scholarly journals Rapid infant weight gain and early childhood obesity in low-income Latinos and non-Latinos

2015 ◽  
Vol 19 (10) ◽  
pp. 1777-1784 ◽  
Author(s):  
Sarah Polk ◽  
Rachel Johnson Thornton ◽  
Laura Caulfield ◽  
Alvaro Muñoz
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Low Income ◽  
Overweight And Obesity ◽  
Latino Children ◽  
High Incidence ◽  
Early Childhood Obesity ◽  
Paediatric Practice ◽  
Infant Weight Gain ◽  
Rapid Infant Weight Gain

AbstractObjectiveTo examine the growth of infants and toddlers in a population that is both under-represented in the literature and at high risk for childhood obesity.DesignWeight and height measurements were extracted from all visits for a sample of 0–4-year-old, low-income, Latino and non-Latino patients of an urban, academic general paediatric practice. Early growth was characterized as change in weight-for-length Z-score (WLZ) from birth to 3 years. The outcome of interest was BMI Z-score (BMIZ) at age 3 years. Mixed-effects models and multivariate linear regression were used to analyse the association between infant growth and early childhood obesity.SettingBaltimore, MD, USA.SubjectsLatino (n 210) and non-Latino (n 253) children, born in 2003–2004.ResultsAn increase in WLZ from birth to 2 years was observed for this cohort as well as a high incidence of overweight and obesity. WLZ at birth and change in WLZ from birth to 2 years were both significantly and positively associated with increases in BMIZ at 3 years of age. The effect of the change in WLZ was twofold higher than the effect of WLZ at birth.ConclusionsAn increase in WLZ during the first 2 years of life increased the risk of early childhood obesity. Latino children had a higher incidence of early childhood obesity than non-Latino children in this low-income sample.

scholarly journals Convenience Stores are Associated with Early Childhood Obesity in Low‐Income Households

2010 ◽  
Vol 24 (S1) ◽  
Author(s):  
Maria Koleilat ◽  
Gail Harrison ◽  
Shannon Whaley ◽  
Judy Gomez ◽  
Eloise Jenks
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Low Income ◽  
Convenience Stores ◽  
Early Childhood Obesity ◽  
Low Income Households

scholarly journals Early Childhood Obesity Prevention in Low-Income, Urban Communities

2014 ◽  
Vol 42 (2) ◽  
pp. 152-166 ◽  
Author(s):  
Spring Dawson-McClure ◽  
Laurie Miller Brotman ◽  
Rachelle Theise ◽  
Joseph J. Palamar ◽  
Dimitra Kamboukos ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Urban Communities ◽  
Obesity Prevention ◽  
Low Income ◽  
Childhood Obesity Prevention ◽  
Early Childhood Obesity

scholarly journals Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
Akilah Dulin Keita ◽  
Patricia M. Risica ◽  
Kelli L. Drenner ◽  
Ingrid Adams ◽  
Gemma Gorham ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Low Income ◽  
Sedentary Behaviors ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention ◽  
Home Based ◽  
Early Childhood Obesity

Background.This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children’s health behaviors.Methods.We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up.Results.39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups at baseline,P=0.001) and ounces of fruit juice decreased at follow-up (11.9 ounces at 4 months compared to 16.0 ounces at baseline,P=0.036). Sedentary behaviors also improved. Children significantly decreased time spent watching TV on weekdays (P<0.01) and also reduced weekend TV time. In addition, the number of homes with TV sets in the child’s bedroom also decreased (P<0.0013).Conclusions.The findings indicate that a home-based early childhood obesity prevention intervention is feasible, acceptable and demonstrates short-term effects on dietary and sedentary behaviors of low-income racially/ethnically diverse children.

scholarly journals Racial and Ethnic Disparities in Early Childhood Obesity

2018 ◽  
pp. 58-72
Author(s):  
Inyang A. Isong ◽  
Sowmya R. Rao ◽  
Marie-Abèle Bind ◽  
Mauricio Avendaño ◽  
Ichiro Kawachi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Early Childhood ◽  
Weight Gain ◽  
Childhood Obesity ◽  
Ethnic Disparities ◽  
Z Score ◽  
Z Scores ◽  
Obesity Risk Factors ◽  
Early Childhood Obesity ◽  
Infant Weight Gain

OBJECTIVES The prevalence of childhood obesity is significantly higher among racial and/or ethnic minority children in the United States. It is unclear to what extent well-established obesity risk factors in infancy and preschool explain these disparities. Our objective was to decompose racial and/or ethnic disparities in children’s weight status according to contributing socioeconomic and behavioral risk factors. METHODS We used nationally representative data from ~10 700 children in the Early Childhood Longitudinal Study Birth Cohort who were followed from age 9 months through kindergarten entry. We assessed the contribution of socioeconomic factors and maternal, infancy, and early childhood obesity risk factors to racial and/or ethnic disparities in children’s BMI z scores by using Blinder-Oaxaca decomposition analyses. RESULTS The prevalence of risk factors varied significantly by race and/or ethnicity. African American children had the highest prevalence of risk factors, whereas Asian children had the lowest prevalence. The major contributor to the BMI z score gap was the rate of infant weight gain during the first 9 months of life, which was a strong predictor of BMI z score at kindergarten entry. The rate of infant weight gain accounted for between 14.9% and 70.5% of explained disparities between white children and their racial and/or ethnic minority peers. Gaps in socioeconomic status were another important contributor that explained disparities, especially those between white and Hispanic children. Early childhood risk factors, such as fruit and vegetable consumption and television viewing, played less important roles in explaining racial and/or ethnic differences in children’s BMI z scores. CONCLUSIONS Differences in rapid infant weight gain contribute substantially to racial and/or ethnic disparities in obesity during early childhood. Interventions implemented early in life to target this risk factor could help curb widening racial and/or ethnic disparities in early childhood obesity.

