TY - JOUR
T1 - Predictors of Severe Obesity in Low-Income, Predominantly Hispanic/Latino Children
T2 - The Texas Childhood Obesity Research Demonstration Study
AU - Salahuddin, Meliha
AU - Pérez, Adriana
AU - Ranjit, Nalini
AU - Kelder, Steven H.
AU - Barlow, Sarah Endicott
AU - Pont, Stephen J.
AU - Butte, Nancy F.
AU - Hoelscher, Deanna M.
N1 - Funding Information:
This research was supported by cooperative agreement RFA-DP-11-007 from the Centers for Disease Control and Prevention (CDC). The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC. Additional support was provided by the Michael and Susan Dell Foundation through the Michael & Susan Dell Center for Healthy Living. This work is a publication of the US Department of Agriculture/Agricultural Research Service (USDA/ARS) Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, and was funded, in part, with federal funds from the USDA/ARS under cooperative agreement no. 58-6250-0-008. The contents of this publication do not necessarily reflect the views or policies of the USDA, nor does mention of trade names, commercial products, or organizations imply endorsement from the US government. Dr Kelder is on the executive board of the CATCH Global Foundation, the goal of which is to disseminate CATCH programs to underserved communities. The University of Texas School of Public Health receives royalties based on sale of the CATCH curriculum, but the funds are used for further research and development.
Publisher Copyright:
© 2017, Preventing Chronic Disease. All Rights Reserved.
PY - 2017
Y1 - 2017
N2 - Introduction The objective of this study was to identify predictors of severeobesity in a low-income, predominantly Hispanic/Latino sampleof children in Texas.MethodsThis cross-sectional analysis examined baseline data on 517 childrenfrom the secondary prevention component of the TexasChildhood Obesity Research Demonstration (TX CORD) study;data were collected from September 2012 through February 2014.Self-administered surveys were used to collect data from parentsof children who were aged 2 to 12 years, had a body mass index(BMI) in the 85th percentile or higher, and resided in Austin,Texas, or Houston, Texas. Multivariable logistic regression modelsadjusted for sociodemographic covariates were used to examineassociations of children’s early-life and maternal factors(large-for-gestational-age, exclusive breastfeeding for ≥4 months, maternal severe obesity [BMI ≥35.0 kg/m2]) and children’s behavioralfactors (fruit and vegetable consumption, physical activity,screen time) with severe obesity (BMI ≥120% of 95th percentile),by age group (2–5 y, 6–8 y, and 9–12 y).ResultsAcross all ages, 184 (35.6%) children had severe obesity. Amongchildren aged 9 to 12 years, large-for-gestational-age at birth (oddsratio [OR] = 2.31; 95% confidence interval [CI], 1.13–4.73) wassignificantly associated with severe obesity. Maternal severeobesity was significantly associated with severe obesity amongchildren aged 2 to 5 years (OR = 2.67; 95% CI, 1.10–6.47) and 9to 12 years (OR = 4.12; 95% CI, 1.84–9.23). No significant associationwas observed between behavioral factors and severeobesity in any age group.ConclusionIn this low-income, predominantly Hispanic/Latino sample ofchildren, large-for-gestational-age and maternal severe obesitywere risk factors for severe obesity among children in certain agegroups. Promoting healthy lifestyle practices during preconceptionand prenatal periods could be an important interventionstrategy for addressing childhood obesity
AB - Introduction The objective of this study was to identify predictors of severeobesity in a low-income, predominantly Hispanic/Latino sampleof children in Texas.MethodsThis cross-sectional analysis examined baseline data on 517 childrenfrom the secondary prevention component of the TexasChildhood Obesity Research Demonstration (TX CORD) study;data were collected from September 2012 through February 2014.Self-administered surveys were used to collect data from parentsof children who were aged 2 to 12 years, had a body mass index(BMI) in the 85th percentile or higher, and resided in Austin,Texas, or Houston, Texas. Multivariable logistic regression modelsadjusted for sociodemographic covariates were used to examineassociations of children’s early-life and maternal factors(large-for-gestational-age, exclusive breastfeeding for ≥4 months, maternal severe obesity [BMI ≥35.0 kg/m2]) and children’s behavioralfactors (fruit and vegetable consumption, physical activity,screen time) with severe obesity (BMI ≥120% of 95th percentile),by age group (2–5 y, 6–8 y, and 9–12 y).ResultsAcross all ages, 184 (35.6%) children had severe obesity. Amongchildren aged 9 to 12 years, large-for-gestational-age at birth (oddsratio [OR] = 2.31; 95% confidence interval [CI], 1.13–4.73) wassignificantly associated with severe obesity. Maternal severeobesity was significantly associated with severe obesity amongchildren aged 2 to 5 years (OR = 2.67; 95% CI, 1.10–6.47) and 9to 12 years (OR = 4.12; 95% CI, 1.84–9.23). No significant associationwas observed between behavioral factors and severeobesity in any age group.ConclusionIn this low-income, predominantly Hispanic/Latino sample ofchildren, large-for-gestational-age and maternal severe obesitywere risk factors for severe obesity among children in certain agegroups. Promoting healthy lifestyle practices during preconceptionand prenatal periods could be an important interventionstrategy for addressing childhood obesity
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U2 - 10.5888/pcd14.170129
DO - 10.5888/pcd14.170129
M3 - Article
C2 - 29283881
AN - SCOPUS:85052939124
VL - 14
JO - Preventing chronic disease
JF - Preventing chronic disease
SN - 1545-1151
M1 - E141
ER -