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American Academy of Pediatrics
Article

Changes in Body Mass Index Associated With Head Start Participation

Julie C. Lumeng, Niko Kaciroti, Julie Sturza, Allison M. Krusky, Alison L. Miller, Karen E. Peterson, Robert Lipton and Thomas M. Reischl
Pediatrics January 2015, peds.2014-1725; DOI: https://doi.org/10.1542/peds.2014-1725
Julie C. Lumeng
Centers for aHuman Growth and Development, and
bDepartment of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan;
cHuman Nutrition Program, Department of Environmental Health Sciences,
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Niko Kaciroti
Centers for aHuman Growth and Development, and
dDepartment of Biostatistics, and
eComputational Medicine and Bioinformatics, University of Michigan, Ann Arbor, Michigan;
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Julie Sturza
Centers for aHuman Growth and Development, and
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Allison M. Krusky
fDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan;
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Alison L. Miller
Centers for aHuman Growth and Development, and
fDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan;
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Karen E. Peterson
Centers for aHuman Growth and Development, and
cHuman Nutrition Program, Department of Environmental Health Sciences,
gDepartment of Nutrition, Harvard School of Public Health, Boston, Massachusetts; and
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Robert Lipton
hPrevention Research Center, Oakland, California
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Thomas M. Reischl
fDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan;
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Abstract

OBJECTIVES: The goal of this study was to determine if Head Start participation is associated with healthy changes in BMI.

METHODS: The sample included children participating in Head Start between 2005 and 2013 and children from 2 comparison groups drawn from a Michigan primary care health system: 5405 receiving Medicaid and 19 320 not receiving Medicaid. Change in BMI z score from the beginning to the end of each of 2 academic years and the intervening summer was compared between groups by using piecewise linear mixed models adjusted for age, gender, and race/ethnicity.

RESULTS: The total sample included 43 748 children providing 83 239 anthropometric measures. The Head Start sample was 64.9% white, 10.8% black, and 14.4% Hispanic; 16.8% of the children were obese and 16.6% were overweight at the initial observation. Children who entered Head Start as obese exhibited a greater decline in the BMI z score during the first academic year versus the comparison groups (β = –0.70 [SE: 0.05] vs –0.07 [0.08] in the Medicaid group [P < .001] and –0.15 [SE: 0.05] in the Not Medicaid group [P < .001]); patterns were similar for overweight children. Head Start participants were less obese, less overweight, and less underweight at follow-up than children in the comparison groups.

CONCLUSIONS: Preschool-aged children with an unhealthy weight status who participated in Head Start had a significantly healthier BMI by kindergarten entry age than comparison children in a primary care health system (both those receiving and those not receiving Medicaid).

  • child
  • early childhood education
  • obesity
  • Accepted November 10, 2014.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 147, Issue 4
1 Apr 2021
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Changes in Body Mass Index Associated With Head Start Participation
Julie C. Lumeng, Niko Kaciroti, Julie Sturza, Allison M. Krusky, Alison L. Miller, Karen E. Peterson, Robert Lipton, Thomas M. Reischl
Pediatrics Jan 2015, peds.2014-1725; DOI: 10.1542/peds.2014-1725

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Changes in Body Mass Index Associated With Head Start Participation
Julie C. Lumeng, Niko Kaciroti, Julie Sturza, Allison M. Krusky, Alison L. Miller, Karen E. Peterson, Robert Lipton, Thomas M. Reischl
Pediatrics Jan 2015, peds.2014-1725; DOI: 10.1542/peds.2014-1725
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