PMID- 35523635 OWN - NLM STAT- MEDLINE DCOM- 20220706 LR - 20220706 IS - 1769-664X (Electronic) IS - 0929-693X (Linking) VI - 29 IP - 5 DP - 2022 Jul TI - Prevalence of overweight, obesity, and early adiposity rebound in nursery school children in southeastern France. PG - 388-394 LID - S0929-693X(22)00089-6 [pii] LID - 10.1016/j.arcped.2022.03.001 [doi] AB - BACKGROUND: The aim of the present study was to assess the prevalence of overweight, obesity, and early adiposity rebound in nursery school children aged 3.5-4.5 years and to evaluate associations with deprivation. METHODS: A cross-sectional study was conducted in the Bouches-du-Rhone department in southeastern France. Data for all nursery school children aged 3.5-4.5 years were collected during systematic medical examinations. The prevalence of overweight and obesity was determined using French, International Obesity Task Force (IOTF), and World Health Organization reference values. A French ecological deprivation index was used to assess associations with deprivation. RESULTS: Among 19,295 children included in the study, the prevalence of overweight (IOTF-25 < BMI < IOTF-30) was 9.1% and the prevalence of obesity (BMI > IOTF-30) was 2.6%. Children attending nursery schools in the most disadvantaged areas were 4.3 times more likely to be affected by obesity than those from schools in the most advantaged areas (OR: 4.32; 95% CI: 2.98-6.25, p < 0.001), after adjusting for gender, age group, and school status. Early adiposity rebound was observed in 2131 of 9872 children (21.6%). CONCLUSION: Programs to prevent childhood overweight and obesity in France should be intensified and take account of major persistent social inequalities. Medical practitioners should learn to systematically assess BMI curve dynamics and early adiposity rebound. CI - Copyright (c) 2022 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved. FAU - Roth, B AU - Roth B AD - Conseil Departemental des Bouches-du-Rhone, DPMISP, Maternal Child Health Service (Protection Maternelle et Infantile), 4 quai d'Arenc, Marseille 13304, France. Electronic address: brimbelle.roth@gmail.com. FAU - Reynaud, R AU - Reynaud R AD - Aix-Marseille Universite, Institut National de la Sante et de la Recherche Medicale (INSERM), U1251, Marseille Medical Genetics (MMG), Marseille, France; Assistance Publique-Hopitaux de Marseille (AP-HM), Department of Multidisciplinary Pediatry, Specialized Obesity Center (CSO), Hopital La Timone Enfants Marseille, France. FAU - Negre, V AU - Negre V AD - Assistance Publique-Hopitaux de Marseille (AP-HM), Department of Multidisciplinary Pediatry, Specialized Obesity Center (CSO), Hopital La Timone Enfants Marseille, France; Specialized Obesity Center (CSO), University Hospital of Nice, Nice, France. FAU - Gentile, S AU - Gentile S AD - Cellule Evaluation Medicale, Public Health Department, La Conception Hospital, Assistance Publique-Hopitaux de Marseille, Marseille, France. FAU - Pauly, V AU - Pauly V AD - Service d'Information Medicale, Public Health Department, La Conception Hospital, Assistance Publique-Hopitaux de Marseille, Marseille, France. FAU - Bernard, O AU - Bernard O AD - Conseil Departemental des Bouches-du-Rhone, DPMISP, Maternal Child Health Service (Protection Maternelle et Infantile), 4 quai d'Arenc, Marseille 13304, France. LA - eng PT - Journal Article DEP - 20220504 PL - France TA - Arch Pediatr JT - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie JID - 9421356 SB - IM MH - Adiposity MH - Body Mass Index MH - Child MH - Cross-Sectional Studies MH - Humans MH - *Overweight/epidemiology MH - *Pediatric Obesity/epidemiology MH - Prevalence MH - Schools, Nursery OTO - NOTNLM OT - Body mass index OT - Child OT - Excessive corpulence OT - Growth charts OT - Preschool OT - Socioeconomic factors EDAT- 2022/05/07 06:00 MHDA- 2022/07/07 06:00 CRDT- 2022/05/06 22:04 PHST- 2021/08/20 00:00 [received] PHST- 2021/12/27 00:00 [revised] PHST- 2022/03/26 00:00 [accepted] PHST- 2022/05/07 06:00 [pubmed] PHST- 2022/07/07 06:00 [medline] PHST- 2022/05/06 22:04 [entrez] AID - S0929-693X(22)00089-6 [pii] AID - 10.1016/j.arcped.2022.03.001 [doi] PST - ppublish SO - Arch Pediatr. 2022 Jul;29(5):388-394. doi: 10.1016/j.arcped.2022.03.001. Epub 2022 May 4.