Influence of micro-environments on pre-school children's energy balance-related behaviours and weight status

Research output: ThesisDoctoral ThesisInternal

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Based on the KOALA Birth Cohort Study and child-care observations, the home and child-care environment were examined as potential determinants of overweight in young children (age 0-7). Breast-feeding protected against overweight, probably through affecting later snacking. Parental stimulation of children’s healthy behaviours was more effective than restriction of unhealthy behaviours. Furthermore, diet and physical activity already clustered (co-occurred) at a young age. Children attending child-care appeared to be more often overweight. Observations showed the importance of child-care staff and physical environmental factors regarding diet and physical activity. The findings can be used to inform future childhood overweight prevention interventions.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Maastricht University
  • de Vries, Nanne, Supervisor
  • Kremers, Stef, Co-Supervisor
  • Thijs, Carel, Co-Supervisor
  • Stafleu, A., Co-Supervisor, External person
Award date19 Nov 2010
Place of PublicationUniversitaire Pers
Print ISBNs978 90 5278 995 8
Publication statusPublished - 1 Jan 2010


  • child-care
  • childhood overweight
  • dietary intake
  • environment
  • parent
  • physical activity

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