Associations between obesity and developmental functioning in pre-school children

A population-based study

J. M. Mond*, H. Stich, P. J. Hay, A. Kraemer, B. T. Baune

*Corresponding author for this work

Research output: Contribution to journalArticle

76 Citations (Scopus)


Objective: To examine associations between obesity and impairment in developmental functioning in a general population sample of pre-school children. Method: Standardized medical examinations were conducted in nine consecutive cohorts of male and female children (n=9415) aged between 4.4 and 8.6 years (mean=6.0, s.d.=0.37) residing in the Lower Bavaria region of Germany. Tests designed to assess performance in subdivisions representing four broad developmental domains, namely, motor development, speech development, cognitive development and psycho-social development, were completed by all participants. Results: Boys had significantly higher rates of impairment than girls. The prevalence of obesity in boys was 2.4%, whereas in girls it was 4.3% (χ 2=21.51, P< 0.01). After controlling for age, gender, year of recruitment and other potential covariates, the prevalence of impairment in gross motor skills was higher among obese male children than normal-weight male children (adjusted odds ratio=1.76, 95% confidence interval (CI)=1.02, 3.01, P< 0.05), whereas the prevalence of impairment in the ability to focus attention was higher in obese female children than normal-weight female children (adjusted odds ratio=1.86, 95% CI=1.00, 3.44, P< 0.05). Conclusions: The findings suggest that gender-specific associations between obesity and impairment in specific aspects of developmental functioning may be evident in younger children.

Original languageEnglish
Pages (from-to)1068-1073
Number of pages6
JournalInternational Journal of Obesity
Issue number7
Publication statusPublished - 10 Jul 2007


  • Children
  • Developmental functioning
  • Pre-school

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