Birth order and number of siblings and their association with overweight and obesity: a systematic review and meta-analysis

Meller, Fernanda Oliveira; Mola, Christian Loret de; Assunção, Maria Cecília Formoso; Schäfer, Antônio Augusto; Dahly, Darren; Barros, Fernando C.

doi:10.1093/nutrit/nux060

Cited by 42 publications

(46 citation statements)

References 27 publications

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“…[ 3 , 4 ] Additional risk factors include low physical activity, social and cultural factors, [ 5 ] as well as lower birth order and lower number of siblings. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

et al. 2020

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Return the portable scales to the cabinet drawers. 2.5.4 Sitting Box  Remove the bungee cord from around the sitting box and store the strap in the anthropometry storage container.  Leave the sitting box against the corner wall where the mirrors are located.  Raise the seat located beside the sitting box. 2.5.5 Stadiometer  Replace the 9-volt battery in the digital measurement device for the stadiometer. NOTE: The facility and equipment specialist is expected to do this.  Calibrate the stadiometer using the calibration rod (see Chapter 5, Quality Control, Section 5.2, Equipment Calibrations). When not in use, the rod should be kept in the holding grips on the side of the stadiometer.  Slide the head piece of the stadiometer to the top of the measurement column.

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“…[ 3 , 4 ] Additional risk factors include low physical activity, social and cultural factors, [ 5 ] as well as lower birth order and lower number of siblings. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

et al. 2020

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“…As it pertains to health outcomes, children without siblings (only children) have a higher rate of obesity than do children with siblings. 25 Since excess weight gain has been related to lower MVPA and elevated sedentary behaviour, 26 27 this difference in obesity rates and energy balance suggests that the presence of siblings may support more MVPA and less sedentary behaviour. Further, the split in obesity rates between only children and children with siblings emerges at around 8 years old, 28 when MVPA levels start to decline in children.…”

Section: Introductionmentioning

confidence: 99%

Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review

Kracht

Sisson

2018

BMJ Open Sport Exerc Med

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Children without siblings (only children) have higher rates of obesity than children with siblings. Childhood obesity may be prevented by minimising sedentary behaviour and accumulating sufficient physical activity in young children. A growing number of articles have examined the influence of siblings on physical activity and sedentary behaviour, yet these articles have not been synthesised.ObjectiveTo synthesise literature and describe the influence of siblings on objectively measured physical activity and sedentary behaviour of children (ages 2–18 years).DesignOutcomes were analysed in a systematic review and meta-analysis.Data sourcesPubMed, EMBASE, Web of Science and Medline OVID were searched for articles related to siblings, physical activity, sedentary behaviour and obesity outcomes from 1947 to March 2018.Eligibility criteriaArticles that evaluated sibling status on physical activity objectively measured by accelerometer or pedometer were included.ResultsNineteen articles, representing 17 independent datasets, were included in the review. Nine were included in the quantitative analysis. Pooled data from nine articles indicated children with siblings had higher moderate-to-vigorous physical activity (MVPA) relative to only children, with a potential dose response for higher number of children in household and higher MVPA (Mean Difference=3.13, 95% CI 1.90 to 4.35, p=0.001). Findings were mixed for the influence of siblings on sedentary behaviour and light physical activity.Summary/ConclusionChildren with siblings had healthier physical activity patterns, as measured by accelerometer or pedometer, than did only children. Suggested mechanisms include peer modelling, encouraging active transport and sports participation, opportunity for playmate and serving as additional caregivers.Trial registration numberCRD42017055463.

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“…However, studies of obese children aged 0-5 years found a correlation between the number of siblings and the incidence of obesity. A metaanalysis study stated that the lower the number of siblings, the higher the risk of obesity (Meller et al, 2018). The risk of obesity in children born as the last child is higher than for children who do not have siblings.…”

Section: Number Of Siblingsmentioning

confidence: 99%

Demographic Characteristics and Body Mass Index in Obese Adolescents

Widjaja

Prihaningtyas

Hanindita

et al. 2019

JBE

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Background:The prevalence of adolescent obesity is increasing in Indonesia. Obesity can reduce the quality of life, especially as most obese adolescents remain obese after they become adult. In obese adolescents, the higher their IMT (intima-media thickness), the higher the risk of cardiovascular disease in adulthood. Purpose: The aim of this study is to analyse the correlation of demographic characteristics with BMI (body mass index) in adolescents with obesity. Methods: This study is a cross-sectional study on adolescents with obesity conducted in the Paediatric Nutrition and Metabolic Disease Clinic of Dr Soetomo General Hospital, Surabaya. The data on demographic characteristics, such as gender, number of siblings, paternal education, maternal education, and maternal occupation, were collected using the interview method. Data on anthropometry were collected to calculate BMI. Obesity is established if it is higher than the 95 th percentile, based on CDC percentile of BMI, according to age and sex. Data were analysed using multiple regression. Results: A total of 59 obese adolescents, between 13 and 16 years old, were involved. As many as 49.20% of respondents had one sibling. As many as 52.50% of respondents had a father with a high school education and 44.10% of respondents had mothers with a high school education; 61% of respondents had working mothers. There was no correlation between BMI and demographic characteristics (p> 0.05), except for number of siblings (p = 0.02). Conclusion: In this study, the number of siblings was correlated with BMI. A study with a greater number of obese adolescents and with adolescents who have normal nutritional status is needed to fully assess the influence of demographic characteristics on BMI in obese adolescents.

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Birth order and number of siblings and their association with overweight and obesity: a systematic review and meta-analysis

Cited by 42 publications

References 27 publications

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review

Demographic Characteristics and Body Mass Index in Obese Adolescents

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