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Childhood overweight and elementary school outcomes

International Journal of Obesity volume 30, pages 1449–1460 (2006)Cite this article

Abstract

Objective:

To examine the link between childhood overweight status and elementary school outcomes.

Design:

Prospective study design: multivariate regression models examining the association between changes in overweight status and school outcomes between kindergarten entry and end of third grade, after controlling for various child, family and school characteristics.

Subjects:

Nationally representative sample of US children who entered kindergarten in 1998, with longitudinal data on body mass index (BMI) and school outcomes at kindergarten entry and end of third grade.

Measurements:

Wide range of elementary school outcomes collected in each wave including academic achievement (math and reading standardized test scores); teacher reported internalizing and externalizing behavior problems (BP), social skills (self-control, interpersonal skills) and approaches to learning; school absences; and grade repetition. Measurements of height and weight in each wave were used to compute BMI and indicators of overweight status based on CDC growth charts. A rich set of control variables capturing child, family, and school characteristics.

Results:

Moving from not-overweight to overweight between kindergarten entry and end of third grade was significantly associated (P<0.05) with reductions in test scores, and teacher ratings of social-behavioral outcomes and approaches to learning among girls. However, this link was mostly absent among boys, with two exceptions – boys who became overweight had significantly fewer externalizing BPs (P<0.05), but more absences from school compared to boys who remained normal weight. Being always-overweight was associated with more internalizing BP among girls but fewer externalizing BPs among boys.

Conclusion:

Change in overweight status during the first 4 years in school is a significant risk factor for adverse school outcomes among girls but not boys. Girls who become overweight during the early school years and those who start school being overweight and remain that way may need to be monitored carefully.

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References

  1. Dietz WH . Childhood weight affects adult morbidity and mortality. J Nutr 1998a; 128: 411S–414S.

    Article  CAS  Google Scholar 

  2. Dietz WH . Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998b; 101: 518S–525S.

    Google Scholar 

  3. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young childhood. N Engl J Med 1993; 329: 1008–1012.

    Article  CAS  Google Scholar 

  4. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH . Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922–1935. N Engl J Med 1992; 327: 1350–1355.

    Article  CAS  Google Scholar 

  5. Strauss RS, Pollack HA . Social marginalization of overweight children. Arch Pediatr Adolesc Med 2003; 157: 746–752.

    Article  Google Scholar 

  6. Strauss RS . Childhood obesity and self-esteem. Pediatrics 2000; 105: e15.

    Article  CAS  Google Scholar 

  7. Davison KK, Birch LL . Childhood overweight: a contextual model and recommendations for future research. Obesity Rev 2001; 2: 159–171.

    Article  CAS  Google Scholar 

  8. Erickson S, Robinson T, Haydel F, Killen J . Are overweight children unhappy? Arch Pediatr Adolesc Med 2000; 154: 931–935.

    Article  CAS  Google Scholar 

  9. French SA, Story M, Perry CL . Self-esteem and obesity in children and adolescents: a literature review. Obesity Res 1995; 3: 479–490.

    Article  CAS  Google Scholar 

  10. Datar A, Sturm R . Childhood overweight and parent- and teacher-reported behavior problems: evidence from a prospective study of kindergartners. Arch Pediatr Adolesc Med 2004; 158: 804–810.

    Article  Google Scholar 

  11. Datar A, Sturm R, Magnabosco JL . Childhood obesity and academic achievement: evidence from a population based sample of kindergartners and first graders. Obesity Res 2004; 12: 58–68.

    Article  Google Scholar 

  12. Kuczmarski RJ, Ogden CL, Guo S, Grummer-Strawn LM, Flegal KM, Mei Z et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 2002; 11: 1–190.

    Google Scholar 

  13. National Center for Educational Statistics (NCES). ECLS-K Base Year Data Files and Electronic Codebook. National Center for Education Statistics: Washington, DC, 1999.

  14. Gresham F, Elliott S . Social Skills Rating System. American Guidance Service: Circle Pines, MN, 1990.

    Google Scholar 

  15. Datar A, Sturm R . Physical education in elementary school and body mass index: evidence from the early childhood longitudinal study. Am J Public Health 2004; 94: 1501–1506.

    Article  Google Scholar 

  16. Breslau N, Paneth NS, Lucia VC . The lingering academic deficits of low birth weight children. Pediatrics 2004; 114: 1035–1040.

    Article  Google Scholar 

  17. Beck CT . Maternal depression and child behaviour problems: a meta-analysis. J Adv Nursing 1999; 29: 623–629.

    Article  CAS  Google Scholar 

  18. Robinson TN . Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA 1999; 282: 1561–1567.

    Article  CAS  Google Scholar 

  19. Ogden CL, Flegal KM, Carroll MD, Johnson CL . Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 2002; 288: 1728–1732.

