A Longitudinal Study of Food Insecurity on Obesity in Preschool Children
A Longitudinal Study of Food Insecurity on Obesity in Preschool Children
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DOI：
10.1016/j.jand.2012.08.031
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发表时间：
2012-12-01
影响因子：
4.8
通讯作者：
Gorman, Kathleen
中科院分区：
文献类型：
--
作者：
Metallinos-Katsaras, Elizabeth;Must, Aviva;Gorman, Kathleen
背景肥胖及其与低收入家庭食物不安全的共同发生是一个公共卫生问题，特别是因为两者都与以后的不良健康后果有关。目的我们的目的是研究家庭食物不安全与婴儿期和儿童后期的饥饿和2至5岁的体重状况之间的关系。在第一个婴儿期和最后一个儿童（2至5岁）妇女、婴儿和儿童特殊补充营养计划访视时收集的身高和体重数据。家庭粮食安全是根据父母/看护人对18项核心粮食安全模块的四个问题分量表的答复确定的。肥胖定义为年龄大于等于第95百分位的性别特异性体重指数。28,353名参加马萨诸塞州妇女、婴儿和儿童特别补充营养计划的低收入儿童（58.6%非白人）样本（2001-2006年）; 24.9%的婴儿和23.1%的儿童生活在食物不安全的家庭，17.1%的儿童在最后一次儿童就诊时肥胖。婴儿和儿童就诊期间的安全状况以及学龄前肥胖的风险，同时控制儿童种族/西班牙裔种族、性别、儿童和家庭规模、母亲年龄、教育程度和孕前体重。这些协变量和家庭粮食安全状况之间的相互作用也进行了研究。在多重比较的情况下，应用Bonferroni校正。结果与持续食物安全的儿童相比，持续的家庭食物不安全（无饥饿）与儿童肥胖的几率高22%（比值比= 1.22; 95%CI 1.06至1.41）相关（P
Background Obesity and its co-occurrence with household food insecurity among low-income families is a public health concern, particularly because both are associated with later adverse health consequences.Objective Our aim was to examine the relationship between household food insecurity with and without hunger in infancy and later childhood with weight status at 2 to 5 years.Design This longitudinal study uses household food-security status, weight, and height data collected at the first infancy and last child (2 to 5 years) Special Supplemental Nutrition Program for Women, Infants, and Children visits. Household food security was based on parent/caretaker responses to a four-question subscale of the 18-item Core Food Security Module. Obesity was defined as sex-specific body mass index for age >= 95th percentile.Participants/setting A diverse (58.6% non-white) low-income sample of 28,353 children participating in the Massachusetts Special Supplemental Nutrition Program for Women, Infants, and Children (2001-2006); 24.9% of infants and 23.1% of children lived in food-insecure households and 17.1% were obese at their last child visit.Statistical analysis Multivariate logistic regression analyses assessed the association between household food-security status during the infant and child visits, and risk of preschool obesity, while controlling for child race/Hispanic ethnicity, sex, child and household size, maternal age, education, and prepregnancy weight. Interactions between these covariates and household food-security status were also examined. In cases of multiple comparisons, a Bonferroni correction was applied.Results Persistent household food insecurity without hunger was associated with 22% greater odds of child obesity (odds ratio = 1.22; 95% CI 1.06 to 1.41) compared with those persistently food secure (P