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Neighbourhood socio‐economic environment predicts adiposity and obesity risk in children under two.
- Source :
- Pediatric Obesity; Dec2022, Vol. 17 Issue 12, p1-10, 10p
- Publication Year :
- 2022
-
Abstract
- Summary: Background: Neighbourhood socio‐economic environment (SEE) is associated with obesity in older children and adults, but little is known about this relationship in younger children. Breastfeeding is an important preventative of adiposity in childhood, but its relationship with neighbourhood SEE is unknown. Aims: We assessed differences in adiposity and obesity in children before age two by neighbourhood SEE, controlling for family socio‐demographics and breastfeeding duration. Materials and Methods: Family socio‐demographics, child body mass index z scores (BMIz), and breastfeeding duration were collected at periodic study visits from participants in PREVAIL (n = 245), a birth cohort in Cincinnati, OH. Addresses were assigned a Deprivation Index score, a validated measure of SEE, and dichotomized into highest SEE (least deprived quartile of scores) and not highest SEE (remaining quartiles). Longitudinal and Poisson models assessed differences in BMIz by SEE over the second year of life and obesity risk at age two, respectively (highest SEE, reference), while attenuation of obesity risk by breastfeeding duration was tested in mediation models. Results: Residing outside of the highest SEE neighbourhoods was associated with an increased BMIz of 0.04 (95%CI 0.02, 0.06) per month of life and increased obesity risk at age two (aRR: 3.7, 95%CI 1.2, 16.2), controlling for family socio‐demographics. Breastfeeding duration attenuated >9% of the obesity risk attributable to SEE (mediated RR: 3.4, 95%CI 1.1, 14.8). Discussion: In the PREVAIL Cohort, residing outside of the highest SEE neighbourhoods predicted a significant increase in BMIz and obesity risk in children before age two, a relationship that was partially mediated by breastfeeding duration. Conclusion: Breastfeeding support may play an important role in reducing obesity rates in children in lower SEE neighbourhoods. [ABSTRACT FROM AUTHOR]
- Subjects :
- RISK of childhood obesity
RELATIVE medical risk
MOTHERS
CONFIDENCE intervals
SOCIAL determinants of health
ANALYSIS of variance
SELF-evaluation
MULTIPLE regression analysis
MULTIVARIATE analysis
CHILDHOOD obesity
FISHER exact test
REGRESSION analysis
SOCIOECONOMIC factors
BREASTFEEDING
FACTOR analysis
DESCRIPTIVE statistics
BODY mass index
STATISTICAL models
DATA analysis software
HEALTH equity
ADIPOSE tissues
SECONDARY analysis
POISSON distribution
Subjects
Details
- Language :
- English
- ISSN :
- 20476302
- Volume :
- 17
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Pediatric Obesity
- Publication Type :
- Academic Journal
- Accession number :
- 160116923
- Full Text :
- https://doi.org/10.1111/ijpo.12964