Adolescent health brief
Does Early School Entry Prevent Obesity Among Adolescent Girls?

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Abstract

Purpose

To examine the relationship between early school entry and body weight status among adolescent girls.

Methods

Using nationally representative data from the 1997 cohort of the National Longitudinal Survey of Youth, we exploited state-specific first-grade entrance policy as a quasi-experimental research design to examine the effect of early school entry on the body weight status of adolescent girls. Fixed-effects models were used to compare the body mass index (BMI), BMI z-score, and likelihood of overweight and obesity between teenage girls born before school cut-off dates and those born after, while controlling for age, race/ethnicity, maternal education status, and maternal body weight status.

Results

Late starters had higher BMIs and a higher prevalence of overweight and obesity and the results were found to be consistent across age groups. Among girls whose birthdays were within 1 month of the cut-off dates, the coefficient of late starting was significantly positive (β = .311; p = .02), indicating that it might be correlated with weight gain in adolescence.

Conclusions

Early admission to a school environment might have a long-term protective effect in terms of adolescent girls' propensity to obesity. Future studies are needed to examine the effect of early school entry on the eating behavior and physical activities of adolescent girls.

Section snippets

Data

The data for this study were obtained from the National Longitudinal Survey of Youth 1997 cohort (NLSY97), an annual survey of a nationally representative cohort of adolescents born between 1980 and 1984. We used data collected between 1997 and 2006, restricting our sample to girls who had not yet graduated from high school and excluding those with missing body measures, those who were pregnant, and those who had repeated or skipped grades. Our final sample included 14,413 person-year records.

Measures

Results

The mean respondent age was 16.6 years. About 51.5, 26.4, and 22.1% of the sample were white, black, and Hispanic, respectively. A total of 40% of the girls had mothers who were overweight or obese; 46.9% had mothers who attended college, 32.8% had mothers who had graduated from high-school, and 20.2% had mothers who were high-school dropouts. The mean BMI of the girls was 23.4, with 18% being overweight and 12.2% being obese. About half of the girls were born before the admission cut-off

Discussion

This study explores the effect of the age of starting education on obesity among adolescent girls. It was found that early school entry might reduce girls' likelihood of becoming obese in their teen years. Thus, girls born a few days earlier than the cut-off dates were likely to interact with more mature adolescents in their educational cohort who might be more motivated to be slim [8]. An additional motivational factor might be the U.S. school health curriculum, which is grade-specific [9].

Acknowledgements

The authors are very grateful to John Cawley, Jordan Matsudaira, Kosali Simon, Donald Kenkel, George Jakubson, Byung-Kwang Yoo, and Obesity Luncheon at Cornell for many valuable suggestions. They also thank Pinky Chandra at the Cornell Restricted Access Data Center (CRADC) for her assistance to work on NLSY97-Geocode files. Dr. Q. Zhang was partially supported by National Institute of Child Health and Human Development (R03 HD056073).

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