Nutritional and growth issues related to child neglect.

Abstract

Child neglect and obesity are major public health problems that undermine children's health and contribute to lifelong disparities. Most of the past research has focused on relations between child neglect and failure to thrive. This article finds that evidence linking child neglect with obesity is mixed. In a recent meta-analysis, five of the eight studies reviewed did not find an increased risk of obesity among neglected children. The case study and three longitudinal studies that reported a relationship between neglect and obesity were conducted among young children, and used caregiver or teacher/clinician definitions of neglect, rather than referrals to state protective service agencies. Dysregulation of the neuroendocrine system associated with neglect has been implicated, but further research is needed to understand the mechanisms that may increase children's risk for obesity. Findings suggest that under some conditions neglect may increase the risk for excessive weight gain, and that high body mass index may be an indicator of possible neglect. By exploring both possibilities, clinicians can promote children's healthy growth and development and prevent subsequent health disparities.