Family structure in relation to body mass index and metabolic score in European children and adolescents
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Family structure in relation to body mass index and metabolic score in European children and adolescents. / Stahlmann, Katharina; Lissner, Lauren; Bogl, Leonie H; Mehlig, Kirsten; Kaprio, Jaako; Klosowska, Joanna C; Moreno, Luis A; Veidebaum, Toomas; Solea, Antonia; Molnár, Dénes; Lauria, Fabio; Börnhorst, Claudia; Wolters, Maike; Hebestreit, Antje; Hunsberger, Monica.
In: PEDIATR OBES, Vol. 17, No. 12, e12963, 12.2022, p. e12963.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Family structure in relation to body mass index and metabolic score in European children and adolescents
AU - Stahlmann, Katharina
AU - Lissner, Lauren
AU - Bogl, Leonie H
AU - Mehlig, Kirsten
AU - Kaprio, Jaako
AU - Klosowska, Joanna C
AU - Moreno, Luis A
AU - Veidebaum, Toomas
AU - Solea, Antonia
AU - Molnár, Dénes
AU - Lauria, Fabio
AU - Börnhorst, Claudia
AU - Wolters, Maike
AU - Hebestreit, Antje
AU - Hunsberger, Monica
PY - 2022/12
Y1 - 2022/12
N2 - Background: Living in single parent and blended families or as an only child-compared to living in two-parent biological families or with siblings, respectively-is associated with a higher body mass index (BMI) in cross-sectional studies. However, longitudinal research addressing the children's BMI in this context is scarce. Further, little is known about the association between family structure and metabolic health.Objectives: This study aimed at investigating the association between both aspects of family structure with BMI and a metabolic score (MetS).Methods: Cross-sectional data from 7804 children participating in the European multi-center I.Family study (2013/2014) and longitudinal data from 5621 children who also participated previously in the IDEFICS study (2007-2010) were used. Family structure was assessed by a detailed interview. BMI z-score and the MetS were based on measured anthropometry, blood pressure, high-density lipoprotein, blood glucose, and triglycerides. Linear regressions were performed to model associations between family structure with BMI and MetS.Results: Children from single-parent families had higher BMI z-scores in the cross-sectional (β = 0.09, 95% confidence interval [CI]: 0.001 to 0.18) and longitudinal analyses compared to those from two-parent families. Cross-sectionally, the number of siblings was associated with lower BMI z-scores (β = -0.07, 95% CI: -0.10 to -0.03) and lower MetS (β = -0.14, 95% CI: -0.26 to -0.01). Longitudinally, only children between baseline and follow-up had higher BMI z-scores at follow-up (β = 0.07, 95% CI: 0.01 to 0.14) compared to stable siblings.Conclusion: Obesity prevention measures should focus on single-parent households and families with an only child.
AB - Background: Living in single parent and blended families or as an only child-compared to living in two-parent biological families or with siblings, respectively-is associated with a higher body mass index (BMI) in cross-sectional studies. However, longitudinal research addressing the children's BMI in this context is scarce. Further, little is known about the association between family structure and metabolic health.Objectives: This study aimed at investigating the association between both aspects of family structure with BMI and a metabolic score (MetS).Methods: Cross-sectional data from 7804 children participating in the European multi-center I.Family study (2013/2014) and longitudinal data from 5621 children who also participated previously in the IDEFICS study (2007-2010) were used. Family structure was assessed by a detailed interview. BMI z-score and the MetS were based on measured anthropometry, blood pressure, high-density lipoprotein, blood glucose, and triglycerides. Linear regressions were performed to model associations between family structure with BMI and MetS.Results: Children from single-parent families had higher BMI z-scores in the cross-sectional (β = 0.09, 95% confidence interval [CI]: 0.001 to 0.18) and longitudinal analyses compared to those from two-parent families. Cross-sectionally, the number of siblings was associated with lower BMI z-scores (β = -0.07, 95% CI: -0.10 to -0.03) and lower MetS (β = -0.14, 95% CI: -0.26 to -0.01). Longitudinally, only children between baseline and follow-up had higher BMI z-scores at follow-up (β = 0.07, 95% CI: 0.01 to 0.14) compared to stable siblings.Conclusion: Obesity prevention measures should focus on single-parent households and families with an only child.
U2 - 10.1111/ijpo.12963
DO - 10.1111/ijpo.12963
M3 - SCORING: Journal article
VL - 17
SP - e12963
JO - PEDIATR OBES
JF - PEDIATR OBES
SN - 2047-6310
IS - 12
M1 - e12963
ER -