Schwarz Kathleen B, Garrett Beth, Hampsey Jenifer, Thompson Douglas
Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
MedGenMed. 2007 Mar 7;9(1):48.
In the past, nutritional deficiencies were common among homeless families. Because obesity is currently a major public health issue in the United States, it is possible that obesity has supplanted nutritional deficiencies as the "new malnutrition" of the homeless.
To perform a pilot study to determine the nutritional status of homeless caregivers and their children in the Baltimore City, Maryland.
Determination of weight, height, and body mass index (BMI) (weight in kg/height in m2) of all subjects and correlation with demographic variables.
Six homeless shelters and transitional houses in Baltimore City.
Thirty-one caregivers and 60 children.
Relationship between caregiver BMI and child BMI and comparison of our data to National Health and Nutrition Examination Survey (NHANES) norms.
Forty-two percent of the children (25 of 60) had a BMI-for-age classifying them as at risk for overweight (18%) or overweight (23%). None were underweight. One hundred percent of girls and 88% of boys under age 7 years were in the normal range for BMI. There were no caregivers in the underweight range for BMI. Seventy-seven percent were either overweight (26%) or obese (51%). When the weight categories of the largely African-American homeless Baltimore caregivers and their children were compared with national data from NHANES 1999-2002 for both African-American poor and nonpoor adult females and children, the Baltimore subjects had the lowest proportion in the healthy range and the highest proportion in the obese (adults) and overweight (children) categories. Caregiver BMI correlated with child BMI: r = 0.43, P = .0002.
Our data suggest that overweight and obesity are the major forms of malnutrition in homeless families.
过去，营养缺乏在无家可归家庭中很常见。由于肥胖目前是美国的一个主要公共卫生问题，肥胖有可能已经取代营养缺乏，成为无家可归者的“新营养不良”形式。
开展一项试点研究，以确定马里兰州巴尔的摩市无家可归的照料者及其子女的营养状况。
测定所有受试者的体重、身高和体重指数（BMI，体重千克数除以身高米数的平方），并与人口统计学变量进行相关性分析。
巴尔的摩市的六个无家可归者收容所和过渡性住房。
31名照料者和60名儿童。
照料者BMI与儿童BMI之间的关系，以及将我们的数据与美国国家健康和营养检查调查（NHANES）标准进行比较。
42%的儿童（60名中的25名）其年龄别BMI将他们归类为超重风险（18%）或超重（23%）。无人体重过轻。7岁以下女童100%以及男童88%的BMI处于正常范围。BMI处于体重过轻范围的照料者不存在。77%的照料者超重（26%）或肥胖（51%）。将主要为非裔美国人的巴尔的摩无家可归照料者及其子女的体重类别与1999 - 2002年NHANES中关于非裔美国贫困和非贫困成年女性及儿童的全国数据进行比较时，巴尔的摩受试者处于健康范围的比例最低，在肥胖（成年人）和超重（儿童）类别中的比例最高。照料者BMI与儿童BMI相关：r = 0.43，P = 0.0002。
我们的数据表明，超重和肥胖是无家可归家庭中营养不良的主要形式。
