Food Insecurity, Health, and Development in Children Under Age Four Years.
Food Insecurity, Health, and Development in Children Under Age Four Years.
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DOI：
10.1542/peds.2019-0824
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发表时间：
2019-10
期刊：
影响因子：
8
通讯作者：
Black MM
中科院分区：
文献类型：
--
作者：
Drennen CR;Coleman SM;Ettinger de Cuba S;Frank DA;Chilton M;Cook JT;Cutts DB;Heeren T;Casey PH;Black MM
粮食不安全和儿童肥胖影响着幼儿。我们研究了粮食不安全与4岁以下儿童肥胖、体重不足、发育迟缓、健康和发育之间的关系。幼儿护理人员在美国5个城市的医疗中心参加了一项横断面调查。纳入标准为年龄<48个月。排除标准是重病或重伤和私人健康保险。家庭粮食安全调查模块定义了3个暴露群体：粮食安全、家庭粮食不安全和儿童粮食安全、家庭粮食不安全和儿童粮食不安全。依赖指标为肥胖（体重-年龄第90百分位）、体重不足（体重-年龄<第5百分位）、发育迟缓（身高/长度-年龄<第5百分位）以及照顾者报告的儿童健康和发育风险。多变量logistic回归分析，调整了人口统计学混杂因素、母亲BMI和食品援助计划参与，检查了暴露组和因变量之间的关系，并进行了年龄分层：0至12个月、13至24个月、25至36个月和37至48个月。在这个多种族样本中（N = 28184名儿童，50%非西班牙裔非洲人，34%西班牙裔，14%非西班牙裔白人），27%的家庭粮食不安全。除了25至36个月的一个例外，家庭和儿童的粮食不安全与肥胖、体重不足或发育迟缓都无关，但两者都与多个年龄段健康和发育风险一般或较差的几率增加有关。在4岁以下儿童中，粮食不安全与一般或较差的健康和发育风险有关，与人体测量无关。研究结果支持了美国儿科学会关于食品不安全筛查和转诊的建议，以帮助家庭应对经济困难和相关压力。
Food insecurity and pediatric obesity affect young children. We examine how food insecurity relates to obesity, underweight, stunting, health, and development among children <4 years of age. Caregivers of young children participated in a cross-sectional survey at medical centers in 5 US cities. Inclusion criteria were age of <48 months. Exclusion criteria were severely ill or injured and private health insurance. The Household Food Security Survey Module defined 3 exposure groups: food secure, household food insecure and child food secure, and household food insecure and child food insecure. Dependent measures were obesity (weight-age >90th percentile), underweight (weight-age <5th percentile), stunting (height/length-age <5th percentile), and caregiver-reported child health and developmental risk. Multivariable logistic regression analyses, adjusted for demographic confounders, maternal BMI, and food assistance program participation examined relations between exposure groups and dependent variables, with age-stratification: 0 to 12, 13 to 24, 25 to 36, and 37 to 48 months of age. Within this multiethnic sample (N = 28 184 children, 50% non-Hispanic African American, 34% Hispanic, 14% non-Hispanic white), 27% were household food insecure. With 1 exception at 25 to 36 months, neither household nor child food insecurity were associated with obesity, underweight, or stunting, but both were associated with increased odds of fair or poor health and developmental risk at multiple ages. Among children <4 years of age, food insecurity is associated with fair or poor health and developmental risk, not with anthropometry. Findings support American Academy of Pediatrics recommendations for food insecurity screening and referrals to help families cope with economic hardships and associated stressors.
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DOI：
10.1056/nejmoa1309753
发表时间：
2014-01-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
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影响因子：
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发表时间：
2012-05-01
影响因子：
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