ArticlePediatric obesity2022
Neighbourhood socio-economic environment predicts adiposity and obesity risk in children under two.
Article in Pediatric obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Neighborhood socioeconomic disadvantage and early overweight of very preterm-born children: a cohort study in France.Pediatric research · 2026Article
- Community Disadvantage Is Associated With More Severe Motor Symptoms in Parkinson Disease.Neurology. Clinical practice · 2025Article
- Implementation of a grupal intervention program for the treatment of obesity in children: PinPO.Trials · 2025Article
- Associations between gestational exposure to neighbourhood socioeconomic deprivation and early childhood weight status.Pediatric obesity · 2025Article
- A Scoping Review of the Social Determinants of Pediatric and Adolescent Obesity.International journal of pediatrics · 2025Review
- Neighbourhood socio-economic environment predicts adiposity and obesity risk in children under two.Pediatric obesity · 2022Article
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundNeighbourhood socio-economic environment (SEE) is associated with obesity in older children and adults, but little is known about this relationship in younger children. Breastfeeding is an important preventative of adiposity in childhood, but its relationship with neighbourhood SEE is unknown.
aimsWe assessed differences in adiposity and obesity in children before age two by neighbourhood SEE, controlling for family socio-demographics and breastfeeding duration. MATERIALS AND
methodsFamily socio-demographics, child body mass index z scores (BMIz), and breastfeeding duration were collected at periodic study visits from participants in PREVAIL (n = 245), a birth cohort in Cincinnati, OH. Addresses were assigned a Deprivation Index score, a validated measure of SEE, and dichotomized into highest SEE (least deprived quartile of scores) and not highest SEE (remaining quartiles). Longitudinal and Poisson models assessed differences in BMIz by SEE over the second year of life and obesity risk at age two, respectively (highest SEE, reference), while attenuation of obesity risk by breastfeeding duration was tested in mediation models.
resultsResiding outside of the highest SEE neighbourhoods was associated with an increased BMIz of 0.04 (95%CI 0.02, 0.06) per month of life and increased obesity risk at age two (aRR: 3.7, 95%CI 1.2, 16.2), controlling for family socio-demographics. Breastfeeding duration attenuated >9% of the obesity risk attributable to SEE (mediated RR: 3.4, 95%CI 1.1, 14.8). DISCUSSION: In the PREVAIL Cohort, residing outside of the highest SEE neighbourhoods predicted a significant increase in BMIz and obesity risk in children before age two, a relationship that was partially mediated by breastfeeding duration.
conclusionBreastfeeding support may play an important role in reducing obesity rates in children in lower SEE neighbourhoods.
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