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

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.

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Outcomes of an early childhood obesity prevention program in a low-income community: a pilot, randomized trial

Pediatric Obesity ◽

10.1111/ijpo.12458 ◽

2018 ◽

Vol 13 (11) ◽

pp. 677-685 ◽

Cited By ~ 1

Author(s):

M. M. Cloutier ◽

J. F. Wiley ◽

C. -L. Kuo ◽

T. Cornelius ◽

Z. Wang ◽

...

Keyword(s):

Early Childhood ◽

Childhood Obesity ◽

Randomized Trial ◽

Obesity Prevention ◽

Low Income ◽

Prevention Program ◽

Childhood Obesity Prevention ◽

Early Childhood Obesity ◽

Obesity Prevention Program

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Early Childhood Obesity Prevention in Low-Income, Urban Communities

Journal of Prevention & Intervention in the Community ◽

10.1080/10852352.2014.881194 ◽

2014 ◽

Vol 42 (2) ◽

pp. 152-166 ◽

Cited By ~ 14

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

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Sugar, Stress, and the Supplemental Nutrition Assistance Program: Early Childhood Obesity Risks Among a Clinic-Based Sample of Low-Income Hispanics

Journal of Community Health ◽

10.1007/s10900-012-9641-1 ◽

2012 ◽

Vol 38 (3) ◽

pp. 513-520 ◽

Cited By ~ 25

Author(s):

Toni Terling Watt ◽

Louis Appel ◽

Kelley Roberts ◽

Bianca Flores ◽

Sarajane Morris

Keyword(s):

Early Childhood ◽

Childhood Obesity ◽

Low Income ◽

Supplemental Nutrition Assistance Program ◽

Supplemental Nutrition ◽

Assistance Program ◽

Early Childhood Obesity ◽

Nutrition Assistance

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

Journal of Obesity ◽

10.1155/2014/378501 ◽

2014 ◽

Vol 2014 ◽

pp. 1-16 ◽

Cited By ~ 8

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.

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

Current Developments in Nutrition ◽

10.1093/cdn/nzaa059_050 ◽

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.

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Growing Healthy Together: A Randomized Clinical Trial Using Parent Mentors for Early Childhood Obesity in Low-Income, Latino Families

Childhood Obesity ◽

10.1089/chi.2021.0165 ◽

2021 ◽

Author(s):

Byron A. Foster ◽

Kelsey Weinstein ◽

Thalia Padilla ◽

Cynthia Martinez ◽

Diana Angeles-Ramos

Keyword(s):

Clinical Trial ◽

Early Childhood ◽

Childhood Obesity ◽

Randomized Clinical Trial ◽

Low Income ◽

Latino Families ◽

Early Childhood Obesity

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

Western Journal of Nursing Research ◽

10.1177/0193945919866691 ◽

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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