Obesity in young children and its relationship with diagnosis of asthma, vitamin D deficiency, iron deficiency, specific allergies and flat-footedness : A systematic review and meta-analysis

Journal article


Malden, Stephen, Gillespie, Jenny, Hughes, Adrienne, Gibson, Ann-Marie, Farooq, Abdulaziz, Martin, Anne, Summerbell, Carolyn and Reilly, John J.. (2021). Obesity in young children and its relationship with diagnosis of asthma, vitamin D deficiency, iron deficiency, specific allergies and flat-footedness : A systematic review and meta-analysis. Obesity Reviews. 22(3), p. Article e13129. https://doi.org/10.1111/obr.13129
AuthorsMalden, Stephen, Gillespie, Jenny, Hughes, Adrienne, Gibson, Ann-Marie, Farooq, Abdulaziz, Martin, Anne, Summerbell, Carolyn and Reilly, John J.
Abstract

There is evidence that a number of medical conditions and co-morbidities are associated with obesity in young children. This review explored whether there is evidence of associations with other conditions or co-morbidities. Observational studies of young children (mean age < 10 years) were identified using electronic searches of five databases (MEDLINE, Embase, CINAHL, AMED and SPORTDiscus). Of 27 028 studies screened, 41 (comprising 44 comparisons) met the inclusion criteria. These studies provided data on five distinct diseases/conditions: asthma (n = 16), vitamin D deficiency (n = 10), iron deficiency (n = 10), allergies (n = 4) and flat-footedness (n = 4). Thirty-two studies were appropriate for meta-analysis using random-effects models, and revealed obesity was significantly associated with having asthma (OR 1.5, 95% CI 1.3–1.7), vitamin D deficiency (OR 1.9, 95% CI 1.4–2.5) and iron deficiency (OR 2.1, 95% CI 1.4–3.2). Heterogeneity (I2) ranged from 57% to 61%. Narrative synthesis was conducted for all studies. There was no evidence of a consistent association between obesity in young children and eczema, dermatitis or rhinitis due to the low number of studies. However, there was an association with flat-footedness. These results have implications for health policy and practice and families. Further research leading to a greater understanding of the associations identified in this review is suggested.

Keywordsassociations; childhood obesity; co-morbidities; meta-analysis
Year2021
JournalObesity Reviews
Journal citation22 (3), p. Article e13129
PublisherJohn Wiley & Sons Ltd
ISSN1467-7881
Digital Object Identifier (DOI)https://doi.org/10.1111/obr.13129
PubMed ID32808447
Scopus EID2-s2.0-85089441500
PubMed Central IDPMC7611974
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-21
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online18 Aug 2020
Publication process dates
Accepted28 Jul 2020
Deposited23 Mar 2022
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https://acuresearchbank.acu.edu.au/item/8x951/obesity-in-young-children-and-its-relationship-with-diagnosis-of-asthma-vitamin-d-deficiency-iron-deficiency-specific-allergies-and-flat-footedness-a-systematic-review-and-meta-analysis

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