PMID- 26933953 OWN - NLM STAT- MEDLINE DCOM- 20170223 LR - 20170223 IS - 1541-1087 (Electronic) IS - 0731-5724 (Linking) VI - 35 IP - 4 DP - 2016 May-Jun TI - Energy Balance-Related Behaviors, Perinatal, Sociodemographic, and Parental Risk Factors Associated with Obesity in Italian Preschoolers. PG - 362-71 LID - 10.1080/07315724.2015.1070699 [doi] AB - OBJECTIVE: The obesity epidemic stems from the complex interplay between genetics and environmental factors. Identifying age-specific risk factors in preschoolers may allow implementing more effective intervention strategies. The aim of the present investigation was to examine the association of overweight/obesity with several perinatal, parental, socioeconomic status (SES), and lifestyle-related risk factors in a large sample of Italian preschoolers. METHODS: One thousand eleven children (age 2.0 to 5.7 years) were included in the study. Family pediatricians measured weight and height and collected information on obesity risk factors by means of questionnaires. Perinatal risk factors were recalled from electronic medical records. Weight status was defined according to cutoffs of the International Obesity Task Force (IOTF). RESULTS: Seven hundred sixty-four children (75.6%) were normal weight, and 247 (24.4%) were overweight/obese. Multivariate analysis showed that skipping breakfast (odds ratio [OR] = 3.7; 95% confidence interval [CI], 1.32-10.51), daily drinking of sugar-sweetened beverages (OR = 2.0; 95% CI, 1.02-4.03), meat consumption <5 times/week (OR = 2.2; 95% CI, 1.11-4.57), and formula feeding (OR = 2.1; 95% CI, 0.8-4.5) were significantly (p < 0.05) associated with increased risk of obesity. CONCLUSIONS: Though exclusive formula or mixed feeding represents an age-specific risk factor for overweight/obesity, lifestyle factors associated with increased risk in Italian preschoolers include habits that are common to school-age children, such as skipping breakfast and consumption of sugar-sweetened beverages. The reduced consumption of meat emerged as a risk factor for overweight/obesity, but future research is required to better understand this relationship. Our data suggest, on the whole, that prevention of such unhealthy behaviors must be pursued in preschoolers by means of age-specific interventions. FAU - Shashaj, Blegina AU - Shashaj B AD - a Bambino Gesu Children's Hospital, IRCCS , Rome , ITALY. FAU - Graziani, Maria P AU - Graziani MP AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Contoli, Benedetta AU - Contoli B AD - a Bambino Gesu Children's Hospital, IRCCS , Rome , ITALY. FAU - Ciuffo, Cristina AU - Ciuffo C AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Cives, Claudia AU - Cives C AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Facciolini, Sandra AU - Facciolini S AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Rigoni, Maria L AU - Rigoni ML AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Spaterna, Stefania AU - Spaterna S AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Taucci, Mauro AU - Taucci M AD - b Federazione Italiana Medici Pediatri, FIMP , Rome , ITALY. FAU - Raponi, Massimiliano AU - Raponi M AD - a Bambino Gesu Children's Hospital, IRCCS , Rome , ITALY. FAU - Manco, Melania AU - Manco M AD - a Bambino Gesu Children's Hospital, IRCCS , Rome , ITALY. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160302 PL - United States TA - J Am Coll Nutr JT - Journal of the American College of Nutrition JID - 8215879 RN - 0 (Dietary Sucrose) SB - IM MH - *Behavior MH - Beverages MH - Body Weight MH - Breakfast MH - Child, Preschool MH - Diet MH - Dietary Sucrose/administration & dosage MH - *Energy Metabolism MH - Feeding Behavior MH - Female MH - Health Behavior MH - Humans MH - Italy/epidemiology MH - Life Style MH - Male MH - Meat MH - Overweight/epidemiology MH - Parents MH - Pediatric Obesity/*epidemiology MH - Risk Factors MH - Surveys and Questionnaires OTO - NOTNLM OT - *and general nutrition OT - *children OT - *diets OT - *exercise OT - *obesity EDAT- 2016/03/05 06:00 MHDA- 2017/02/24 06:00 CRDT- 2016/03/03 06:00 PHST- 2016/03/03 06:00 [entrez] PHST- 2016/03/05 06:00 [pubmed] PHST- 2017/02/24 06:00 [medline] AID - 10.1080/07315724.2015.1070699 [doi] PST - ppublish SO - J Am Coll Nutr. 2016 May-Jun;35(4):362-71. doi: 10.1080/07315724.2015.1070699. Epub 2016 Mar 2.