Racial and ethnic differentials in overweight and obesity among 3-year-old children
Racial and ethnic differentials in overweight and obesity among 3-year-old children
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DOI：
10.2105/ajph.2005.080812
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发表时间：
2007-02-01
影响因子：
12.7
通讯作者：
McLanahan, Sara
中科院分区：
文献类型：
--
作者：
Kimbro, Rachel Tolbert;Brooks-Gunn, Jeanne;McLanahan, Sara
目标。我们估计了来自城市低收入家庭的全国3岁儿童样本中超重和肥胖的种族/民族差异，并评估了差异的可能决定因素。在出生时、1岁时和3岁时收集调查、在家观察和访谈资料。我们使用逻辑回归分析并调整了一系列协变量，根据种族/民族检查超重和肥胖的差异。35%的研究儿童超重或肥胖。西班牙裔儿童超重或肥胖的可能性是黑人或白人儿童的两倍。尽管我们控制了各种各样的特征，但我们无法解释西班牙白人和西班牙黑人在超重和肥胖方面的差异。然而，出生体重、带奶瓶睡觉和母亲的体重状况是儿童3岁时超重或肥胖的重要预测因素。儿童超重和肥胖的问题早在3岁时就开始了，西班牙裔儿童和那些母亲肥胖的儿童尤其危险。
Objectives. We estimated racial/ethnic differences in overweight and obesity in a national sample of 3-year-olds from urban, low-income families and assessed possible determinants of differences.Methods. Survey, in-home observation, and interview data were collected at birth, 1 year, and 3 years. We used logistic regression analyses and adjusted for a range of covariates in examining overweight and obesity differentials according to race/ethnicity.Results. Thirty-five percent of the study children were overweight or obese. Hispanic children were twice as likely as either Black or White children to be overweight or obese. Although we controlled for a wide variety of characteristics, we were unable to explain either White-Hispanic or Black-Hispanic differences in overweight and obesity. However, birthweight, taking a bottle to bed, and mother's weight status were important predictors of children's overweight or obesity at age 3 years.Conclusions. Children's problems with overweight and obesity begin as early as age 3, and Hispanic children and those with obese mothers are especially at risk.