatr Obes
Pays: England
ID NLM: 101572033
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
revised:
09
07
2022
received:
08
12
2021
accepted:
18
07
2022
pubmed:
12
8
2022
medline:
15
11
2022
entrez:
11
8
2022
Statut:
ppublish
Résumé
Living in single parent and blended families or as an only child-compared to living in two-parent biological families or with siblings, respectively-is associated with a higher body mass index (BMI) in cross-sectional studies. However, longitudinal research addressing the children's BMI in this context is scarce. Further, little is known about the association between family structure and metabolic health. This study aimed at investigating the association between both aspects of family structure with BMI and a metabolic score (MetS). Cross-sectional data from 7804 children participating in the European multi-center I.Family study (2013/2014) and longitudinal data from 5621 children who also participated previously in the IDEFICS study (2007-2010) were used. Family structure was assessed by a detailed interview. BMI z-score and the MetS were based on measured anthropometry, blood pressure, high-density lipoprotein, blood glucose, and triglycerides. Linear regressions were performed to model associations between family structure with BMI and MetS. Children from single-parent families had higher BMI z-scores in the cross-sectional (β = 0.09, 95% confidence interval [CI]: 0.001 to 0.18) and longitudinal analyses compared to those from two-parent families. Cross-sectionally, the number of siblings was associated with lower BMI z-scores (β = -0.07, 95% CI: -0.10 to -0.03) and lower MetS (β = -0.14, 95% CI: -0.26 to -0.01). Longitudinally, only children between baseline and follow-up had higher BMI z-scores at follow-up (β = 0.07, 95% CI: 0.01 to 0.14) compared to stable siblings. Obesity prevention measures should focus on single-parent households and families with an only child.
Sections du résumé
BACKGROUND
Living in single parent and blended families or as an only child-compared to living in two-parent biological families or with siblings, respectively-is associated with a higher body mass index (BMI) in cross-sectional studies. However, longitudinal research addressing the children's BMI in this context is scarce. Further, little is known about the association between family structure and metabolic health.
OBJECTIVES
This study aimed at investigating the association between both aspects of family structure with BMI and a metabolic score (MetS).
METHODS
Cross-sectional data from 7804 children participating in the European multi-center I.Family study (2013/2014) and longitudinal data from 5621 children who also participated previously in the IDEFICS study (2007-2010) were used. Family structure was assessed by a detailed interview. BMI z-score and the MetS were based on measured anthropometry, blood pressure, high-density lipoprotein, blood glucose, and triglycerides. Linear regressions were performed to model associations between family structure with BMI and MetS.
RESULTS
Children from single-parent families had higher BMI z-scores in the cross-sectional (β = 0.09, 95% confidence interval [CI]: 0.001 to 0.18) and longitudinal analyses compared to those from two-parent families. Cross-sectionally, the number of siblings was associated with lower BMI z-scores (β = -0.07, 95% CI: -0.10 to -0.03) and lower MetS (β = -0.14, 95% CI: -0.26 to -0.01). Longitudinally, only children between baseline and follow-up had higher BMI z-scores at follow-up (β = 0.07, 95% CI: 0.01 to 0.14) compared to stable siblings.
CONCLUSION
Obesity prevention measures should focus on single-parent households and families with an only child.
Identifiants
pubmed: 35950257
doi: 10.1111/ijpo.12963
pmc: PMC9786348
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12963Informations de copyright
© 2022 The Authors. Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
Références
Soc Sci Res. 2012 Jul;41(4):820-32
pubmed: 23017853
Public Health Nutr. 2022 Mar;25(3):702-709
pubmed: 33109279
Int J Environ Res Public Health. 2019 Oct 22;16(20):
pubmed: 31652617
Curr Obes Rep. 2016 Jun;5(2):145-55
pubmed: 27066793
BMC Med. 2019 Nov 25;17(1):212
pubmed: 31760948
Obesity (Silver Spring). 2011 Feb;19(2):345-52
pubmed: 20798670
Arch Dis Child. 2008 Sep;93(9):772-7
pubmed: 18591181
Environ Health Prev Med. 2020 Aug 21;25(1):42
pubmed: 32825824
Front Pediatr. 2018 Aug 15;6:212
pubmed: 30159304
J Youth Adolesc. 2019 Nov;48(11):2255-2270
pubmed: 31440881
Pediatr Obes. 2012 Aug;7(4):284-94
pubmed: 22715120
Int J Epidemiol. 2017 Oct 1;46(5):1394-1395j
pubmed: 28040744
Int J Cardiol. 2018 Dec 1;272:333-340
pubmed: 30017513
Int J Behav Nutr Phys Act. 2020 Mar 5;17(1):32
pubmed: 32138743
Soc Sci Med. 2017 May;180:143-151
pubmed: 28347939
PLoS One. 2016 Feb 10;11(2):e0147403
pubmed: 26863108
Nutrients. 2017 Feb 10;9(2):
pubmed: 28208650
Pediatr Obes. 2022 Dec;17(12):e12963
pubmed: 35950257
Paediatr Perinat Epidemiol. 2017 Jan;31(1):76-86
pubmed: 27873339
J Clin Nurs. 2017 Dec;26(23-24):3869-3880
pubmed: 28295797
Ann Epidemiol. 2021 Mar;55:83-90.e1
pubmed: 33433327
Nutrients. 2017 Jul 11;9(7):
pubmed: 28696403
Int J Behav Nutr Phys Act. 2020 Apr 15;17(1):50
pubmed: 32295621
Nutr Diabetes. 2012 Jul 02;2:e35
pubmed: 23448718
Int J Epidemiol. 2019 Oct 1;48(5):1673-1683
pubmed: 31098634
Int J Behav Nutr Phys Act. 2016 Jun 14;13:68
pubmed: 27301414
Public Health Nutr. 2014 Oct;17(10):2307-15
pubmed: 24053908
Pediatr Obes. 2016 Feb;11(1):40-6
pubmed: 25735955
Matern Child Health J. 2014 Sep;18(7):1772-7
pubmed: 24370680
J Sci Med Sport. 2016 May;19(5):400-6
pubmed: 26111721
Int J Obes (Lond). 2011 Apr;35 Suppl 1:S3-15
pubmed: 21483420
Pediatr Obes. 2022 Jul;17(7):e12899
pubmed: 35146941
Public Health Nutr. 2021 Jun;24(9):2521-2532
pubmed: 33106205
Acta Paediatr. 2020 Mar;109(3):587-594
pubmed: 31532830
Health Educ Res. 2010 Apr;25(2):199-210
pubmed: 18502732
Soc Sci Med. 2019 Jul;232:220-229
pubmed: 31102932
Int J Behav Nutr Phys Act. 2017 Apr 11;14(1):47
pubmed: 28399881
Int J Obes (Lond). 2014 Sep;38 Suppl 2:S4-14
pubmed: 25376220
BMC Public Health. 2019 Apr 25;19(1):433
pubmed: 31023280
J Pediatr Endocrinol Metab. 2020 Nov 16;34(1):51-58
pubmed: 33581702
Pediatrics. 2007 Dec;120 Suppl 4:S164-92
pubmed: 18055651
Prev Med. 2020 Dec;141:106291
pubmed: 33069689