Division of General Pediatrics, Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (MW Katzow), Hempstead, NY; The Feinstein Institutes for Medical Research, Northwell Health (MW Katzow), Manhasset, NY.
Division of General Pediatrics, Department of Pediatrics, New York University Grossman School of Medicine (MJ Messito and RS Gross), New York, NY.
Acad Pediatr. 2022 Jan-Feb;22(1):90-97. doi: 10.1016/j.acap.2021.05.020. Epub 2021 May 28.
Children in low-income Hispanic families are at high risk of obesity and are more likely to live with grandparents than their non-Hispanic white counterparts. We aimed to determine if grandparent coresidence (prenatal through age 2 years) was associated with: 1) obesogenic feeding practices; and 2) child weight outcomes from birth to three years.
We analyzed data from 267 low-income, Hispanic mother-infant pairs in the control group of an obesity prevention trial in New York City. Linear and logistic regression tested differences in obesogenic feeding practices and weight outcomes at 2 and 3 years, dependent upon grandparent coresidence. Multilevel modeling tested associations between grandparent coresidence and WFAz over time.
Persistent grandparent coresidence (vs none) was associated with putting cereal in the bottle (adjusted odds ratio [aOR] 3.46; 95% confidence interval [CI] 1.43, 8.40). Persistent grandparent coresidence (vs none) was associated with higher mean WFAz (2 years: B 0.83; 95% CI 0.41, 1.25; 3 years: B 0.79; 95% CI 0.32, 1.25) and higher odds of child overweight/obesity risk (2 years: aOR 4.38; 95% CI 1.64, 11.69; 3 years: aOR 3.15; 95% CI 1.19, 8.36). In multilevel models, more occasions of grandparent coresidence were associated with higher WFAz.
Grandparent coresidence may be associated with higher risk of child overweight/obesity in low-income, Hispanic families. Further research is needed to elucidate mechanisms of these associations and to inform obesity prevention strategies in the context of multigenerational families.
低收入西班牙裔家庭的儿童肥胖风险较高，并且与非西班牙裔白人相比，他们更有可能与祖父母同住。我们旨在确定祖父母同住（从产前到 2 岁）是否与以下因素相关：1）致肥胖的喂养方式；2）从出生到 3 岁的儿童体重结果。
我们分析了纽约市肥胖预防试验对照组中 267 名低收入西班牙裔母婴对的数据。线性和逻辑回归测试了在祖父母同住的情况下，致肥胖的喂养方式和 2 岁和 3 岁时的体重结果的差异。多层次模型测试了祖父母同住与 WFAz 随时间的关联。
持续的祖父母同住（而非没有）与将谷物放入奶瓶中有关（调整后的优势比 [aOR] 3.46；95%置信区间 [CI] 1.43，8.40）。持续的祖父母同住（而非没有）与较高的平均 WFAz 相关（2 岁：B 0.83；95% CI 0.41，1.25；3 岁：B 0.79；95% CI 0.32，1.25）和儿童超重/肥胖风险的更高几率（2 岁：aOR 4.38；95% CI 1.64，11.69；3 岁：aOR 3.15；95% CI 1.19，8.36）。在多层次模型中，更多的祖父母同住机会与更高的 WFAz 相关。
祖父母同住可能与低收入西班牙裔家庭儿童超重/肥胖的风险增加有关。需要进一步研究以阐明这些关联的机制，并为多代家庭背景下的肥胖预防策略提供信息。
