PMID- 24898085
OWN - NLM
STAT- MEDLINE
DCOM- 20160615
LR  - 20220330
IS  - 2044-6055 (Print)
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 4
IP  - 6
DP  - 2014 Jun 4
TI  - Parental marital status and childhood overweight and obesity in Norway: a 
      nationally representative cross-sectional study.
PG  - e004502
LID - 10.1136/bmjopen-2013-004502 [doi]
LID - e004502
AB  - OBJECTIVE: Sociodemographic changes in Norway and other western industrialised 
      countries, including family structure and an increasing proportion of cohabiting 
      and divorced parents, might affect the prevalence of childhood overweight and 
      obesity issues. We aimed to examine whether parental marital status was 
      associated with general and abdominal obesity among children. We also sought to 
      explore whether the associations differed by gender. DESIGN: Cross-sectional. 
      SETTING: 127 primary schools across Norway. PARTICIPANT: 3166 third graders (mean 
      age 8.3 years) participating in the nationally representative Norwegian Child 
      Growth Study in 2010. MEASUREMENTS: Height, weight and waist circumference were 
      objectively measured. The main outcome measures were general overweight 
      (including obesity; body mass index >/=25 kg/m(2)) using International Obesity Task 
      Force (IOTF) cut-offs and abdominal obesity (waist-to-height ratio >/=0.5) by 
      gender and parental marital status. Prevalence ratios, adjusted for possible 
      confounders, were calculated by log-binomial regression. RESULTS: General 
      overweight (including obesity) was 1.54 (95% CI 1.21 to 1.95) times more 
      prevalent among children of divorced parents compared with children of married 
      parents, and the corresponding prevalence ratio for abdominal obesity was 1.89 
      (95% CI 1.35 to 2.65). Formal tests of the interaction term parental marital 
      status by gender were not statistically significant. However, in gender-specific 
      analyses the association between parental marital status and adiposity measures 
      was only statistically significant in boys (p=0.04 for general overweight 
      (including obesity) and p=0.01 for abdominal obesity). The estimates were robust 
      against adjustment for maternal education, family country background and current 
      area of residence. CONCLUSIONS: General and abdominal obesities were more 
      prevalent among children of divorced parents. This study provides valuable 
      information by focusing on societal changes in order to identify vulnerable 
      groups.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Biehl, Anna
AU  - Biehl A
AD  - Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway The 
      Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
FAU - Hovengen, Ragnhild
AU  - Hovengen R
AD  - Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
FAU - Groholt, Else-Karin
AU  - Groholt EK
AD  - Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
FAU - Hjelmesaeth, Joran
AU  - Hjelmesaeth J
AD  - The Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway Faculty of 
      Medicine, Department of Endocrinology, Morbid Obesity and Preventive Medicine, 
      University of Oslo, Oslo, Norway.
FAU - Strand, Bjorn Heine
AU  - Strand BH
AD  - Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
FAU - Meyer, Haakon E
AU  - Meyer HE
AD  - Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway 
      Faculty of Medicine, Department of Community Medicine, University of Oslo, Oslo, 
      Norway.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140604
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - *Marital Status
MH  - Norway/epidemiology
MH  - Obesity, Abdominal/epidemiology
MH  - Overweight/*epidemiology
MH  - *Parents
MH  - Pediatric Obesity/*epidemiology
MH  - Prevalence
MH  - Sex Distribution
MH  - Socioeconomic Factors
PMC - PMC4054642
OTO - NOTNLM
OT  - Epidemiology
OT  - Public Health
EDAT- 2014/06/06 06:00
MHDA- 2014/06/06 06:01
PMCR- 2014/05/30
CRDT- 2014/06/06 06:00
PHST- 2014/06/06 06:00 [entrez]
PHST- 2014/06/06 06:00 [pubmed]
PHST- 2014/06/06 06:01 [medline]
PHST- 2014/05/30 00:00 [pmc-release]
AID - bmjopen-2013-004502 [pii]
AID - 10.1136/bmjopen-2013-004502 [doi]
PST - epublish
SO  - BMJ Open. 2014 Jun 4;4(6):e004502. doi: 10.1136/bmjopen-2013-004502.