Risk factors for overweight in five- to six-year-old Hispanic-American children: A pilot study
Risk factors for overweight in five- to six-year-old Hispanic-American children: A pilot study
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DOI：
10.1093/jurban/jth091
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发表时间：
2004-03-01
影响因子：
6.6
通讯作者：
Christoffel, KK
中科院分区：
文献类型：
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作者：
Ariza, AJ;Chen, EH;Christoffel, KK
本研究的目的是确定在伊利诺伊州芝加哥的5- 6岁西班牙裔（主要是墨西哥裔美国人）儿童中超重的患病率和可能的危险因素，以了解超重是否在文化适应度更高的移民家庭中更常见。有250名幼儿园学生（92%的合格者）就读于两所公立小学，主要服务于墨西哥裔美国人社区，测量身高和体重。怀孕的母亲进行了采访（n = 80）和测量（n = 38）。访谈工具包括人口统计学、文化适应、婴幼儿喂养习惯、当前饮食模式和食物准备习惯、身体活动和心理社会家庭特征。超重被保守地定义为身高体重等于或高于国家卫生统计中心第95百分位数。这些数据被用来描述超重的流行程度。超重和非超重的儿童进行了比较，所有的调查变量使用适当的统计检验，具有显着性设置在OS。有23%的儿童总样本（n = 250）和26%的子样本的儿童（那些母亲接受采访）谁超重。分析仅限于子样本中的儿童，探讨了风险因素。文化适应量表的中位评分为4.0（范围2.4-10.4），量表范围为2.4（完全未文化适应）至12（完全文化适应）。超重与文化适应量表评分之间没有显著相关性。超重儿童在周末看电视超过3小时的可能性高于非超重儿童（48%比22%，P = 0.03）。超重儿童也更有可能每天饮用含糖饮料（粉末饮料，苏打汽水，atole）（67% vs. 39%，P = 0.03）。有一种趋势表明，在家里免费获得食物增加了超重的风险（P = 0.06）。没有其他家庭或儿童水平的变量与超重有关。只有40%的超重儿童的母亲正确评估这些儿童超重。研究中大约四分之一的儿童超重。我们关于他们的肥胖与文化适应有关的假设没有得到证实。儿童在周末看电视的时间更长，含糖饮料的摄入量更高，这是与超重发生相关的重要行为。在设计该人群的未来研究时应考虑这些数据。
The objective of this study was to determine the prevalence of and possible risk factors for overweight in a sample of 5- to 6-year-old Hispanic (predominantly Mexican American) children in Chicago, Illinois, to see if overweight is more common in more highly acculturated immigrant families. There were 250 kindergarten students (92% of those eligible) attending two public elementary schools serving primarily Mexican American neighborhoods measured for height and weight. Consenting mothers were interviewed (n = 80) and measured (n = 38). The interview tool covered demography, acculturation, infant and toddler feeding practices, current eating patterns and food Preparation habits, physical activity, and psychosocial family characteristics. Overweight was conservatively defined as weight-for-height at or above the National Center for Health Statistics 95th percentile. The data were used to describe the prevalence of overweight. Overweight and nonoverweight children were compared on all survey variables using appropriate statistical tests, with significance set at OS. There were 23% of the total sample of children (n = 250) and 26% of the subsample of children (those whose mothers were interviewed) who were overweight. Analysis limited to children in the subsample explored risk factors. The median score on the Acculturation Scale was 4.0 (range 2.4-10.4) on a scale of 2.4 (entirely not acculturated) to 12 (fully acculturated). There was no significant association between overweight and Acculturation Scale score. Overweight children were more likely than those not overweight to watch television for more than 3 hours during weekend days (48% vs. 22%, P = .03). Overweight children were also more likely to consume sweetened beverages (powdered drinks, soda pop, atole) daily (67% vs. 39%, P = .03). There was a trend indicating that free access to food at home increased the risk of overweight (P = 0.06). No other family- or child-level variables were related to overweight. Only 40% of mothers with an overweight child correctly assessed these children as overweight. Approximately one quarter of the children in the study were overweight. Our hypothesis that their obesity was linked to acculturation was not confirmed. Longer hours of child television viewing on weekends and higher levels of sweetened beverage consumption were important behaviors associated with the occurrence of overweight. These data should be considered when designing future studies in this population.