Does Maternal Schooling Affect the Risk of Child Obesity? A Path Analysis Evidence from Surakarta, Central Java


Arum Kusuma Rini1), Eti Poncorini Pamungkasari2), Bhisma Murti1)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: Earlier life-course studies have shown that childhood obesity increa­ses disease risk in adulthood, including metabolic syndrome, cardio­vas­cu­lar dise­ase, type 2 diabetes and its associated cardiovascular, retinal and renal comp­li­ca­tions, non-alcoholic fatty liver disease, obstructive sleep apnea, poly­cys­tic ovarian syndrome, infertility, asthma, orthopedic complications, psychiatric disease, and increased rates of cancer. This study aimed to examine the risk fac­tors of child overweight or obesity in Surakarta, Central Java, using path analysis.

Subjects and Method: This was a case control study carried out in Surakarta, Cen­tral Java, from March to April 2018. A sample of 225 primary school students was selected by simple random sampling. The dependent variable was overweight or obesity. The independent variables were maternal education, family income, physi­cal activity, and maternal body mass index (BMI). The data were collected by questionnaire and analyzed by path analysis.

Results: The risk of child overweight or obesity increased with high family income (b= 1.51; 95% CI= 0.80 to 2.22; p<0.001) and maternal BMI ≥25 (b= 1.19; 95% CI= 0.42 to 1.96; p= 0.002). The risk of overweight or obesity reduced with high physical activity (b= -1.90; 95% CI= -2.63 to -1.16; p<0.001). Maternal edu­ca­tion had indirect association with child overweight or obesity, through mater­nal BMI and child physical activity.

Conclusion: The risk of child overweight or obesity increases with high family income and maternal BMI ≥25. The risk of overweight or obesity reduces with high physical activity. Maternal education has indirect association with child over­­weight or obesity, through maternal BMI and child physical activity.

Keywords: overweight, obesity, determinants, children, path analysis

Correspondence: Arum Kusuma Rini. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java, Indonesia. Email: arumkusumarini@yahoo.com. Mobile: 082133044191.

DOI: https://doi.org/10.26911/theicph.2018.01.64

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