On the basis of measurements taken of 4298 grade 5 students,
we estimated the provincial prevalence of overweight to
be 32.9% and of obesity to be 9.9%. Children who bought
lunch at school were at increased risk of overweight (fully adjusted
odds ratio [OR] 1.39, 95% confidence interval [CI]
1.16–1.67), whereas those who ate supper together with their
family 3 or more times a week were at decreased risk (OR
0.68, 95% CI 0.52–0.88). Physical education classes 2 or more
times a week at school were associated with a decreased risk of
overweight (OR 0.61, 95% CI 0.43–0.87) and obesity (OR
0.54, 95% CI 0.33–0.88). Children in high-income neighbourhoods
were half as likely to be obese as their peers living in
low-income neighbourhoods (OR 0.50, 95% CI 0.36–0.70).
Interpretation: Parents and schools provide important opportunities
for public health initiatives for reducing childhood overweight
and obesity. Children and schools in low-income
neighbourhoods should receive priority in public health initiatives
to reduce future socioeconomic inequalities in health
On the basis of measurements taken of 4298 grade 5 students,
we estimated the provincial prevalence of overweight to
be 32.9% and of obesity to be 9.9%. Children who bought
lunch at school were at increased risk of overweight (fully adjusted
odds ratio [OR] 1.39, 95% confidence interval [CI]
1.16–1.67), whereas those who ate supper together with their
family 3 or more times a week were at decreased risk (OR
0.68, 95% CI 0.52–0.88). Physical education classes 2 or more
times a week at school were associated with a decreased risk of
overweight (OR 0.61, 95% CI 0.43–0.87) and obesity (OR
0.54, 95% CI 0.33–0.88). Children in high-income neighbourhoods
were half as likely to be obese as their peers living in
low-income neighbourhoods (OR 0.50, 95% CI 0.36–0.70).
Interpretation: Parents and schools provide important opportunities
for public health initiatives for reducing childhood overweight
and obesity. Children and schools in low-income
neighbourhoods should receive priority in public health initiatives
to reduce future socioeconomic inequalities in health
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