Racial/ethnic differences in early-life risk factors for childhood obesity.
Racial/ethnic differences in early-life risk factors for childhood obesity.
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DOI：
10.1542/peds.2009-2100
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发表时间：
2010-04
期刊：
影响因子：
8
通讯作者：
Rifas-Shiman SL
中科院分区：
文献类型：
--
作者：
Taveras EM;Gillman MW;Kleinman K;Rich-Edwards JW;Rifas-Shiman SL
到学龄前，肥胖患病率的种族/民族差异已经存在。研究儿童肥胖早期生活风险因素的种族/民族差异。在一项前瞻性研究中，343对白人，355对黑人和128对西班牙裔母子。母亲关于孩子种族/民族的报告。从产前到4岁已知与儿童肥胖相关的危险因素。在多变量模型中，与白人儿童相比，黑人和西班牙裔儿童表现出一系列与儿童肥胖相关的风险因素。在怀孕期间，这些因素包括更高的母亲抑郁率（OR：黑人1.55；西班牙裔1.89）；婴儿时期体重增加更快（黑人的OR: 2.01；西班牙裔的OR: 1.75），更有可能在4个月前引入固体食物（黑人的OR: 1.91；西班牙裔的OR: 2.04），母亲限制性喂养的比例更高（黑人的OR: 2.59；西班牙裔的OR: 3.35）， 2岁以后，卧室里有更多的电视（黑人的OR: 7.65；西班牙裔的OR: 7.99），摄入更多的含糖饮料(黑人的OR: 4.11；黑人的OR值为1.65，西班牙裔的OR值为3.14。黑人和西班牙裔婴儿纯母乳喂养的比例也较低，而且在婴儿期每天睡眠至少12小时的可能性也较低。肥胖危险因素的种族/民族差异存在于产前和幼儿期。儿童肥胖的种族/民族差异可能是由生命最初阶段的因素决定的。
By the preschool years, racial/ethnic disparities in obesity prevalence are already present. To examine racial/ethnic differences in early life risk factors for childhood obesity. 343 white, 355 black, and 128 Hispanic mother-child pairs in a prospective study. Mother’s report of child’s race/ethnicity. Risk factors from the prenatal period through age 4 years known to be associated with child obesity. In multivariable models, compared to their white counterparts, black and Hispanic children exhibited a range of risk factors related to child obesity. In pregnancy, these included higher rates of maternal depression (OR: 1.55 for blacks; 1.89 for Hispanics); in infancy more rapid weight gain (OR: 2.01 for blacks; 1.75 for Hispanics), more likely to introduce solid foods before 4 months of age (OR: 1.91 for blacks; 2.04 for Hispanics), higher rates of maternal restrictive feeding practices (OR: 2.59 for blacks; 3.35 for Hispanics), and after age 2 years, more televisions in their bedrooms (OR: 7.65 for blacks; 7.99 for Hispanics), higher intake of sugar-sweetened beverages (OR: 4.11 for blacks; 2.48 for Hispanics), and higher intake of fast food (OR: 1.65 for blacks; 3.14 for Hispanics). Blacks and Hispanics also had lower rates of exclusive breastfeeding and were less likely to sleep at least 12 hours/day in infancy. Racial/ethnic differences in risk factors for obesity exist prenatally and in early childhood. Racial/ethnic disparities in childhood obesity may be determined by factors operating at the earliest stages of life.
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DOI：
10.1001/archfami.9.3.235
发表时间：
2000-03-01
期刊：
ARCHIVES OF FAMILY MEDICINE
影响因子：
--
作者：
Gillman, MW;Rifas-Shiman, SL;Colditz, GA
通讯作者：
Colditz, GA
影响因子：
8
作者：
Bowman, SA;Gortmaker, SL;Ludwig, DS
通讯作者：
Ludwig, DS
影响因子：
5.8
作者：
Gavrila, A;Chan, JL;Mantzoros, CS
通讯作者：
Mantzoros, CS
影响因子：
7.7
作者：
Dabelea, D;Hanson, RL;Knowler, WC
通讯作者：
Knowler, WC
影响因子：
8
作者：
Dennison, BA;Erb, TA;Jenkins, PL
通讯作者：
Jenkins, PL