Use of the Delphi Technique to Obtain Community Input on Leading Contributors to Early Childhood Obesity in Latino Communities

2018 ◽  
Vol 16 (3) ◽  
pp. 113-119
Author(s):  
Leisha M. Andersen ◽  
Richard E. Boles ◽  
Jill L. Kaar ◽  
Bonnie Gance-Cleveland ◽  
Kristine I. Gauthier ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Delphi Technique ◽  
The United States ◽  
Latino Children ◽  
Latino Population ◽  
Educational Support ◽  
Study Results ◽  
Prevalence Of Obesity ◽  
Early Childhood Obesity

Introduction: In the United States, Latino children are disproportionately affected by childhood obesity and related comorbidities. Stakeholder engagement has the potential to heighten the efficacy of interventions, thereby reducing the disparate prevalence of obesity among Latino children. The objective of this study was to identify stakeholders’ opinions on factors influencing early childhood obesity in Latino children aged 0 to 5 years. Method: This study used the Delphi technique to gather and prioritize stakeholders’ opinions about the factors and barriers considered most influential in early (age 0-5 years) childhood obesity intervention or prevention within the Latino community. Three sequential phases were used. Participants included Latina women as well as staff from community organizations serving Denver metropolitan’s Latino population. Results: Study results revealed that stakeholders value the role of the child’s primary care provider in the identification of overweight children and desire more educational support to reduce intake of nonnutritious foods. Participants further determined that obesity-related knowledge gaps and affordability of healthy foods and activities were the largest barriers to helping Latino children maintain healthy weights. Conclusion: Use of this stakeholder-informed data could assist in the development of future culturally tailored interventions aimed at reducing the rates of early childhood obesity in the Latino population.

scholarly journals BabyByte: Formative Research to Inform the Development of an App to Improve Responsive Feeding Practices in Parents of Infants and Toddlers

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1333-1333
Author(s):  
Amy Mobley ◽  
Danielle Jake Schoffman ◽  
David Fedele ◽  
Briana de Cola ◽  
Elder Varela
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Technology Acceptance ◽  
Low Income ◽  
Feeding Practices ◽  
Infants And Toddlers ◽  
Structured Interviews ◽  
Funding Sources ◽  
Early Childhood Obesity ◽  
Set Up

Abstract Objectives Responsive feeding is associated with reduced risk of early childhood obesity. The objective of this qualitative study was to determine parents’ preferred content and features for a mHealth app designed to improve responsive feeding practices. Methods Parents of 0–2 year old children completed individual semi-structured interviews with a trained researcher. Interview questions were informed by the Technology Acceptance Model and parents provided feedback on preferred app content and features. An app prototype, BabyByte, was developed using the Marvel platform to discuss potential app features during the interview. Interviews were audio-recorded and transcribed verbatim. Transcripts were coded by two researchers using a thematic analysis approach and major themes were summarized. Results Parents (n = 40) were, on average, 33.2 years old with the majority self-reporting as non-Hispanic white (53%), a bachelor's degree or higher education (62%), and low-income (53%). Half of the participants were fathers. Overall, the majority (85%) of parents indicated that they would be likely or very likely to use BabyByte. Themes revealed that parents were most interested in topics related to introducing new foods, feeding tips, example meals, recipes, and food allergy guidance. Features including personalized profile set-up, video content, goal setting, milestone tracking, ask an expert, discussion forum, and an app search box were noted as most important or helpful by parents. Convenient access, up-to-date content from a reputable and identifiable source, and incentives for completing modules were indicated as important benefits. Conclusions Findings of this study are important considerations for the development of future mHealth tools for parents of infants and toddlers to improve responsive feeding practices and prevent early childhood obesity. Usability testing of BabyByte is currently in progress. Funding Sources University of Florida CTSI.

Parental Perceived Facilitators for and Barriers to Participating in a Lifestyle Intervention to Reduce Early Childhood Obesity: A Qualitative Evaluation

2019 ◽  
Vol 42 (6) ◽  
pp. 405-414
Author(s):  
Nagwan R. Zahry ◽  
Jiying Ling
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Lifestyle Intervention ◽  
Low Income ◽  
Social Connectedness ◽  
Ecological Model ◽  
Electronic Device ◽  
Qualitative Evaluation ◽  
Intrapersonal Factors ◽  
Early Childhood Obesity

This study aimed to examine low-income mothers’ perceived facilitators for and barriers to participating in a lifestyle intervention. A phenomenography approach was used to individually interview 14 mothers from Midwestern U.S. The data were analyzed using content analysis. Drawing on the socio-ecological model, mothers’ perceived facilitators included (a) intrapersonal factors including providing helpful information, being accommodating, motivating, and novel; (b) interpersonal factors, including two-way communication between mothers and preschoolers, social connectedness among mothers, and a positive relationship between mothers and researchers; and (c) environmental factors, including kid-friendly, and pleasant and comfortable intervention sites. Mothers’ reported barriers were intrapersonal factors including (a) use of technology due to unreliable Wi-Fi access and unfamiliarity of electronic device, (b) being “busy moms” due to busy schedules and stressful daily lives, and (c) lack of reliable transportation. Future interventions to reduce early childhood obesity among low-income families should consider these identified facilitators and barriers.

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