Relationship between Children’s Body Mass Index and Parents’ Obesity and Socioeconomic Status: A Multilevel Analysis Applied with Luxembourg Data

DOI: 10.4236/health.2014.617267   PDF   HTML   XML   3,297 Downloads   5,622 Views   Citations


Obesity in children is a health crisis because the problem is increasing in most developed countries. This study measures the relationship between body mass index (BMI) of children aged 7 - 12 years residing in Luxembourg and the weight and socioeconomic status of their parents. The data used are from the 2007 Socio-Economic Panel Liewen zu L?tzebuerg/European Union-Statistics on Income and Living Conditions survey, which covers a population of approximately 10,000 people. The study sample includes 775 children whose weight and height were recorded to calculate their BMI. The descriptive analysis with the socioeconomic distribution of the children’s BMI and the multilevel logistic regression of the probability to be in overweight or obese were performed. The mean BMI of children was 17.4 kg/m2 for boys and girls. The prevalence of overweight was 21.2% (including 3% who were obese). Weight status, educational level, physical activity, and eating habits of parents were associated with BMI in children. Furthermore, children of foreign nationality had 2.9 times more risk to be overweight or obese than other children of Luxembourg nationality (OR = 2.90, 95%CI: 1.38 - 6.10). Children living in household with at least one parent who was obese were 6.51 times more likely to be in overweight or obese compared to those in household with both parents normal (OR = 6.51, 95%CI: 2.48 - 17.08). Overall, nationality and weight status of parents were the main determinants of children’s weight status. Promoting healthy diets and regular physical activity and educating parents on the consequences of overweight and obesity on children’s health in adulthood are effective strategies to control overweight and obesity.

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Tchicaya, A. and Lorentz, N. (2014) Relationship between Children’s Body Mass Index and Parents’ Obesity and Socioeconomic Status: A Multilevel Analysis Applied with Luxembourg Data. Health, 6, 2322-2332. doi: 10.4236/health.2014.617267.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Wang, Y. and Lobstein, T. (2006) Worldwide Trends in Childhood Overweight and Obesity. International Journal of Pediatric Obesity, 1, 11-25.
[2] Nursing Best Practice Guidelines 2005.
[3] Carroquino, M. (2007) Prevalence of Excess Body Weight and Obesity in Children and Adolescents. Fact Sheet, ENHIS, No. 2.3.
[4] Jackson-Leach, R. and Lobstein T. (2006) Estimated Burden of Paediatric Obesity and Co-Morbidities in Europe. Part 1. The Increase in the Prevalence of Child Obesity in Europe Is Itself Increasing. International Journal of Pediatric Obesity, 1, 26-32.
[5] OCDE (2009) Panorama de la santé 2009: Les indicateurs de l’OCDE. OCDE 2009.
[6] WHO (2008) Inegalities in Young People’s Health: Health Behaviour in School-Aged Children. International Report from the 2005/2006 Survey.
[7] Thibault, H., Contrand, B., Saubusse, E., Baine, M. and Maurice-Tison, S. (2010) Risk Factors for Overweight and Obesity in French Adolescents: Physical Activity, Sedentary Behavior and Parental Characteristics. Nutrition, 26, 192-200.
[8] Expertise Collective (2006) Obésité: Bilan et évaluation des programmes de prévention et de prise en charge.
[9] Shrewsbury, V. and Wardle, J. (2008) Socioeconomic Status and Adiposity in Childhood: A Systematic Review of Cross-Sectional Studies 1990-2005. Obesity, 16, 275-284.
[10] Murasko, J. (2009) Socioeconomic Status, Height, and Obesity in Children. Economics & Human Biology, 7, 376-386.
[11] Moreno, L.A., Tomás, C., González-Gross, M., Bueno, G., Pérez-González, J.M. and Bueno, M. (2004) Micro-Environmental and Socio-Demographic Determinants of Childhood Obesity. International Journal of Obesity, 28, S16-S20.
[12] Waters, E., Ashbolt, R., Gibbs, L., Booth, M., Magarey, A., Gold, L., et al. (2008) Double Disadvantage: The Influence of Ethnicity over Socioeconomic Position on Childhood Overweight and Obesity: Findings from an Inner Urban Population of Primary School Children. International Journal of Pediatric Obesity, 3, 196-204.
[13] Langnase, K., Mast, M., Danielzik, S., Spethmann, C. and Müller, M.J. (2003) Socioeconomic Gradients in Body Weight of German Children Reverse Direction between the Ages of 2 and 6 Years. Journal of Nutrition, 133, 789-796.
[14] Singh, G.K., Siahpush, M. and Kogan, M.D. (2010) Rising Social Inequalities in US Childhood Obesity, 2003-2007. Annals of Epidemiology, 20, 40-52.
