PMID- 21663485
OWN - NLM
STAT- MEDLINE
DCOM- 20111028
LR  - 20151119
IS  - 1747-7174 (Electronic)
IS  - 1747-7166 (Linking)
VI  - 6
IP  - 2-2
DP  - 2011 Jun
TI  - Influence of contextual and individual level risk factors on adiposity in a 
      preschool child cohort in Ho Chi Minh City, Vietnam.
PG  - e487-500
LID - 10.3109/17477166.2011.575153 [doi]
AB  - OBJECTIVE: To identify risk factors associated with changes in BMI and sum of 
      skinfold thickness (SSF) in a cohort of preschool children in Ho Chi Minh City 
      (HCMC), Vietnam. METHODS: This one year follow-up study, using multi-stage 
      cluster sampling, was conducted from 2005-2006 with 526 children aged 4-5 years 
      in preschools in urban HCMC. Information on neighborhood, preschool and home 
      environments, socio-economic status, the child and parental characteristics were 
      collected using interview-administered questionnaires. Dietary intake and 
      physical activity were measured using modified, validated questionnaires. Weight, 
      height, and triceps, subscapular and suprailiac skinfold thickness were measured. 
      Generalized estimating equations (GEEs) were used to assess the longitudinal 
      relationships between the risk factors and the development of adiposity. RESULTS: 
      A variety of factors at different levels were associated with changes in BMI and 
      SSFs. As safety of the neighborhood increased, BMI and SSFs decreased 
      (coefficients for BMI: -0.59; 95% CI: -1.16 to -0.01 for girls and -0.80; 95% CI: 
      -1.53, -0.08 for boys, and coefficients for SSFs: -2.71; 95% CI: -5.07, -0.35 for 
      girls and -4.16, 95% CI: -8.28, -0.05). Having both parents overweight was 
      strongly predictive of an increase in BMI (1.18, 0.21-2.16). Maternal 
      pre-pregnant BMI status, breast-feeding, and high birth weight were also related 
      to change in adiposity. CONCLUSION: Contextual variables in the community and 
      home environment, and parental characteristics appeared to be more important than 
      individual factors for explaining on changes in adiposity in this child 
      population.
FAU - Huynh, Dieu T T
AU  - Huynh DT
AD  - Nutrition Centre of Ho Chi Minh City, Ho Chi Minh City, Vietnam. 
      thudieuhuynh@yahoo.com
FAU - Dibley, Michael J
AU  - Dibley MJ
FAU - Sibbritt, David
AU  - Sibbritt D
FAU - Tran, Hanh T M
AU  - Tran HT
FAU - Le, Qui T K
AU  - Le QT
LA  - eng
GR  - 073153/Z/03/Z/Wellcome Trust/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110613
PL  - England
TA  - Int J Pediatr Obes
JT  - International journal of pediatric obesity : IJPO : an official journal of the 
      International Association for the Study of Obesity
JID - 101256330
SB  - IM
MH  - *Adiposity
MH  - Age Factors
MH  - Birth Weight
MH  - Body Mass Index
MH  - Breast Feeding
MH  - Child, Preschool
MH  - Diet
MH  - *Environment
MH  - Exercise
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Life Style
MH  - Male
MH  - Obesity/diagnosis/*epidemiology/physiopathology
MH  - Overweight/diagnosis/*epidemiology/physiopathology
MH  - *Parents
MH  - Residence Characteristics
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sex Factors
MH  - Skinfold Thickness
MH  - Surveys and Questionnaires
MH  - *Urban Health
MH  - Vietnam/epidemiology
EDAT- 2011/06/15 06:00
MHDA- 2011/10/29 06:00
CRDT- 2011/06/14 06:00
PHST- 2011/06/14 06:00 [entrez]
PHST- 2011/06/15 06:00 [pubmed]
PHST- 2011/10/29 06:00 [medline]
AID - 10.3109/17477166.2011.575153 [doi]
PST - ppublish
SO  - Int J Pediatr Obes. 2011 Jun;6(2-2):e487-500. doi: 10.3109/17477166.2011.575153. 
      Epub 2011 Jun 13.