Racial/Ethnic Differences in Early-Life Risk Factors for Childhood Obesity

Taveras, Elsie M.; Gillman, Matthew W.; Kleinman, Ken; Rich‐Edwards, Janet W.; Rifas‐Shiman, Sheryl L.

doi:10.1542/peds.2009-2100

Cited by 365 publications

(346 citation statements)

References 56 publications

Supporting

Mentioning

320

Contrasting

Unclassified

Order By: Relevance

“…Modifiable risk factors for the observed disparity in early childhood obesity in Latino children include non-exclusive breast-feeding, consumption of sugar-sweetened beverages and quantities of both screen time and sleep (14,17,(30)(31)(32)(33) . Change in WLZ 0·522 0·37, 0·67 0·656 0·51, 0·80 0·433 0·28, 0·59 0·574 0·41, 0·74 WLZ, weight-for-length Z-score; n, number of children; N, number of observations.…”

Section: Discussionmentioning

confidence: 99%

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

Polk¹,

Thornton

Caulfield

et al. 2015

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To 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. Design: Weight 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. Setting: Baltimore, MD, USA. Subjects: Latino (n 210) and non-Latino (n 253) children, born in [2003][2004]. Results: An 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. Conclusions: An 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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Polk¹,

Thornton

Caulfield

et al. 2015

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…1,2 The cause of obesity is multifactorial, for which genetics, environment, socioeconomic status, culture, and ethnicity are some primary factors. 3,4 Thus, the pathophysiology of obesity is a result of a complex interaction between environmental and genetic factors 5,6 that still are not fully delineated and understood. Obesity is defined as a body mass index (BMI) $30 and overweight as a BMI $25 in adults.…”

Section: Discussionmentioning

confidence: 99%

Uppsala Longitudinal Study of Childhood Obesity: Protocol Description

Forslund¹,

Staaf²,

Kullberg

et al. 2014

Pediatrics

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: The prevalence of childhood obesity has risen considerably on a global scale during the past decades, and the condition is associated with increased risk of morbidity. The objective is to describe the Uppsala Longitudinal Study of Childhood Obesity (ULSCO) cohort, including some baseline data, and outline addressed research areas that aim at identifying factors implicated in and contributing to development of obesity and obesity-related diseases, including type 2 diabetes. METHODS: Severely obese and lean control subjects are examined at enrollment and at subsequent annual visits by using detailed questionnaires, anthropometric measurements, indirect calorimetry, and functional tests such as oral glucose tolerance tests. Some subjects undergo additional characterization with MRI, subcutaneous fat biopsies, frequent blood sampling, and hyperglycemic clamps. Biological samples are obtained and stored in a biobank. RESULTS: Active recruitment started in 2010, and standard operating procedures have been established. A high participation rate and annual follow-ups have resulted in a cohort exceeding 200 subjects, including 45 lean controls (as of October 2013). Initial research focus has been on traits of the metabolic syndrome, hyperinsulinemia and identifying risk factors for type 2 diabetes. CONCLUSIONS: The ULSCO cohort serves as an important resource in defining and understanding factors contributing to childhood obesity and development of obesity-related diseases. Given the comprehensive characterization of the cohort, factors contributing to disease development and progression can be identified. Such factors are further evaluated for their mechanistic role and significance, and noncommunicable metabolic diseases are especially addressed and considered.

show abstract

“…Longitudinal studies are needed to determine the role that household food insecurity plays in the development of child obesity and if food insecurity contributes to the disparities that disproportionately affect lowincome Hispanic communities. 20,55 As policy makers aim to prevent early obesity, it may be important to both decrease the overall rates of food insecurity and reduce controlling feeding styles in families who remain food insecure. As the pediatric community aims to reduce early toxic stress that affects many low-income children, 40 WIC may serve as an opportune place for family interventions focusing on reducing sources of stress.…”

Section: Discussionmentioning

confidence: 99%

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

et al. 2012

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Food insecurity has been linked to childhood obesity in a number of studies. Few studies have explored potential pathways through which food insecurity is related to child weight, especially in low-income families with young infants. WHAT THIS STUDY ADDS:We found that food insecurity was related to maternal controlling feeding styles and concerns about the infants' future weight. Early obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. abstract OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental FoodProgram for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. ). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. RESULTS:CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. Pediatrics 2012;130:254-261

show abstract

Racial/Ethnic Differences in Early-Life Risk Factors for Childhood Obesity

Cited by 365 publications

References 56 publications

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

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

Uppsala Longitudinal Study of Childhood Obesity: Protocol Description

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

Contact Info

Product

Resources

About