학술논문
Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler's Health Study (SPLASHY).
Document Type
Academic Journal
Author
Mihov Y; Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, Switzerland.; Meyer AH; Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, Switzerland.; Department of Psychology, University of Basel, Basel, Switzerland.; Kakebeeke TH; Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland.; Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.; Stülb K; Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, Switzerland.; Arhab A; Obstetric Service, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.; Zysset AE; Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland.; Leeger-Aschmann CS; Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.; Schmutz EA; Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.; Kriemler S; Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.; Jenni OG; Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland.; Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.; Puder JJ; Obstetric Service, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.; Messerli-Bürgy N; Institute of Psychology, FADO, University of Lausanne, Lausanne, Switzerland.; Munsch S; Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, Switzerland.
Source
Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101550902 Publication Model: eCollection Cited Medium: Print ISSN: 1664-1078 (Print) Linking ISSN: 16641078 NLM ISO Abbreviation: Front Psychol Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
1664-1078
Abstract
Child obesity is a growing global issue. Preventing early development of overweight and obesity requires identifying reliable risk factors for high body mass index (BMI) in children. Child eating behavior might be an important and malleable risk factor that can be reliably assessed with the parent-report Child Eating Behavior Questionnaire (CEBQ). Using a hierarchical dataset (children nested within child care centers) from a representative cohort of Swiss preschool children, we tested whether eating behavior, assessed with a 7-factor solution of the CEBQ, and BMI at baseline predicted the outcome BMI after 1 year, controlling for socioeconomic status ( n = 555; 47% female; mean age = 3.9 years, range: 2.2-6.6; mean BMI = 16 kg/m 2 , range: 11.2-23; mean age- and sex-corrected z -transformed BMI, zBMI = 0.4, range -4 to +4.7). The statistical model explained 65.2% of zBMI at follow-up. Baseline zBMI was a strong positive predictor, uniquely explaining 48.8% of outcome variance. A linear combination of all CEBQ scales, taken together, explained 10.7% of outcome variance. Due to their intercorrelations, uniquely explained variance by any individual scale was of negligible clinical relevance. Only food responsiveness was a significant predictor, when accounting for all other predictors and covariates in the model, and uniquely explained only 0.4% of outcome variance. Altogether, our results confirm, extend, and refine previous research on eating behavior and zBMI in preschool children, by adjusting for covariates, accounting for intercorrelations between predictors, partitioning explained outcome variance, and providing standardized beta estimates. Our findings show the importance of carefully examining the contribution of predictors in multiple regression models for clinically relevant outcomes.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Mihov, Meyer, Kakebeeke, Stülb, Arhab, Zysset, Leeger-Aschmann, Schmutz, Kriemler, Jenni, Puder, Messerli-Bürgy and Munsch.)
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Mihov, Meyer, Kakebeeke, Stülb, Arhab, Zysset, Leeger-Aschmann, Schmutz, Kriemler, Jenni, Puder, Messerli-Bürgy and Munsch.)