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Participation in a childcare program appears to increase the likelihood that a child will be obese when he or she shows up for the first day of kindergarten, researchers report in the journal Pediatrics.
Moreover, the report indicates that the type of childcare makes a difference. For instance, children who receive care from a relative, friend, or neighbor, held at least occasionally in the child's own home, were more prone to obesity than those who received care at a daycare center or nursery school.
Latino children, however, seemed to be the exception. While they were found to be at greater risk for obesity than kids of other races, they were less likely to become obese when enrolled in a childcare program rather than spending the week with a parent.
The study, conducted by Dr. Erin J. Maher, from Casey Family Programs in Seattle, and colleagues, involved nearly 16,000 first-time kindergartners who had or had not been enrolled in childcare, defined as spending at least 10 hours per week in care not provided by a parent.
Childcare was subdivided into four types: 1) paid or unpaid care by a relative, friend, or neighbor, held at least occasionally at the child's home; 2) paid care by a non-relative family outside the child's home; 3) Head Start; and 4) care at daycare center, nursery school, preschool, or pre-kindergarten. Children were considered to be obese if their weight was in the 95th or higher percentile for height.
Overall, kids in childcare were more likely to obese than children not in childcare. Of the various childcare types, care by a relative, friend, or neighbor was most strongly linked to obesity.
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"Our research points to the need to better understand how the specific features of childcare environments may promote or protect against the development of obesity," Dr. Maher's team concludes. "This understanding can then lead to the development of targeted interventions to reach children and families in childcare settings."
- reprinted from Reuters