Montgomery Michele, Johnson Paige, Ewell Patrick
The University of Alabama, Capstone College of Nursing, Tuscaloosa, AL, USA.
Department of Psychology, Kenyon College, Tuscaloosa, AL, USA.
SAGE Open Nurs. 2022 Mar 9;8:23779608221082962. doi: 10.1177/23779608221082962. eCollection 2022 Jan-Dec.
Childhood overweight and obesity continues to be a major public health concern, especially in minority, low-income, and rural populations. In order to develop health promotion interventions aimed at reducing obesity rates, there is a need to identify which populations have the highest rates of obesity and the risk factors associated with these high rates.
Data collected from low-income, preschool children and their parents in an urban community and a rural community in Alabama were analyzed and compared. Body Mass Index (BMI) was collected during school based health screenings, and information regarding parent's BMI and child's consumption of sugar-sweetened beverages (SSBs) were collected by parent report.
Of the 363 children screened, 12.8% (15.2% rural and 11.9% urban) were considered overweight, and 15.8% (20.2% rural and 14.2% urban) of the sample was classified as obese. Rates of overweight and obesity for mothers were 27.6% (25.3% rural and 28.4% urban) and 48% (56.3% rural and 44.8% urban) respectively and 39.6% (53.3% rural and 34.4% urban) and 34.6% (28.3% rural and 36.9% urban) for fathers. Parents reported their child consumed 3.82 SSBs per day. Overall, mother's BMI, father's BMI and sugar-sweetened beverage consumption was positively associated with child's BMI. However, there were no significant interactions between the rural and urban groups.
Rates of overweight and obesity remain high in low-income, predominantly minority preschool children and their parents in two communities in Alabama. Consumption of SSBs, mother's BMI, and father's BMI are three factors impacting the weight status of low-income preschool children. These factors are significant in both rural and urban children.
儿童超重和肥胖仍然是一个主要的公共卫生问题，尤其是在少数族裔、低收入和农村人口中。为了制定旨在降低肥胖率的健康促进干预措施，有必要确定哪些人群肥胖率最高以及与这些高肥胖率相关的风险因素。
对从阿拉巴马州一个城市社区和一个农村社区的低收入学龄前儿童及其父母收集的数据进行了分析和比较。在校内健康筛查期间收集了体重指数（BMI），并通过家长报告收集了有关父母BMI和儿童含糖饮料（SSB）消费情况的信息。
在接受筛查的363名儿童中，12.8%（农村为15.2%，城市为11.9%）被认为超重，样本的15.8%（农村为20.2%，城市为14.2%）被归类为肥胖。母亲的超重和肥胖率分别为27.6%（农村为25.3%，城市为28.4%）和48%（农村为56.3%，城市为44.8%），父亲的超重和肥胖率分别为39.6%（农村为53.3%，城市为34.4%）和34.6%（农村为28.3%，城市为36.9%）。家长报告他们的孩子每天饮用3.82杯含糖饮料。总体而言，母亲的BMI、父亲的BMI和含糖饮料消费与孩子的BMI呈正相关。然而，农村和城市群体之间没有显著的交互作用。
阿拉巴马州两个社区中低收入、主要为少数族裔的学龄前儿童及其父母的超重和肥胖率仍然很高。含糖饮料的消费、母亲的BMI和父亲的BMI是影响低收入学龄前儿童体重状况的三个因素。这些因素在农村和城市儿童中都很重要。