[15] Verger, P., Saliba, B., Guagliardo, V., Bouhnik, A.D., Eichenbaum-Voline, S. and Groupe EVALMATER (2007) Individual Social Characteristics, Municipal Environment and the Prevalence of Weight Problems in Early Childhood: A Multilevel Analysis. Revue d'épidémiologie et de Santé Publique, 55, 347-356.
[16] De Spiegelaere, M., Dramaix, M. and Hennart, P. (1998) Social Class and Obesity in 12-Year-Old Children in Brussels: Influence of Gender and Ethnic Origin. European Journal of Pediatrics, 157, 432-435.
[17] Sweeting, H., West, P. and Young, R. (2008) Obesity among Scottish 15 Year Olds 1987-2006: Prevalence and Associations with Socio-Economic Status, Well-Being and Worries about Weight. BMC Public Health, 8, 404.
[18] Lioret, S., Maire, B., Volatier, J.L. and Charles, M.A. (2007) Child Overweight in France and Its Relationship with Physical Activity, Sedentary Behaviour and Socioeconomic Status. European Journal of Clinical Nutrition, 61, 509-516.
[19] Stamatakis, E., Primatesta, P., Chinn, S., Rona, R. and Falascheti, E. (2005) Overweight and Obesity Trends from 1974 to 2003 in English Children: What Is the Role of Socioeconomic Factors? Archives of Disease in Childhood, 90, 999-1004.
[20] Wang, Y. (2001) Cross-National Comparison of Childhood Obesity: The Epidemic and the Relationship between Obesity and Socioeconomic Status. International Journal of Epidemiology, 30, 1129-1136.
[21] Stamatakis, E., Wardle, J. and Cole, T.J. (2010) Childhood Obesity and Overweight Prevalence Trends in England: Evidence for Growing Socioeconomic Disparities. International Journal of Obesity, 34, 41-47.
[22] O’Dea, J.A. (2008) Gender, Ethnicity, Culture and Social Class Influences on Childhood Obesity among Australian Schoolchildren: Implications for Treatment, Prevention and Community Education. Health & Social Care in the Community, 16, 282-290.
[23] Drenowatz, C., Eisenmann, J.C., Pfeiffer, K.A., Welk, G., Heelan, K., Gentile, D. and Walsh, D. (2010) Influence of Socio-Economic Status on Habitual Physical Activity and Sedentary Behavior in 8- to 11-Year Old Children. BMC Public Health, 10, 214.
[24] Singh, G.K., Kogan, M.D., Van Dyck, P.C. and Siahpush, M. (2008) Racial/Ethnic, Socioeconomic, and Behavioral Determinants of Childhood and Adolescent Obesity in the United States: Analyzing Independent and Joint Associations. Annals of Epidemiology, 18, 682-695.
[25] Davison, K.K. and Birch, L.L. (2001) Child and Parent Characteristics as Predictors of Change in Girls’ Body Mass Index. International Journal of Obesity, 25, 1834-1842.
[26] Klohe-Lehman, D.M., Freeland-Graves, J., Clarke, K.K., Cai, G., Voruganti, V.S., Milani, T.J., Nuss, H.J., Proffitt, J.M. and Bohman, T.M. (2007) Low-Income, Overweight and Obese Mothers as Agents of Change to Improve Food Choices, Fat Habits, and Physical Activity in Their 1-to-3-Year-Old Children. Journal of the American College of Nutrition, 26, 196-208.
[27] Thomas, D., Strauss, J. and Henriques, M.H. (1991) How Does Mother’s Education Affect Child Height. The Journal of Human Resources, 26, 183-211.
[28] Rolland-Cachera, M. (2004) Définitions actuelles de l’obésité de l’enfant. Sang Thrombose Vaisseaux, 16, 187-192.
[29] Castetbon, K. and Rolland-Cachera, M. (2000) Surpoids et obésité chez les enfants de 7 à 9 ans. INVS, Saint-Maurice.
[30] Rolland-Cachera, M.F., Péneau, S. and Castetbon, K. (2007) Définition de l’obésité de l’enfant: Les différentes courbes de référence. Le Concours Médical, 129, 1171-1174.
[31] Cole, T., Bellizzi, M., Flegal, K. and Dietz, W. (2000) Establishing a Standard Definition for Child Overweight and Obesity Worldwide: International Survey. British Medical Journal, 320, 1240.
[32] Anderson, P.M., Butcher, K.F. and Levine, P.B. (2003) Maternal Employment and Overweight Children. Journal of Health Economics, 22, 477-504.
[33] Anderson, P.M. and Butcher, K.F. (2006) Childhood Obesity: Trends and Potential Causes. Future of Children, 16, 19-45.
[34] Statec (2010) Luxembourg in Figures.
[35] Snijders, T. and Bosker, R. (1999) Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. Sage Publications, London.
[36] Snijders, T. and Bosker, R. (2011) Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. 2nd Edition, Sage Publications, London.
