Multi-site trial using short mobile messages (SMS) to improve infant weight in low-income minorities: Development, implementation, lessons learned and future applications
Multi-site trial using short mobile messages (SMS) to improve infant weight in low-income minorities: Development, implementation, lessons learned and future applications
复制标题
DOI：
10.1016/j.cct.2017.08.011
复制
发表时间：
2017-11-01
影响因子：
2.2
通讯作者：
Palacios, Cristina
中科院分区：
文献类型：
--
作者：
Banna, Jinan;Campos, Maribel;Palacios, Cristina
儿童肥胖是一个重大的公共卫生问题，儿童肥胖的总体患病率高于2020年健康人14.5%的目标。儿童期肥胖与许多健康风险有关，包括慢性疾病bbb。婴儿时期体重增加超过推荐值会增加以后肥胖的风险，特别是在头6个月，因为这个阶段发生了代谢程序。与其他任何群体（黑人8.7%，白人8.4%）相比，西班牙裔婴儿（14.8%）和夏威夷原住民婴儿（11.4%）体重过度增加的患病率更高。考虑到弱势群体的高肥胖率，生命早期的干预对这些人群尤为重要。婴儿期适当的喂养方法是预防高危人群体重过度增加的关键。前6个月的纯母乳喂养可以防止婴儿过早长胖和后来的肥胖。然而，与白人或黑人母亲相比，西班牙裔母亲实行纯母乳喂养的可能性更小[1]，在夏威夷原住民中，前6个月纯母乳喂养的持续时间（20%）比白人（26.8%）要低[1]。引入辅食的时机，以及食物的质量和数量，对预防肥胖也很重要。婴儿喂养的做法，如早期引入固体食物，已被证明与体重过度增加有关。
Childhood obesity is a significant public health problem, with the overall prevalence of obesity in children higher than the Healthy People 2020 goal of 14.5%[1]. Obesity in childhood is associated with a number of health risks, including chronic disease [2]. Weight gain above the recommendation in infancy increases risk of obesity in later life [3],[4], particularly during the first 6 months due to the metabolic programming occurring at this stage [5]. There is higher prevalence of excessive weight gain in Hispanic (14.8%) and Native Hawaiian (11.4%) infants compared to any other group (Blacks 8.7% and Whites 8.4%)[6]. Given the high rates of obesity in disadvantaged groups [7], interventions early in life are particularly important in these populations.Appropriate feeding practices in infancy are key in preventing excess weight gain in at-risk groups [8]. Exclusive breastfeeding for the first 6 months is protective against excessive early infant gain and later obesity [5]. However, Hispanic mothers are less likely to practice exclusive breastfeeding than White or Black mothers [9], and in Native Hawaiians, duration of exclusive breastfeeding through the first 6 months is lower (20%) compared to Whites (26.8%)[10]. Timing of introduction of complementary foods, as well as food quality and quantity, are also important for obesity prevention [11],[12]. Infant feeding practices such as early introduction of solid foods has been shown to be associated with excessive weight gain [13],[14].