Factors Predicting Overweight among Preschool Children in Child Development Center, Bangkok
Keywords:
Over-nutrition, preschool children, health behavior, child development center, multi-level implementationAbstract
Abstract
This study aimed to examine associated and predictive factors of overweight among preschool children. A multi-stage random sampling technique was used to recruit a sample of 445 pairs of mothers and their preschoolers (3–5 years of age) receiving services at the child development centers, Bangkok, and 7 teachers . Research instruments included self-report questionnaires consisting of the child’s behaviors, the mother’s knowledge and behaviors, the home environment, the child development center’s environment, and a demographic data record form. Descriptive statistics and binary logistic regression analysis were performed to analyze the data.
The result shows that 19.91% of preschool children in child development center in Bangkok were overweight. Factors that significantly associated and predicted overweight among the preschool children were child’s food consumption behavior (OR = 10.27, 95% CI = 3.60–29.32), child’s physical activity (OR = 4.30; 95%CI,1.63–11.34), maternal nutritional knowledge (OR = 3.19; 95% CI, 1.16–8.80), mother's preparing food (OR = 5.63, 95%CI =2.19–14.52), food stored at home (OR = 9.57, 95% CI = 3.06–29.90), home activities area (OR = 6.28, 95% CI = 2.45–16.06) and child care nutrition food (OR = 0.21, 95% CI = 0.05–0.91). These all predictors were together accounted for 93% of variance prediction. These findings suggest that nurses and related health care providers for children in child development centers and community could utilize to be a guideline to develop a program of health promotion and behavioral modification to prevention overweight among preschoolers by emphasizing on multi-level implementation.
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