Nonattendance in preventive child health examinations associated with increased risk of school‐aged obesity in Denmark
Aim The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors. Methods Data from nationwide Danish registers on 725 926 children born...
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| Vydáno v: | Acta Paediatrica Ročník 114; číslo 6; s. 1212 - 1221 |
|---|---|
| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Norway
Wiley Subscription Services, Inc
01.06.2025
John Wiley and Sons Inc |
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| ISSN: | 0803-5253, 1651-2227, 1651-2227 |
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| Abstract | Aim
The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors.
Methods
Data from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk.
Results
Non‐attendance in preventive child health examinations was associated with a risk of obesity of 18%–31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four‐ to five‐fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%–9% more likely to have overweight.
Conclusion
Associations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity. |
|---|---|
| AbstractList | Aim
The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors.
Methods
Data from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk.
Results
Non‐attendance in preventive child health examinations was associated with a risk of obesity of 18%–31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four‐ to five‐fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%–9% more likely to have overweight.
Conclusion
Associations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity. The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors. Data from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk. Non-attendance in preventive child health examinations was associated with a risk of obesity of 18%-31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four- to five-fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%-9% more likely to have overweight. Associations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity. The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors.AIMThe aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors.Data from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk.METHODSData from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk.Non-attendance in preventive child health examinations was associated with a risk of obesity of 18%-31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four- to five-fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%-9% more likely to have overweight.RESULTSNon-attendance in preventive child health examinations was associated with a risk of obesity of 18%-31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four- to five-fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%-9% more likely to have overweight.Associations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity.CONCLUSIONAssociations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity. Aim The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity and overweight at age six, focusing on psychosocial risk factors. Methods Data from nationwide Danish registers on 725 926 children born between 2000 and 2012 were analysed. Information on examination attendance and BMI was obtained. Regression analyses assessed the association between examination attendance and obesity or overweight risk. Results Non‐attendance in preventive child health examinations was associated with a risk of obesity of 18%–31% at age six. The highest risk was observed in children of parents with low educational attainment who missed all examinations, a four‐ to five‐fold increase compared to children of parents with high educational attainment who attended all or missed only one exam. A smaller association of one to 2% was found between missing examinations and risk of overweight in the general population. However, children of parents with low educational attainment who did not attend were 8%–9% more likely to have overweight. Conclusion Associations were found between obesity and overweight and not attending preventive child health examinations in general practice. Further research is needed to understand the mechanisms and develop targeted interventions to address health disparities in childhood obesity. |
| Author | Heuckendorff, Signe Thomsen, Janus Laust Eggertsen, Charlotte Nørkjær Brund, René Børge Korsgaard Fonager, Kirsten |
| AuthorAffiliation | 2 Psychiatry Aalborg University Hospital Aalborg Denmark 4 Department of Pediatrics and Adolescent Medicine Aalborg University Hospital Aalborg Denmark 3 Department of Clinical Medicine Aalborg University Aalborg Denmark 5 Center for General Practice Aalborg University Aalborg Denmark 1 Department of Social Medicine Aalborg University Hospital Aalborg Denmark |
| AuthorAffiliation_xml | – name: 4 Department of Pediatrics and Adolescent Medicine Aalborg University Hospital Aalborg Denmark – name: 1 Department of Social Medicine Aalborg University Hospital Aalborg Denmark – name: 5 Center for General Practice Aalborg University Aalborg Denmark – name: 3 Department of Clinical Medicine Aalborg University Aalborg Denmark – name: 2 Psychiatry Aalborg University Hospital Aalborg Denmark |
| Author_xml | – sequence: 1 givenname: Signe orcidid: 0000-0002-4074-064X surname: Heuckendorff fullname: Heuckendorff, Signe email: s.heuckendorff@rn.dk organization: Aalborg University Hospital – sequence: 2 givenname: René Børge Korsgaard surname: Brund fullname: Brund, René Børge Korsgaard organization: Aalborg University – sequence: 3 givenname: Charlotte Nørkjær surname: Eggertsen fullname: Eggertsen, Charlotte Nørkjær organization: Aalborg University Hospital – sequence: 4 givenname: Janus Laust surname: Thomsen fullname: Thomsen, Janus Laust organization: Aalborg University – sequence: 5 givenname: Kirsten surname: Fonager fullname: Fonager, Kirsten organization: Aalborg University |
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| Cites_doi | 10.7759/cureus.34346 10.1177/1403494810394717 10.1016/j.orcp.2015.07.005 10.1177/1403494810387965 10.1080/02813430801940877 10.1186/s12887-015-0443-3 10.1136/jech-2020-216064 10.1177/1403494810394718 10.54337/aau461775944 10.1177/1403494812449080 10.1016/j.appet.2015.04.010 10.1002/sim.3841 10.1093/fampra/cmq111 10.1186/1471-2296-8-50 10.1192/bjp.2019.216 10.1186/s12889-023-15714-8 10.1542/peds.2020-049866 10.1016/j.tcm.2019.01.011 10.3399/bjgp18X694565 10.1186/s12889-021-10625-y 10.2147/CLEP.S91125 10.1177/1403494810394715 10.1016/S0140-6736(23)02750-2 10.1016/j.orcp.2022.04.001 10.1016/j.pec.2013.09.006 10.2147/CLEP.S179083 10.1136/archdischild-2012-301659 10.1111/j.2047-6310.2012.Y00064.x |
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The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of... The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of obesity... Aim The aim of this study is to investigate associations between attending routine preventive child health examinations in general practice and the risk of... |
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| SubjectTerms | Body weight Child Children Children & youth Childrens health Denmark - epidemiology Educational attainment Educational Status Female general practice Humans Male Obesity Original Overweight Pediatric Obesity - epidemiology Physical Examination - statistics & numerical data preventive child health examination Registries Risk Factors |
| Title | Nonattendance in preventive child health examinations associated with increased risk of school‐aged obesity in Denmark |
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