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. 2021 Jun;24(8):2238-2247.
doi: 10.1017/S136898002100121X. Epub 2021 Mar 22.

Household and schooling rather than diet offset the adverse associations of height with school competence and emotional disturbance among Taiwanese girls

Lin-Yuan Huang  1 , Meei-Shyuan Lee  2   3 , Po-Huang Chiang  1 , Yi-Chen Huang  4 , Mark L Wahlqvist  1   2   4   3
Affiliations

Household and schooling rather than diet offset the adverse associations of height with school competence and emotional disturbance among Taiwanese girls

Lin-Yuan Huang et al. Public Health Nutr. 2021 Jun.

Abstract

Objective: Short stature may reflect health in early life and be an enduring disability. How birth weight, gender, household, elementary schooling and diet play a role in associations between stature and overall school competence (OSC) have been assessed.

Design: The 2001-2002 Nutrition and Health Survey in Taiwan (NAHSIT) for elementary schoolchildren (n 2274, 52·1 % boys) was linked to birth records. It provided sociodemographic, dietary quality, body compositional and school performance (as Scale for Assessing Emotional Disturbance, SAED; OSC as an SAED subscale) data. Lower birth weight was ≤15th percentile: 2850 g for boys and 2700 g for girls, and stature as z-scores for Taiwanese. Multivariable linear regression was used for relationships between OSC and stature. Trends in OSC by stature and school grade were assessed.

Setting: The 2001-2002 NAHSIT for elementary schoolchildren.

Participants: Totally, 2274 schoolchildren aged 6-13 years.

Results: Compared to normal height (-2< height for age z-score (HAZ) <2), shorter girls (HAZ ≤ -2) had a lower OSC (8·87 v. 10·5, P < 0·05) and taller girls (HAZ ≥ 2) had a better OSC (12·3 v. 10·5, P < 0·001). Maternal education and household income each contributed more than 5 % of OSC variance. OSC and HAZ among girls were positively associated and emotional disturbance negatively associated. Shortness-associated lower OSC underwent remediation with advancing school grade. Stature and OSC were not evidently related in boys.

Conclusions: Shorter stature can compromise OSC among school girls. The major determinants in shorter girls are less household income and limited parental education.

Keywords: Birth weight; Dietary pattern; Gender; Parental education; School grade.

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Figures

Fig. 1
Fig. 1
Hypothetical associations and pathways for height and school performance
Fig. 2
Fig. 2
Multiple linear regressions1 for overall school competence and the height z-score by grade and gender. 1Model adjusted for gender, region, mother’s education, household income, YHEI-TW, physical activity, low birth weight and BMI. YHEI-TW, The Youth Healthy Eating Index-Taiwan
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References

    1. Wainschtein P, Jain DP, Yengo L et al. (2019) Recovery of trait heritability from whole genome sequence data. bioRxiv. Published online: 25 March 2019. doi: 10.1101/588020. - DOI
    1. Geddes L (2019) Genetic study homes in on height’s heritability mystery. Nature 568, 444–445. - PubMed
    1. Silventoinen K (2003) Determinants of variation in adult body height. J Biosoc Sci 35, 263–285. - PubMed
    1. Kuh D & Wadsworth M (1989) Parental height: childhood environment and subsequent adult height in a national birth cohort. Int J Epidemiol 18, 663–668. - PubMed
    1. Lukito W, Wibowo L & Wahlqvist ML (2019) Maternal contributors to intergenerational nutrition, health, and well-being: revisiting the Tanjungsari Cohort Study for effective policy and action in Indonesia. Asia Pac J Clin Nutr 28, Suppl. 1, S1–S16. - PubMed

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