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Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study

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Abstract
Objective: To examine the effect of the intervention implemented in the ToyBox-study on changes observed in age- and sex-specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change. Design: A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomised design. A standardised protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socio-economic status and school were used. Setting: Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain). Participants: A sample of 6268 preschoolers aged 3·5–5·5 years (51·9 % boys). Results: There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling. Conclusions: As part of a wide public health initiative or as part of a counseling intervention programme, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.
Keywords
Public Health, Environmental and Occupational Health, Nutrition and Dietetics, Medicine (miscellaneous), Preschool, Lifestyle, Perinatal, FAMILY-INVOLVED INTERVENTION, EARLY-CHILDHOOD, ENERGY-BALANCE, RISK-FACTORS, MATERNAL PERCEPTIONS, PREVENT OBESITY, OVERWEIGHT, PREGNANCY, GROWTH, FETAL

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MLA
Manios, Yannis, et al. “Prospective BMI Changes in Preschool Children Are Associated with Parental Characteristics and Body Weight Perceptions : The ToyBox-Study.” PUBLIC HEALTH NUTRITION, 2022, doi:10.1017/s1368980021001518.
APA
Manios, Y., Lambert, K. A., Karaglani, E., Mavrogianni, C., Moreno Aznar, L. A., Iotova, V., … Moschonis, G. (2022). Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study. PUBLIC HEALTH NUTRITION. https://doi.org/10.1017/s1368980021001518
Chicago author-date
Manios, Yannis, Katrina A Lambert, Eva Karaglani, Christina Mavrogianni, Luis A Moreno Aznar, Violeta Iotova, Anna Świąder-Leśniak, et al. 2022. “Prospective BMI Changes in Preschool Children Are Associated with Parental Characteristics and Body Weight Perceptions : The ToyBox-Study.” PUBLIC HEALTH NUTRITION. https://doi.org/10.1017/s1368980021001518.
Chicago author-date (all authors)
Manios, Yannis, Katrina A Lambert, Eva Karaglani, Christina Mavrogianni, Luis A Moreno Aznar, Violeta Iotova, Anna Świąder-Leśniak, Berthold Koletzko, Greet Cardon, Odysseas Androutsos, and George Moschonis. 2022. “Prospective BMI Changes in Preschool Children Are Associated with Parental Characteristics and Body Weight Perceptions : The ToyBox-Study.” PUBLIC HEALTH NUTRITION. doi:10.1017/s1368980021001518.
Vancouver
1.
Manios Y, Lambert KA, Karaglani E, Mavrogianni C, Moreno Aznar LA, Iotova V, et al. Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study. PUBLIC HEALTH NUTRITION. 2022;
IEEE
[1]
Y. Manios et al., “Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study,” PUBLIC HEALTH NUTRITION, 2022.
@article{8717878,
  abstract     = {{Objective:
To examine the effect of the intervention implemented in the ToyBox-study on changes observed in age- and sex-specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change.

Design:
A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomised design. A standardised protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, 
socio-economic status and school were used.

Setting:
Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain).

Participants: A sample of 6268 preschoolers aged 3·5–5·5 years (51·9 % boys).

Results:
There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling.

Conclusions: 
As part of a wide public health initiative or as part of a counseling intervention programme, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.}},
  author       = {{Manios, Yannis and Lambert, Katrina A and Karaglani, Eva and Mavrogianni, Christina and Moreno Aznar, Luis A and Iotova, Violeta and Świąder-Leśniak, Anna and Koletzko, Berthold and Cardon, Greet and Androutsos, Odysseas and Moschonis, George}},
  issn         = {{1368-9800}},
  journal      = {{PUBLIC HEALTH NUTRITION}},
  keywords     = {{Public Health,Environmental and Occupational Health,Nutrition and Dietetics,Medicine (miscellaneous),Preschool,Lifestyle,Perinatal,FAMILY-INVOLVED INTERVENTION,EARLY-CHILDHOOD,ENERGY-BALANCE,RISK-FACTORS,MATERNAL PERCEPTIONS,PREVENT OBESITY,OVERWEIGHT,PREGNANCY,GROWTH,FETAL}},
  language     = {{eng}},
  pages        = {{11}},
  title        = {{Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions : the ToyBox-study}},
  url          = {{http://dx.doi.org/10.1017/s1368980021001518}},
  year         = {{2022}},
}

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