Higher socioeconomic status is related to healthier levels of fatness and fitness already at 3 to 5 years of age: The PREFIT project

J Sports Sci. 2019 Jun;37(12):1327-1337. doi: 10.1080/02640414.2018.1558509. Epub 2018 Dec 27.

Abstract

This study aimed to analyse the association between socioeconomic status (SES) and fatness and fitness in preschoolers. 2,638 preschoolers (3-5 years old; 47.2% girls) participated. SES was estimated from the parental educational and occupational levels, and the marital status. Fatness was assessed by body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR). Physical fitness components were assessed using the PREFIT battery. Preschoolers whose parents had higher educational levels had lower fatness (P < 0.05). BMI significantly differed across occupational levels of each parent (P < 0.05) and WHtR across paternal levels (P = 0.004). Musculoskeletal fitness was different across any SES factor (P < 0.05), except handgrip across paternal occupational levels (P ≥ 0.05). Preschoolers with high paternal occupation had higher speed/agility (P = 0.005), and those with high or low maternal education had higher VO2max (P = 0.046). Odds of being obese and having low musculoskeletal fitness was lower as SES was higher (P < 0.05). Those with married parents had higher cardiorespiratory fitness than single-parent ones (P = 0.010). School-based interventions should be aware of that children with low SES are at a higher risk of obesity and low fitness already in the first years of life.

Keywords: Body composition; physical fitness; preschoolers; socioeconomic factors.

MeSH terms

  • Adiposity*
  • Body Mass Index
  • Cardiorespiratory Fitness*
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Family Characteristics
  • Female
  • Hand Strength
  • Humans
  • Male
  • Oxygen Consumption
  • Social Class*
  • Waist Circumference
  • Waist-Height Ratio