An Ecological Approach to Obesity in Mexican American Children
An Ecological Approach to Obesity in Mexican American Children
复制标题
DOI：
10.1016/j.pedhc.2019.09.012
复制
发表时间：
2020-05-01
影响因子：
2.8
通讯作者：
Chatterjee, Priyanka
中科院分区：
文献类型：
--
作者：
Reifsnider, Elizabeth;Jeong, Mihyun;Chatterjee, Priyanka
前言：本研究的目的是探讨导致墨西哥裔美国儿童与墨西哥裔美国正常体重儿童肥胖的危险因素。在这项研究中没有测试任何假设。当风险因素已知时，护士可以使用证据来减少危险行为。方法：采用横断面描述性设计，比较两组儿童的肥胖危险因素。故事发生在德克萨斯州南部与墨西哥接壤的一个县。样本由55对墨西哥裔美国人组成（母子）。基于生长生态学模型，采用以下测量方法收集数据：人体测量、儿童饮食数据、家庭环境、母亲感知压力和母亲文化适应。采用独立样本t检验、卡方检验、Fisher精确检验和分层逻辑回归分析对数据进行分析。结果：研究结果显示，儿童年龄和母亲的身体质量指数（BMI）与儿童肥胖呈正相关，以年龄/性别的BMI百分位数来衡量。正常体重儿童与肥胖儿童在奶瓶喂养时间延长、户外玩耍次数、果汁饮料等主因子与因子方面存在显著差异。讨论：其他家庭成员参与户外活动、营养/喂养和儿童保育可能会减轻宿主和媒介因素对儿童体型的负面影响。
Introduction: The objective of this study was to explore the risk factors that contribute to obesity in Mexican American children compared with Mexican American normal weight children. No hypotheses were tested in the study. When risk factors are known, nurses can use evidence to reduce risky behavior.Method: A cross-sectional descriptive design was used, comparing two groups of children to discern the risk factors for obesity. The setting is a county in South Texas along the border with Mexico. The sample consisted of 55 Mexican American dyads (mother-child). The following measures, based on the Ecological Model of Growth, were used to collect data: anthropometrics, dietary data of children, home environment, perceived stress of mother, and maternal acculturation. Independent sample t tests, chi-square tests, Fisher exact tests, and a hierarchical logistic regression analysis were used to analyze the data.Results: The findings show children's age and maternal body mass index (BMI) are positively correlated with childhood obesity, as measured by BMI percentile by age/sex. There were significant differences in the host and agent factors of prolonged bottle feeding, amount of outdoor play, and fruit drinks between normal weight and obese children.Discussion: Engagement and involvement of other family members in outdoor activities, nutrition/feeding, and child care may mitigate the negative effects of host and agent factors on child body size.