Sociology Department, Texas State University, 601 University Drive, San Marcos, TX 78666, USA.
J Community Health. 2013 Jun;38(3):513-20. doi: 10.1007/s10900-012-9641-1.
The nationwide epidemic of pediatric obesity is more prevalent among Hispanic children than white children. Recent literature suggests that obesity has early origins, leading scholars to call for interventions in pregnancy and infancy. However, there is little theoretical or empirical research to guide the development of early prevention programs for Hispanics. The present study seeks to identify risk factors for early childhood obesity among a low-income, predominately Hispanic sample. Data were gathered to inform the design of a primary care childhood obesity prevention program targeting pregnancy through age 12 months. Baseline data were gathered on 153 women attending the clinic for prenatal care or for their child's 2, 6 or 12 month well-check. All women completed surveys on diet, exercise, social support, food security, stress, infant feeding practices, health, and demographics. For women with children (n = 66), survey data were matched with medical records data on infant weight. Results reveal that 55 % of women in the sample had an infant profiling in the 85th percentile or higher, confirming the need for an early childhood obesity intervention. While mothers exhibited several potential risk factors for childhood obesity (e.g. fast food consumption), only maternal consumption of sweets and sugar-sweetened beverages, stress, and SNAP (food stamp receipt) were associated with infant overweight. Findings further reveal that stress and SNAP relate to child overweight, in part, through mothers' sugar-sweetened beverage consumption. Results suggest that obesity prevention efforts must address specific individual choices as well as the external environment that shapes these consumption patterns.
全国范围内的儿科肥胖症在西班牙裔儿童中比白人儿童更为普遍。最近的文献表明，肥胖症有早期起源，这导致学者呼吁在怀孕和婴儿期进行干预。然而，几乎没有理论或实证研究来指导针对西班牙裔人群的早期预防计划的制定。本研究旨在确定一个低收入、以西班牙裔为主的样本中幼儿肥胖的风险因素。收集的数据用于为针对怀孕到 12 个月大的儿童的初级保健儿童肥胖预防计划的设计提供信息。对在诊所接受产前护理或为其孩子 2、6 或 12 个月健康检查的 153 名妇女进行了基线数据收集。所有妇女都完成了关于饮食、运动、社会支持、粮食安全、压力、婴儿喂养习惯、健康和人口统计数据的调查。对于有孩子的妇女（n=66），调查数据与婴儿体重的医疗记录数据相匹配。结果表明，样本中 55%的妇女的婴儿体重处于第 85 百分位或更高，证实了需要进行幼儿肥胖干预。尽管母亲表现出了几种儿童肥胖的潜在风险因素（例如，快餐消费），但只有母亲食用甜食和含糖饮料、压力和 SNAP（食品券领取）与婴儿超重有关。研究结果进一步表明，压力和 SNAP 通过母亲饮用含糖饮料与儿童超重有关。研究结果表明，肥胖预防工作必须解决特定的个人选择以及塑造这些消费模式的外部环境。
