Chiasson M A, Scheinmann R, Hartel D, McLeod N, Sekhobo J, Edmunds L S, Findley S
Research and Evaluation, Public Health Solutions, 40 Worth Street, 5th Floor, New York, NY, 10013, USA.
Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
J Community Health. 2016 Feb;41(1):127-33. doi: 10.1007/s10900-015-0077-2.
This longitudinal study of children enrolled as infants in the New York State (NYS) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) examined predictors of obesity (body mass index ≥ 95th percentile) at 3 years of age. NYS WIC administrative data which included information from parent interviews and measured heights and weights for children were used. All 50,589 children enrolled as infants in WIC between July to December 2008 and July to December 2009 and retained in WIC through age three were included. At 3 years of age, 15.1% of children were obese. Multiple logistic regression analysis showed that children of mothers who received the Full Breastfeeding Food Package when their infant was enrolled in WIC (adjusted OR = 0.52) and children with ≤2 h screen time daily at age 3 (adjusted OR = 0.88) were significantly less likely to be obese (p < 0.001) controlling for race/ethnicity, birth weight, and birthplace. In this cohort of NYS WIC participants, maternal receipt of the Full Breastfeeding Food Package (a surrogate measure of exclusive breastfeeding) is associated with lower levels of obesity in their children at age 3. The relationships between participation in WIC, exclusive breastfeeding, and obesity prevention merit further study.
这项针对纽约州（NYS）妇女、婴儿和儿童特别补充营养计划（WIC）中婴儿期入组儿童的纵向研究，考察了3岁时肥胖（体重指数≥第95百分位数）的预测因素。研究使用了纽约州WIC的行政数据，其中包括来自家长访谈的信息以及儿童的测量身高和体重。纳入了2008年7月至12月以及2009年7月至12月期间在WIC中婴儿期入组且3岁前一直留在WIC项目中的所有50589名儿童。3岁时，15.1%的儿童肥胖。多因素逻辑回归分析显示，在控制种族/族裔、出生体重和出生地后，婴儿入组WIC时母亲接受全母乳喂养食品包的儿童（校正OR = 0.52）以及3岁时每天屏幕时间≤2小时的儿童（校正OR = 0.88）肥胖的可能性显著降低（p < 0.001）。在这个纽约州WIC参与者队列中，母亲接受全母乳喂养食品包（纯母乳喂养的替代指标）与他们3岁孩子较低的肥胖水平相关。参与WIC、纯母乳喂养和肥胖预防之间的关系值得进一步研究。
