Jimenez-Cruz Arturo, Bacardi-Gascon Montserrat, Pichardo-Osuna Alexandra, Mandujano-Trujillo Zally, Castillo-Ruiz Octelina
Nutrition Graduate Program, Medical and Psychology School, Tijuana, BC, Autonomous University of Baja California, Mexico.
Asia Pac J Clin Nutr. 2010;19(3):316-23.
The aim of this study was to determine the risk factors of childhood obesity among infants and toddlers from low-income families from three cities in Mexico. This is a cross-sectional study of mothers and their infants and toddlers attending a vaccination centre at three primary care clinics in Tijuana, Tuxtla, and Reynosa. Anthropometric measurements of the mothers and children were conducted at the clinic and a questionnaire was administered to the mother. Eight-hundred and ten mothers and their 5 to 24 months old infants participated in the study. Average age for the mothers was 24 (21-28) years, and 57% of them were either overweight or obese. The children's average age was 12.7 (5-24) months. Overall overweight prevalence in this sample was 11% and obesity 8%, these increased with age, from 3% for overweight and 6 % for obesity before 6 months, to 13 and 10% between 12 to 24 months respectively. Thirty-five percent of infants were breastfed>or=6 month and 92% were introduced to other solid foods before 6 months. Introduction of high-fat content snacks (HFS) and carbonated and non-carbonated sweetened (CSD) drinks starts before 6 months and more than sixty percent of the children between 12 to 24 months of age were eating HFS and CSD sweetened drinks at least once a week. Consumption of snacks and CSD sweetened drinks (>or=1 week) was associated with being overweight and obese (crude), OR, 1.82; 95% CI=1.24-2.65 (p=0.002). These results suggest that preventive programs should be initiated during pregnancy and continued.
本研究的目的是确定墨西哥三个城市低收入家庭婴幼儿肥胖的风险因素。这是一项针对在蒂华纳、图斯特拉和雷诺萨的三家初级保健诊所的疫苗接种中心就诊的母亲及其婴幼儿的横断面研究。在诊所对母亲和儿童进行了人体测量，并向母亲发放了问卷。810名母亲及其5至24个月大的婴儿参与了研究。母亲的平均年龄为24（21 - 28）岁，其中57%超重或肥胖。儿童的平均年龄为12.7（5 - 24）个月。该样本中总体超重患病率为11%，肥胖率为8%，这些患病率随年龄增长而增加，6个月前超重率为3%，肥胖率为6%，12至24个月时分别增至13%和10%。35%的婴儿母乳喂养≥6个月，92%在6个月前开始添加其他固体食物。高脂肪含量零食（HFS）以及碳酸和非碳酸甜味饮料（CSD）在6个月前就开始食用，12至24个月大的儿童中超过60%每周至少食用一次HFS和CSD甜味饮料。食用零食和CSD甜味饮料（≥1周）与超重和肥胖相关（粗比值比），OR为1.82；95%置信区间 = 1.24 - 2.65（p = 0.002）。这些结果表明，预防计划应在孕期启动并持续进行。
