Neurobiological developmental disorders in preschool girls are associated with obesity

Wilma J. van Veen; Michiel Burger; Michel J. van Vliet

doi:10.18203/2349-3291.ijcp20240720

Authors

Wilma J. van Veen Department of Pediatrics, University Medical Center Groningen, Groningen, the Netherlands
Michiel Burger Department of Pediatrics, Juliana Kinderziekenhuis, Den Haag, the Netherlands
Michel J. van Vliet Department of Pediatrics, University Medical Center Groningen, Groningen, the Netherlands

DOI:

https://doi.org/10.18203/2349-3291.ijcp20240720

Keywords:

Children, Neurobiological developmental disorders, Overweight, Underweight, Children, Obesity

Abstract

Background: The prevalence of abnormal weight in young children with neurobiological developmental disorders is not known. Children with abnormal weight are at risk for both mental health problems now and in their future. Moreover, abnormal weight can have a detrimental effect on their treatment. This prospective study examines the length and weight in preschool children with neurobiological developmental disorders requiring special day care.

Methods: Trained medical employees measured height and weight of children aged 3 till 5 years old with developmental disorders, who started special youth day care between 2019 and 2021 in the province of Drenthe in the Netherlands.

Results: A total 73% of the children had normal weight, 16% had overweight, 12% were underweight. Girls had more often overweight (28%) and underweight (14%), compared to boys.

Conclusions: Our results suggest that pre-school children and especially girls with psychological problems, have already a significant increased risk of an abnormal body mass index (BMI). Although studies with a larger study population are needed to ascertain this conclusion, screening for an abnormal BMI should be conducted as a standard procedure in this group of children, since it can affect their therapy and future health.

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References

Marcus C, Danielsson P, Hagman E. Pediatric obesity-Long-term consequences and effect of weight loss. J Intern Med. 2022;292(6):870-91.

Perrin EC, Cole CH, Frank DA, Glicken SR, Guerina N, Petit K, et al. Criteria for determining disability in infants and children: failure to thrive. Evid Rep Technol Assess (Summ). 2003;72:1-5.

Statistics Netherlands, StatLine. Length and weight of persons 4-12 years old, overweight and underweight. Available at: https://opendata.cbs.nl/ statline/#/CBS/nl/dataset/81565NED/table?ts=1702737253943. Accessed on 12 November 2023.

Donkor HM, Toxe H, Hurum J, Hurum J, Bjerknes R, Eide GE, et al. Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study. BMJ Paediatrics Open. 2021;5:e000881.

Anderson SE, He X, Schoppe-Sullivan S, Must A. Externalizing behavior in early childhood and body mass index from age 2 to 12 years: longitudinal analyses of a prospective cohort study. BMC Pediatr. 2010;10:49.

Cimino S, Cerniglia L, Almenara CA, Jezek S, Erriu M, Tambelli R. Developmental trajectories of body mass index and emotional-behavioral functioning of underweight children: A longitudinal study. Sci Rep. 2016;6:20211.

Mackenbach JD, Tiemeier H, Ende Jv, Nijs IM, Jaddoe VW, Hofman A, et al. Relation of emotional and behavioral problems with body mass index in preschool children: the Generation R study. J Dev Behav Pediatr. 2012;33(8):641-8.

Logan SW, Scrabis-Fletcher K, Modlesky C, Getchell N. The relationship between motor skill proficiency and body mass index in preschool children. Res Q Exerc Sport. 2011;82(3):442-8.

Schönbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, Hirasing RA, et al. Increase in prevalence of overweight in Dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. PLoS One. 2011;6(11):e27608.

Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007;335(7612):194.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240-1243.

Garrido-Miguel M, Cavero-Redondo I, Álvarez-Bueno C, et al. Prevalence and Trends of Overweight and Obesity in European Children From 1999 to 2016: A Systematic Review and Meta-analysis. JAMA Pediatr. 2019;173(10):e192430.

Donkor HM, Grundt JH, Júlíusson PB, et al. Social and somatic determinants of underweight, overweight and obesity at 5 years of age: a Norwegian regional cohort study. BMJ Open. 2017;7(8):e014548.

Gose M, Plachta-Danielzik S, Willié B, Johannsen M, Landsberg B, Müller MJ. Longitudinal influences of neighbourhood built and social environment on children's weight status. Int J Environ Res Public Health. 2013;10(10):5083-96.

Lee EY, Yoon KH. Epidemic obesity in children and adolescents: risk factors and prevention. Front Med. 2018;12(6):658-66.

Goldberg S, Werbeloff N, Fruchter E, Portuguese S, Davidson M, Weiser M. IQ and obesity in adolescence: a population-based, cross-sectional study. Pediatr Obes. 2014;9(6):419-26.

Drukker M, Wojciechowski F, Feron FJ, Mengelers R, Van Os J. A community study of psychosocial functioning and weight in young children and adolescents. Int J Pediatr Obes. 2009;4(2):91-7.

Jansen PW, Roza SJ, Jaddoe VW, et al. Children's eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study. Int J Behav Nutr Phys Act. 2012;9:130.

Kempf E, Vogel M, Vogel T. Dynamic alterations in linear growth and endocrine parameters in children with obesity and height reference values. EClinicalMedicine. 2021;37:100977.