    Article  Google Scholar 

  20. Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S et al. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation 2005; 111: 1999–2012.

    Article  Google Scholar 

  21. Chen X, Rubin KH, Li D . Relation between academic achievement and social adjustment: evidence from Chinese children. Dev Psychol 1997; 33: 518–525.

    Article  CAS  Google Scholar 

  22. Currie J, Thomas D . Early test scores, socioeconomic status, school quality and future outcomes. Res Labor Econ 2001; 20: 103–132.

    Article  Google Scholar 

  23. Williams J, Wake M, Hesketh K, Maher E, Waters E . Health-related quality of life of overweight and obese children. JAMA 2005; 293: 70–76.

    Article  CAS  Google Scholar 

  24. Lawlor DA, Mamun AA, O'Callaghan MJ, Bor W, Williams GM, Najman JM . Is being overweight associated with behavioural problems in childhood and adolescence? Findings from the Mater-University study of pregnancy and its outcomes. Arch Dis Child 2005; 90: 692–697.

    Article  CAS  Google Scholar 

  25. Janssen I, Craig WM, Boyce WF, Pickett W . Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics 2004; 113: 1187–1194.

    Article  Google Scholar 

  26. Mustillo S, Worthman C, Erkanli A, Keeler G, Angold A, Costello EJ . Obesity and psychiatric disorder: developmental trajectories. Pediatrics 2003; 111 (Part 1): 851–859.

    Article  Google Scholar 

  27. Schwartz MB, Brownell KD . Obesity and body image. Body Image 2004; 1: 43–56.

    Article  Google Scholar 

  28. Cash TF, Roy RE . Pounds of flesh: weight, gender and body images. In: Sobal J, Maurer D (eds). Interpreting Weight: The Social Management of Fatness and Thinness. Aldine de Gruyter: Hawthorne, NY. 1999, pp 209–228.

    Google Scholar 

  29. Cachelin FM, Rebeck RM, Chung GH, Pelayo E . Does ethnicity influence body size preference. A comparison of body image and body size. Obesity Res 2002; 10: 158–166.

    Article  Google Scholar 

  30. Wang Z, Byrne NM, Kenardy JA, Hills AP . Influences of ethnicity and socioeconomic status on the body dissatisfaction and eating behaviour of Australian children and adolescents. Eating Behav 2005; 6: 23–33.

    Article  Google Scholar 

  31. McCabe MP, Ricciardelli LA . A longitudinal study of body image and strategies to lose weight and increase muscles among children. J Appl Dev Psychol 2005; 26: 559–577.

    Article  Google Scholar 

  32. Phares V, Steinberg AR, Thompson JK . Gender differences in peer and parental influences: body image dissatisfaction and psychological functioning in preadolescent children. J Youth and Adolesc 2004; 33: 421–429.

    Article  Google Scholar 

  33. Thompson SH, Corwin SJ, Sargent RG . Ideal body size beliefs and weight concerns of fourth-grade children. Int J Eating Disorders 1997; 21: 279–284.

    Article  CAS  Google Scholar 

  34. Parkinson KN, Tovee MJ, Cohen-Tovee EM . Body shape perceptions of preadolescent and young adolescent children. Eur Eating Disord Rev 1998; 6: 126–135.

    Article  Google Scholar 

  35. Gortmaker SL, Peterson K, Wiecha J, Sobol AM, Dixit S, Fox MK et al. Reducing obesity via a school-based interdisciplinary intervention among youth: planet health. Arch Pediatr Adolesc Med 1999; 153: 409–418.

    Article  CAS  Google Scholar 

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Acknowledgements

This research was funded by the US Department of Agriculture, Economic Research Service, Grant no. 43-3AEM-3-80116.

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Authors and Affiliations

  1. RAND Corporation, Santa Monica, CA, USA

    A Datar & R Sturm

Authors
  1. A Datar
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  2. R Sturm
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Corresponding author

Correspondence to A Datar.

Appendix

Appendix

Tables A1 and A2 present the full multivariate regression results for girls and boys, respectively.

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Datar, A., Sturm, R. Childhood overweight and elementary school outcomes. Int J Obes 30, 1449–1460 (2006). https://doi.org/10.1038/sj.ijo.0803311

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  • DOI: https://doi.org/10.1038/sj.ijo.0803311

Keywords

  • childhoood obesity
  • school outcomes
  • test scores
  • social skills
  • behavior problems
  • attendance
  • grade repetition

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