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Comparative Study
. 2014 Jun 23:14:640.
doi: 10.1186/1471-2458-14-640.

Longitudinal changes in health behaviours and body weight among Swedish school children--associations with age, gender and parental education--the SCIP school cohort

Liselotte Schäfer Elinder  1 , Nelleke Heinemans, Zangin Zeebari, Emma Patterson
Affiliations
Comparative Study

Longitudinal changes in health behaviours and body weight among Swedish school children--associations with age, gender and parental education--the SCIP school cohort

Liselotte Schäfer Elinder et al. BMC Public Health. .

Abstract

Background: In order to develop health promotion initiatives it is important to identify at what age gender and socioeconomic inequalities in health-related behaviours emerge. The aim of this longitudinal study was to analyse how health-related behaviours and weight status differed by age-group, gender, family socio-economic status and over time in three cohorts of school children.

Methods: All children in grades 2, 4 and 7 in a Swedish semi-urban municipality were invited to participate (n = 1,359) of which 813 (60%) consented. At baseline and after 2 years a health questionnaire was answered by all children. Height and weight was measured. Fourteen outcomes were analysed. The main and interaction effects of time, gender and parental educational level on the health-related behaviours, weight status and body mass index standard deviation score (BMIsds) were analysed by the Weighted Least Squares method for categorical repeated measures and Analysis of Variance.

Results: Nine of 12 health behaviours deteriorated over the two years: consumption of breakfast and lunch, vegetables and fruit, intake of sweetened drinks, TV viewing, club membership, being outdoors, and school recess activity; two behaviours were unchanged: intake of sweets, and active transport. Only sports participation increased with time. Girls consumed more vegetables, less sweetened drinks, performed less sports, were less physically active during recess, and had lower BMIsds, compared to boys. Those with more highly educated parents had more favourable or similar behaviours compared to those with less educated parents in 10 out of 12 health behaviours, the only exception being intake of sweets and being outdoors, and had lower BMIsds.

Conclusions: This study adds to our knowledge regarding the temporal development of health behaviours and weight status in school children. Differences with regard to gender and socioeconomic status were seen already at a young age. These results contribute to our understanding of several important determinants of obesity and chronic diseases and may inform future interventions regarding how to decrease gender and social inequalities in health.

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Figures

Figure 1
Figure 1
Developments in 12 outcomes in the three cohorts over a two year period including effect of gender and parental education. The symbols G, S and T stand for Gender, Socioeconomic status/parental educational level, and Time, respectively. The symbols × and – indicate an interaction and negative direction of effect, respectively. An italic symbol indicates a factor with significant effect after stratification for gender. Subscript symbols b and g stand for boys and girls, respectively.
See this image and copyright information in PMC

References

    1. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, Atkinson C, Bacchus LJ, Bahalim AN, Balakrishnan K, Balmes J, Barker-Collo S, Baxter A, Bell ML, Blore J, Blyth F, Bonner C, Borges G, Bourne R, Boussinesq M, Brauer M, Brooks P, Bruce NG, Brunekreef B, Bryan-Hancock C, Bucello C. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013;380:2224–2260. - PMC - PubMed
    1. Enghardt Barbieri H, Pearson M, Becker W. Riksmaten – Barn 2003. Livsmedels- och näringsintag bland barn i Sverige (Food And Nutrient Intake among Children in Sweden 2003) Uppsala: National Food Agency; 2006. Riksmaten – Barn 2003. Livsmedels- och näringsintag bland barn i Sverige (Food and Nutrient Intake among Children in Sweden 2003) (Editor ed.^eds.)
    1. Brug J, van Stralen MM, Te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N, Bere E, Maskini V, Singh AS, Maes L, Moreno L, Jan N, Kovacs E, Lobstein T, Manios Y. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the ENERGY-project. PLoS One. 2012;7:e34742. - PMC - PubMed
    1. Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008;66:1429–1436. - PubMed
    1. Due P, Damsgaard MT, Rasmussen M, Holstein BE, Wardle J, Merlo J, Currie C, Ahluwalia N, Sorensen TI, Lynch J, Borraccino A, Borup I, Boyce W, Elgar F, Gabhainn SN, Krolner R, Svastisalee C, Matos MC, Nansel T, Al Sabbah H, Vereecken C, Valimaa R. Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries. Int J Obes (Lond) 2009;33:1084–1093. - PMC - PubMed

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