Reducing Hispanic Children's Obesity Risk Factors in the First 1000 Days of Life: A Qualitative Analysis
Reducing Hispanic Children's Obesity Risk Factors in the First 1000 Days of Life: A Qualitative Analysis
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DOI：
10.1155/2015/945918
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发表时间：
2015-01-01
影响因子：
3.3
通讯作者：
Taveras, Elsie M.
中科院分区：
文献类型：
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作者：
Baidal, Jennifer A. Woo;Criss, Shaniece;Taveras, Elsie M.
目标。在最初的1000天(怀孕年龄24个月)内的可改变的行为调节了西班牙裔儿童的肥胖差异。我们的目的是检查早期肥胖风险因素的潜在原因，并确定潜在的早期生活干预策略。方法：研究方法。我们对49名怀孕或有孩子的24个月大的西班牙裔妇女进行了7个焦点小组的研究。领域包括对儿童肥胖危险因素的影响和未来的干预想法。我们用浸入-结晶的方法分析数据，直到没有新的主题出现。结果。主题包括：应对怀孕可能胜过健康的饮食和体育活动；早期体重增加与晚年肥胖无关；对婴儿饥饿的恐惧推动奶瓶和早期固体饮料的引入；关于婴儿口味的信念促进早期固体饮料的引入；以及相信屏幕时间促进婴儿发育。母亲认为医生、营养师和亲属是重要的健康信息来源，并表示对移动技术和小组或家访干预感兴趣。结论。在最初的1000天里，有机会提高拉美裔母亲对早年体重增加在儿童肥胖和其他肥胖风险因素中的作用的理解。将医疗保健和公共卫生系统联系起来并包括大家庭在内的干预措施可能会预防西班牙裔儿童中的肥胖。
Objectives. Modifiable behaviors during the first 1000 days (conception age 24 months) mediate Hispanic children's obesity disparities. We aimed to examine underlying reasons for early life obesity risk factors and identify potential early life intervention strategies. Methods. We conducted 7 focus groups with 49 Hispanic women who were pregnant or had children < age 24 months. Domains included influences on childhood obesity risk factors and future intervention ideas. We analyzed data with immersion-crystallization methods until no new themes emerged. Results. Themes included coping with pregnancy may trump healthy eating and physical activity; early life weight gain is unrelated to later life obesity; fear of infant hunger drives bottle and early solids introduction; beliefs about infant taste promote early solids and sugary beverage introduction; and belief that screen time promotes infant development. Mothers identified physicians, nutritionists, and relatives as important health information sources and expressed interest in mobile technology and group or home visits for interventions. Conclusion. Opportunities exist in the first 1000 days to improve Hispanic mothers' understanding of the role of early life weight gain in childhood obesity and other obesity risk factors. Interventions that link health care and public health systems and include extended family may prevent obesity among Hispanic children.