Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Pediatric Highlight
  • Published:

Associations between obesity and developmental functioning in pre-school children: a population-based study

Abstract

Objective:

To examine associations between obesity and impairment in developmental functioning in a general population sample of pre-school children.

Method:

Standardized medical examinations were conducted in nine consecutive cohorts of male and female children (n=9415) aged between 4.4 and 8.6 years (mean=6.0, s.d.=0.37) residing in the Lower Bavaria region of Germany. Tests designed to assess performance in subdivisions representing four broad developmental domains, namely, motor development, speech development, cognitive development and psycho-social development, were completed by all participants.

Results:

Boys had significantly higher rates of impairment than girls. The prevalence of obesity in boys was 2.4%, whereas in girls it was 4.3% (χ2=21.51, P< 0.01). After controlling for age, gender, year of recruitment and other potential covariates, the prevalence of impairment in gross motor skills was higher among obese male children than normal-weight male children (adjusted odds ratio=1.76, 95% confidence interval (CI)=1.02, 3.01, P< 0.05), whereas the prevalence of impairment in the ability to focus attention was higher in obese female children than normal-weight female children (adjusted odds ratio=1.86, 95% CI=1.00, 3.44, P< 0.05).

Conclusions:

The findings suggest that gender-specific associations between obesity and impairment in specific aspects of developmental functioning may be evident in younger children.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Imperatore G . Childhood obesity: is it time for action? Nutr Metab Cardiovasc Dis 2006; 16: 235–238.

    Article  Google Scholar 

  2. Malecka-Tendera E, Mazur A . Childhood obesity: a pandemic of the twenty-first century. Int J Obes 2006; 30: S1–S3.

    Article  Google Scholar 

  3. Ebbeling CB, Pawlak DB, Ludwig DS . Childhood obesity: public health crisis, common sense cure. Lancet 2002; 360: 473–482.

    Article  Google Scholar 

  4. Daniels SR . The consequences of childhood overweight and obesity. Future Child 2006; 16: 47–67.

    Article  Google Scholar 

  5. Reilly JJ . Descriptive epidemiology and health consequences of childhood obesity. Best Pract Res Clin Endocrinol Metab 2005; 19: 327–341.

    Article  Google Scholar 

  6. Field AE, Cook NR, Gillman MW . Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood. Obes Res 2005; 13: 163–169.

    Article  Google Scholar 

  7. Wardle J, Cooke L . The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab 2005; 19: 421–440.

    Article  Google Scholar 

  8. 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 

  9. Friedman MA, Brownell KD . Psychological consequences of obesity. In: Fairburn CG, Brownell KD (eds). Eating Disorders and Obesity: a Comprehensive Handbook 2nd edn. Guilford Press: New York, 2002. pp 393–398.

    Google Scholar 

  10. Datar A, Sturm R . Childhood overweight and elementary school outcomes. Int J Obes 2006; 30: 1449–1460.

    Article  CAS  Google Scholar 

  11. Graf C, Koch B, Kretschmann-Kandel E, Falkowski G, Christ H, Coburger S et al. Correlation between BMI, leisure habits and motor abilities in childhood (CHILT-Project). Int J Obes 2004; 28: 22–26.

    Article  CAS  Google Scholar 

  12. 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 

  13. Datar A, Sturm R, Magnabosco JL . Childhood overweight and academic performance: national study of kindergartners and first-graders. Obes Res 2004; 12: 58–68.

    Article  Google Scholar 

  14. Mo-suwan L, Lebel L, Puetpaiboon A, Junjana C . School performance and weight status of children and young adolescents in a transitional society in Thailand. Int J Obes 1999; 23: 272–277.

    Article  CAS  Google Scholar 

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

    Article  Google Scholar 

  16. Baune BT, Mikolajcyk RT, Stich HL, Kramer A . Body weight, body mass index, overweight and obesity in consecutive cohorts of children at school entry in a community in Lower Bavaria 1997-2002. GMS Med Inform Biom Epidemiol 2006; 2: Doc03.

    Google Scholar 

  17. Stich HL, Baune BT, Caniato RN, Kramer A . Associations between attending kindergarten and the presence of developmental impairments in pre-school children: a six-year retrospective survey. BMC Public Health 2006; 6: 260.

    Article  Google Scholar 

  18. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–1243.

