ArticleArchives of disease in childhood2003
Coexistence of social inequalities in undernutrition and obesity in preschool children: population based cross sectional study.
Article in Archives of disease in childhood, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.
- Socio-economic position as an intervention against overweight and obesity in children: a systematic review and meta-analysis.Scientific reports · 2015Pooled it
- Associations among family sociodemographic factors, breakfast habits, and weight status in preschool children and the mediating role of breakfast habits: the ToyBox-study.European journal of nutrition · 2026Article
- Are associations of adulthood overweight and obesity with all-cause mortality, cardiovascular disease, and obesity-related cancer modified by comparative body weight at age 10 years in the UK Biobank study?International journal of obesity (2005) · 2025Article
- The Effects of Financial Stress and Household Socio-Economic Deprivation on the Malnutrition Statuses of Children under Five during the COVID-19 Lockdown in a Marginalized Region of South Punjab, Pakistan.Children (Basel, Switzerland) · 2022Article
- Association between subjective degree of influence in class and thinness among adolescents in Japan.Frontiers in pediatrics · 2022Article
- Prevalence of child malnutrition and household socioeconomic deprivation: A case study of marginalized district in Punjab, Pakistan.PloS one · 2022Article
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- Association Between Mothers' Problematic Internet Use and the Thinness of Their Children.Cyberpsychology, behavior and social networking · 2019Article
- [Chronic Malnutrition among Children under Five in Peru: A Spatial Analysis of Nutritional Data, 2010-2016].Revista espanola de salud publica · 2017Article
- Prevalence of short stature, underweight, overweight, and obesity among school children in Jordan.BMC public health · 2016Article
- Prevalence of grade 1, 2 and 3 thinness is associated with lower socio-economic status in children in Shanghai, China.Public health nutrition · 2016Article
- Pathways between Socioeconomic Disadvantage and Childhood Growth in the Scottish Longitudinal Study, 1991-2001.PloS one · 2016Article
- Disadvantaged children at greater relative risk of thinness (as well as obesity): a secondary data analysis of the England National Child Measurement Programme and the UK Millennium Cohort Study.International journal for equity in health · 2015Article
- Determinants of child malnutrition in rural and urban Ecuadorian highlands.Public health nutrition · 2014Article
- Impact of parental socioeconomic status on childhood and adolescent overweight and underweight in Korea.Journal of epidemiology · 2014Article
- Higher maternal education is associated with favourable growth of young children in different countries.Journal of epidemiology and community health · 2013Article
- Is dieting behaviour decreasing in young adolescents?Public health nutrition · 2013Article
- Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poisson regression model.BMC public health · 2013Article
- Article
- Body mass index and dietary intake among Head Start children and caregivers.Journal of the American Dietetic Association · 2011Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo test for the coexistence of social inequalities in undernutrition and obesity in preschool children.
methodsRetrospective, cross sectional, study of routinely collected data from 74 500 children aged 39-42 months in 1998/99. Main outcome measures were weight, height, sex, and age routinely recorded by health visitors. Body mass index (BMI) standardised for age and sex, relative to UK 1990 reference data, was used to define undernutrition (BMI <2nd centile) and obesity (BMI >95th centile; BMI >98th centile). Social deprivation was assessed as Carstairs deprivation category (1 = most affluent to 7 = most deprived).
resultsBoth undernutrition (3.3%) and obesity (8.5% above 95th centile; 4.3% above 98th centile) significantly exceeded expected frequencies from UK 1990 reference data. Undernutrition and obesity were significantly more common in the more deprived families. Odds ratios in deprivation category 7 relative to category 1 were 1.51 (95% CI 1.22 to 1.87) for undernutrition (BMI <2nd centile) and 1.30 (95% CI 1.05 to 1.60) for obesity (BMI >98th centile). The cumulative prevalence of under and overnutrition (malnutrition) in the most deprived group was 9.5% compared to 6.9% in the least deprived group.
conclusionsUndernutrition and obesity are significantly more common than expected in young children and strongly associated with social deprivation. Both undernutrition and obesity have adverse short and long term health effects. Public health strategies need to tackle malnutrition (both undernutrition and obesity) in children and take into consideration the association with social deprivation.
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