[37] Guo, G. and Zhao, H.X. (2000) Multi-level Modeling for Binary Data. Annual Review of Sociology, 26, 441-462.
[38] Li, B., Lingsma, H.F., Steyerberg, E.W. and Lesaffre, E. (2011) Logistic Random Effects Regression Models: A Comparison of Statistical Packages for Binary and Ordinal Outcomes. BMC Medical Research Methodology, 11, 77.
[39] SAS Institute Inc. (2007) NLMIXED Procedure, SAS 9.2. Cary.
[40] Tchicaya, A. and Lorentz, N. (2010) Prévalence du surpoids et de l'obésité de 1995 à 2008. Collection Vivre au Luxembourg, 66, 2. CEPS/INSTEAD, Differdange, Luxembourg.
[41] Craig, R. and Mindell, J. (2008) Health Survey for England 2006. Vol 2. Obesity and Other Risk Factors in Children. National Centre for Social Research, London.
[42] Grossman, M. (1972) On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 80, 223-255.
[43] Lazzeri, G., Pammolli, A., Pilato, V. and Giacchi, M.V. (2011) Relationship between 8/9-yr-Old School Children BMI, Parents’ BMI and Educational Level: A Cross Sectional Survey. Nutrition Journal, 10, 76.
[44] Anderson, P.M., Butcher, K.F. and Levine, P.B. (2000) Maternal Employment and Overweight Children. NBER Working Paper, National Bureau of Economic Research, Inc., MA, USA.
[45] Strauss, R. and Knight, J. (1999) Influence of the Home Environment on the Development of Obesity in Children. Pediatrics, 103, e85.
[46] Steinbeck, K.S. (2001) The Importance of Physical Activity in the Prevention of Overweight and Obesity in Childhood: A Review and an Opinion. Obesity Reviews, 2, 117-130.
[47] Dowler, E. (2001) Inequalities in Diet and Physical Activity in Europe. Public Health Nutrition, 4, 701-709.
[48] Darmon, N. and Drewnowski, A. (2008) Does Social Class Predict Diet Quality? American Journal of Clinical Nutrition, 87, 1107-1117.
[49] Morrissey, T.W., Dunifon, R.E. and Kalil, A. (2001) Maternal Employment, Work Schedules, and Children’s Body Mass Index. Child Development, 82, 66-81.
[50] Stewart, L., Liu, Y. and Rodriguez, E. (2012) Maternal Unemployment and Childhood Overweight: Is There a Relationship? Journal of Epidemiology & Community Health, 66, 641-646.
[51] Champion, S.L., Rumbold, A.R., Steele, E.J., Giles, L.C., Davies, M.J. and Moore, V.M. (2012) Parental Work Schedules and Child Overweight and Obesity. International Journal of Obesity, 36, 573-580.
[52] Liu, E., Hsiao, C., Matsumoto, T. and Chou, S. (2008) Maternal Full-Time Employment and Overweight Children: Parametric, Semi-Parametric, and Non-Parametric Assessment. Working Paper, Department of Economics, University of Southern California, Los Angeles, USA.
[53] Bishop, J. (2010) The Effect of Maternal Employment on Youth Overweight and Obesity. Preliminary Paper Prepared for the Australian Conference of Economists, September 2010.
[54] Araneo, J. (2008) The Effect of Maternal Employment on Childhood Obesity in United Stated. Working Papers.
[55] Garcia, E., Labeaga, J.M. and Ortega, C. (2006) Maternal Employment and Childhood Obesity in Spain. Working Paper, FEDEA, Madrid.
[56] Fertig, A., Glomm, G. and Tchernis, R. (2009) The Connection between Maternal Employment and Childhood Obesity: Inspecting the Mechanism. Review of Economics of the Household, 7, 227-255.
[57] Jeffery, A.N., Voss, L.D., Metcalf, B.S., Alba, S. and Wilkin, T.J. (2005) Parents’ Awareness of Overweight in Themselves and Their Children: Cross Sectional Study within a Cohort. British Medical Journal, 330, 23-24.
[58] Eckstein, K.C., Mikhail, L.M., Ariza, A.J., Thomson, J.S., Millard, S.C., Binns, H.J. and Pediatric Practice Research Group (2006) Parents’ Perceptions of Their Child’s Weight and Health. Pediatrics, 117, 681-690.
[59] He, M. and Evans, A. (2007) Les parents sontils conscients que leurs enfants souffrent de surpoids ou d’obésité? Canadian Family Physician, 53, 1493-1499.
[60] Doolen, J., Alpert, P.T. and Miller, S.K. (2009) Parental Disconnect between Perceived and Actual Weight Status of Children: A Meta-synthesis of the Current Research. Journal of the American Academy of Nurse Practitioners, 21, 160-166.
[61] Wardle, J., Paramenter, K. and Waller, J. (2000) Nutrition Knowledge and Food Intake. Appetite, 34, 269-275.

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