5 research outputs found
Childhood Obesity Risk Evaluation based on perinatal factors and family sociodemographic characteristics: CORE Index
The aim of this study was to develop an index that estimates late
childhood obesity risk based on certain perinatal and family
sociodemographic characteristics. The study was cross-sectional with
retrospectively collected data from a representative sample of 2,294
primary schoolchildren, aged 9-13 years, in four counties from north,
west, central, and south Greece. Mother’s prepregnancy weight status,
maternal smoking during pregnancy, maternal educational level, and
infant weight gain in the first 6 months of life were combined with
children’s gender for the development of the Childhood Obesity Risk
Evaluation (CORE) index. The score of the CORE index ranged from 0 to 11
units and each unit was associated with an obesity risk probability
(range, 4-40 %). Cutoff point analysis revealed that a score a parts
per thousand currency sign5 units best discriminated obese from
non-obese children. On the basis of this cutoff point, the sensitivity
of the CORE index was 54 % and the corresponding specificity 65 %.
Conclusions: The proposed CORE index and the relevant percent risk
probability chart could be used by pediatricians and other health
professionals to identify children at high risk for obesity from early
life. This simple and inexpensive tool could be useful in assisting
early childhood obesity preventing initiatives
Diet Quality of Preschoolers in Greece Based on the Healthy Eating Index: The GENESIS Study
Background The current study aimed to assess the diet quality of Greek
preschoolers and the potential role of several sociodemographic factors
related to it.
Methods A representative sample of 2,287 Greek children aged 2 to 5
years (from the Growth, Exercise, and Nutrition Epidemiological Study In
preSchoolers) was used in this work. Dietary intake data was obtained
using a combination of techniques comprising weighed food records,
24-hour recalls, and food diaries. A Healthy Eating Index (HEI) score
was calculated summing the individual scores (0 to 10) assigned to each
one of 10 index components.
Results Eighty percent of participants had an HEI score <50 (ie,
“poor” diet), 0.4% had an HEI score >80 (ie, “good” diet), and
the overall mean HEI score was 59. HEI scores were significantly higher
among boys, children aged 4 to 5 years, children participating in
moderate to vigorous physical activities for more than 3 hours per week,
children living in rural or small towns, and those whose mothers were
employed and had higher educational status (> 12 years). HEI score was
also found to be strongly associated with several macronutrient and
micronutrient intakes.
Conclusions Based on HEI scores, the vast majority of Greek preschoolers
was found to have a poor diet. Moreover, low HEI scores were associated
with low levels of physical activity, low vegetable intake, high
saturated fat intake, lower maternal educational level, and unemployment
status. J Am Diet Assoc. 2009; 109:616-623