%0 Journal Article
%T Preschoolers¡¯ parent-rated health disparities are strongly associated with measures of adiposity in the Lifeways cohort study children
%A Aakash Shrivastava
%A Cecily C Kelleher
%A Celine Murrin
%J -
%D 2014
%R 10.1136/bmjopen-2014-005328
%X Objective To examine the relationship between lifecourse factors from preschoolers¡¯ microecosystem and their parent-reported (mother-reported) health (PRH), following them prospectively from preconception to age 5£¿years. To investigate if preschoolers¡¯ body mass index (BMI) and waist circumference were associated with preschoolers¡¯ PRH when controlled for lifecourse predictors.

Design Lifeways cross-generation cohort study.

Setting Ireland.

Participants Of 1082 families, 62% mothers responded on a health and lifestyle questionnaire at follow-up. Food frequency, BMI and waist circumference were measured. There were 547 family data sets available for analysis of children's PRH.

Main outcome measure Mother-reported children's PRH at age 5. Associations with child's individual and familial exposures from preconception to age 5£¿years examined using logistic regression.

Results In univariate analysis, relatively positive rating of children's PRH were associated with children's lower intake of fats (OR (95% CI) 2.2 (1.1 to 4.3)), higher intake of fruits/vegetables (OR (95% CI) 2.2 (1.1 to 4.3)); as well as familial socioeconomic characteristics {higher household income (OR (95% CI) 3.0 (1.6 to 5.9)), non-entitlement to means-tested healthcare (OR (95% CI) 2.1 (1.0 to 4.3)), mothers¡¯ higher education (OR (95% CI) 1.9 (1.0 to 3.6))}, psychosocial characteristics {father's participation in study (OR (95% CI) 2.1 (1.0 to 4.3)), mothers¡¯ perceiving better support from partner (OR (95% CI) 2.3 (1.2 to 4.3)), children (OR (95% CI) 1.9 (1.0 to 3.7)) or relatives (OR (95% CI) 2.2 (1.1 to 4.1))}, parents¡¯ lifestyle {mothers¡¯ lower intake of energy (OR (95% CI) 2.2 (1.1 to 4.3)), fathers¡¯ non-smoking status (OR (95% CI) 2.2 (1.1 to 4.4))} and parents¡¯ health {mothers¡¯ self-rated health relatively positive (OR (95% CI) 5.1 (2.6 to 9.9)), fathers¡¯ self-rated health relatively positive (OR (95% CI) 3.0 (1.5 to 6.0))}.

In multivariable analysis (¦Ö2=34.2, df=21, N=303, R2£¿=£¿0.26, p<0.05), one of the two strong predictors of children's relatively positive PRH was child not being obese by International Obesity Task Force classification (OR (95% CI) 5.5 (1.4 to 21.0)), observed also using BMI (kg/m2; OR (95% CI) 0.73 (0.58 to 0.93)) or waist circumference (cm; OR (95% CI) 0.89 (0.81 to 0.98)) as continuous variables. The other significant predictor was mothers¡¯ self-rated health relatively positive (OR (95% CI) 4.2 (1.5 to 12.2)).

Conclusions Preschoolers¡¯ health is adversely associated with obesity and this is independent of lifecourse and social and environmental
%U https://bmjopen.bmj.com/content/4/7/e005328