How Healthy Is Homeschool? An Analysis of Body Composition and Cardiovascular Disease Risk

J Sch Health. 2018 Feb;88(2):132-138. doi: 10.1111/josh.12588.

Abstract

Background: Public school children regularly participate in school-based physical activity, physical education, and fitness testing. However, almost 2 million American children are homeschooled. The purpose of this research was to assess the body composition of elementary school-aged homeschool children and their corresponding cardiovascular disease (CVD) risk.

Methods: This research explored the body composition and CVD risk of 145 homeschool children aged 5-11 years using body mass index (BMI), percent body fat, and waist circumference. Chi-square and Mann-Whitney U tests examined differences in CVD risk within the homeschool population.

Results: Overall, homeschool children had average BMI z-scores (SD [range]) with a mean of -0.11 (0.97 [-3.47 to 2.53]). Unhealthy classifications were seen in 11.2% of the sample by BMI, 19.6% by percent body fat, and 49.7% by waist circumference. Statistical analysis revealed no difference in CVD risk between sexes (χ2 (1) = 0.062, p = .804) or ethnicities (χ2 (1) = 0.927, p = .336) but increased prevalence in children aged 5-9 years (U = 1427, z = -4.559, p < .001).

Conclusions: Almost half of elementary school-aged homeschool children showed increased risk for CVD and need regular assessment of central adiposity.

Keywords: child and adolescent health; community health; physical fitness and sport; special populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Body Composition*
  • Body Mass Index
  • Body Weights and Measures
  • Cardiovascular Diseases / epidemiology*
  • Child
  • Child, Preschool
  • Education / methods*
  • Ethnicity / statistics & numerical data*
  • Exercise
  • Female
  • Humans
  • Male
  • Overweight / epidemiology*
  • Physical Fitness
  • Risk Factors
  • Sex Factors
  • Socioeconomic Factors