Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler's Health Study (SPLASHY).

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CCAABA6157DD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler's Health Study (SPLASHY).
Journal
Frontiers in psychology
Author(s)
Mihov Y., Meyer A.H., Kakebeeke T.H., Stülb K., Arhab A., Zysset A.E., Leeger-Aschmann C.S., Schmutz E.A., Kriemler S., Jenni O.G., Puder J.J., Messerli-Bürgy N., Munsch S.
ISSN
1664-1078 (Print)
ISSN-L
1664-1078
Publication state
Published
Issued date
2024
Peer-reviewed
Oui
Volume
15
Pages
1292939
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
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 <sup>2</sup> , 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.
Keywords
BMI, CEBQ, SPLASHY, eating behavior, preschooler
Pubmed
Web of science
Open Access
Yes
Create date
19/04/2024 7:56
Last modification date
07/05/2024 6:17
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