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

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

    Article  Google Scholar 

  21. Cairney J, Hay JA, Faught BE, Hawes R . Developmental coordination disorder and overweight and obesity in children aged 9–14 years. Int J Obes 2005; 29: 369–372.

    Article  CAS  Google Scholar 

  22. Erickson SJ, Robinson TN, Haydel F, Killen JD . Are overweight children unhappy? Body mass index, depressive symptoms, and overweight concerns in elementary school children. Arch Pediatr Adolesc Med 2000; 154: 931–935.

    Article  CAS  Google Scholar 

  23. Falkner NH, Neumark-Sztainer D, Story M, Jeffery RW, Beuhring T, Resnick MD . Social, educational, and psychological correlates of weight status in adolescents. Obes Res 2001; 9: 32–42.

    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. Franklin J, Denyer G, Steinbeck Ks, Caterson ID, Hill AJ . Obesity and risk of low self-esteem: a statewide survey of Australian children. Pediatrics 2006; 118: 2481–2487.

    Article  Google Scholar 

  26. Crall JJ . Rethinking prevention. Pediatr Dent 2006; 28: 96–101.

    PubMed  Google Scholar 

  27. Wardle J, Williamson S, Johnson F, Edwards C . Depression in adolescent obesity: cultural moderators of the association between obesity and depressive symptoms. Int J Obes 2006; 30: 634–643.

    Article  CAS  Google Scholar 

  28. Schwimmer JB, Burwinkle TM, Varni JW . Health-related quality of life of severely obese children and adolescents. JAMA 2003; 289: 1813–1819.

    Article  Google Scholar 

  29. Doll HA, Peterson SEK, Stewart-Brown SL . Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res 2000; 8: 160–170.

    Article  CAS  Google Scholar 

  30. Heo M, Allison DB, Faith MS, Zhu S, Fontaine KR . Obesity and quality of life: mediating effects of pain and comorbidites. Obes Res 2003; 11: 209–216.

    Article  Google Scholar 

  31. Flodmark C-E . The happy obese child. Int J Obes 2005; 29: S31–S33.

    Article  Google Scholar 

  32. O'Neill JL, McCarthy SN, Burke SJ, Hannon EM, Kiely M, Flynn A et al. Prevalence of overweight and obesity in Irish school children using four different definitions. Eur J Clin Nutr 2006; doi: 1038/sj.ejcn.1602580. Published online December 20, 2006.

  33. Zimmerman MB, Hess SY, Hurrell RF . A national study of the prevalence of overweight and obesity in 6–12 yr-old Swiss children: body mass index, body-weight perception and goals. Eur J Clin Nutr 2000; 54: 568–572.

    Article  Google Scholar 

  34. McMaster C, Cullen L, Raymond N . Overweight and obesity in Irish primary schools: retrospective cohort study. Child Care Health Dev 2005; 31: 499–506.

    Article  CAS  Google Scholar 

  35. Carlson CL, Tamm L, Gaub M . Gender differences in children with ADHD, ODD, and co-occurring ADHD/ODD identified in a school population. J Am Acad Child Adolesc Psychiatry 1997; 36: 1706–1714.

    Article  CAS  Google Scholar 

  36. Schneider H, Eisenberg D . Who receives a diagnosis of attention-deficit/hyperactivity disorder in the United States elementary school population? Pediatrics 2006; 117: e601–e609.

    Article  Google Scholar 

  37. Roberts RE, Roberts CR, Xing Y . Rates of DSM-IV psychiatric disorders among adolescents in a large metropolitan area. J Psychiat Res 2006;doi: 1016/j.psychires.2006.09.006. Published online November 14, 2006.

  38. Dalsgaard S, Mortensen PB, Frydenberg M, Thomsen PH . Conduct problems, gender and adult psychiatric outcome of children with attention-deficit hyperactivity disorder. Br J Psychiatr 2002; 181: 416–421.

    Article  Google Scholar 

Download references

Acknowledgements

Dr Mond is supported by an NHMRC Public Health Fellowship. Thanks also to Dr Alison Field for helpful comments on an earlier version of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J M Mond.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mond, J., Stich, H., Hay, P. et al. Associations between obesity and developmental functioning in pre-school children: a population-based study. Int J Obes 31, 1068–1073 (2007). https://doi.org/10.1038/sj.ijo.0803644

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0803644

Keywords

This article is cited by

Search

Quick links