Grandparent Coresidence and Risk of Early Child Overweight and Obesity in Low-Income, Hispanic Families in New York City.

Grandparent Coresidence and Risk of Early Child Overweight and Obesity in Low-Income, Hispanic Families in New York City.
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DOI:
10.1016/j.acap.2021.05.020
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发表时间:
2022-01
影响因子:
3.1
通讯作者:
Gross RS
Gross RS
中科院分区:
医学3区
文献类型:
--
作者:
Katzow MW;Messito MJ;Mendelsohn AL;Scott MA;Gross RS

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低收入西班牙裔家庭的孩子患肥胖症的风险很高,而且比非西班牙裔白色家庭的孩子更有可能和祖父母住在一起。我们的目的是确定祖父母同居(产前至两岁)是否与:1)致肥胖喂养习惯; 2)从出生到三岁的儿童体重结果有关。我们分析了纽约市一项肥胖预防试验的对照组中267对低收入西班牙裔母婴对的数据。线性和逻辑回归测试肥胖的喂养习惯和体重结果在两年和三年的差异,取决于祖父母同居。多层次建模测试祖父母同居和WFAz随着时间的推移之间的关联。持续的祖父母同住(与无祖父母同住相比)与将谷物放入瓶中有关(调整后的比值比[aOR] 3.46; 95%置信区间[CI] 1.43,8.40)。持续祖父母同住(与无)与较高的平均WFAz相关(2年:B 0.83; 95% CI 0.41,1.25; 3年:B 0.79; 95% CI 0.32,1.25)和儿童超重/肥胖风险的几率较高(2年:aOR 4.38; 95% CI 1.64,11.69; 3年:aOR 3.15; 95% CI 1.19,8.36)。在多水平模型中,祖父母同住的情况越多,WFAz越高。在低收入西班牙裔家庭中,祖父母同住可能与儿童超重/肥胖的风险较高有关。需要进一步的研究来阐明这些关联的机制,并为多代同堂家庭背景下的肥胖预防策略提供信息。
Children in low-income Hispanic families are at high risk of obesity and are more likely to live with grandparents than their non-Hispanic white counterparts. We aimed to determine if grandparent coresidence (prenatal through age two years) was associated with: 1) obesogenic feeding practices; and 2) child weight outcomes from birth to three years. We analyzed data from 267 low-income, Hispanic mother-infant pairs in the control group of an obesity prevention trial in New York City. Linear and logistic regression tested differences in obesogenic feeding practices and weight outcomes at two and three years, dependent upon grandparent coresidence. Multilevel modeling tested associations between grandparent coresidence and WFAz over time. Persistent grandparent coresidence (versus none) was associated with putting cereal in the bottle (adjusted odds ratio [aOR] 3.46; 95% confidence interval [CI] 1.43, 8.40). Persistent grandparent coresidence (versus none) was associated with higher mean WFAz (2 years: B 0.83; 95% CI 0.41, 1.25; 3 years: B 0.79; 95% CI 0.32, 1.25) and higher odds of child overweight/obesity risk (two years: aOR 4.38; 95% CI 1.64, 11.69; three years: aOR 3.15; 95% CI 1.19, 8.36). In multilevel models, more occasions of grandparent coresidence were associated with higher WFAz. Grandparent coresidence may be associated with higher risk of child overweight/obesity in low-income, Hispanic families. Further research is needed to elucidate mechanisms of these associations and to inform obesity prevention strategies in the context of multigenerational families.
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