The Correlates of Body Mass Index and Risk Factors for Being Overweight Among Preschoolers With Motor Delay

in Adapted Physical Activity Quarterly
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  • 1 Chang Gung University
  • | 2 Chang Gung University
  • | 3 National Taiwan University Hospital
  • | 4 Chang Gung University
  • | 5 Chang Gung University
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This cross-sectional study investigated the correlates of body mass index (BMI) and risk factors for overweight among 91 children with motor delay (MD) aged 9–73 months. Anthropometric measurements and questionnaires regarding multiple risk factors were obtained. Simple correlations between BMI percentile classifications and potential predictors were examined using Spearman’s rank/Pearson’s correlations and χ2 analysis. Multiple predictors of overweight were analyzed using logistic regression. BMI was correlated positively with higher caloric intake (rs = .21, p < .05) and negatively with passive activity (rs = -.21, p < .05). When multiple predictors were considered, more severe dysphagia (odds ratio [OR], 2.81, p = .027, 95% confidence interval [CI], 1.13–7.04) and antiepileptic drug use (OR, 19.12, p = .008, 95% CI, 2.14–170.81) had significant partial effects on overweight status. Agencies supporting early development should consider caregiver education regarding the potential implication of feeding style and medication on BMI.

Ai-Wen Hwang, Chia-Ling Chen, and Hsin-Yi Kathy Cheng are with the Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. Chiao-Nan Chen is with the Department of Physical Therapy, Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. I-Chin Wu is with the Hepatitis Research Center, National Taiwan University Hospital, Taipei, Taiwan.

Address author correspondence to Ai-Wen Hwang at