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Factors related to overweight and risk for overweight status among low-income Hispanic children
Elizabeth Reifsnider1, Colleen S Keller, Martina Gallagher
1School of Nursing, University of Texas Medical Branch, Galveston, TX 77555, USA. elreifsn@utmb.edu
Insights
Maternal body mass index (BMI) and dietary fat intake are linked to higher weight/height percentiles in low-income Hispanic toddlers. Protein intake and hunger are associated with lower percentiles, suggesting tailored nutrition interventions.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Childhood overweight is a significant public health concern, particularly in low-income populations.
- Hispanic toddlers in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are a vulnerable group for weight status issues.
Purpose of the Study:
- To identify agent, host, and environmental factors associated with overweight status in low-income Hispanic toddlers.
- To inform targeted dietary counseling and health promotion strategies for this population.
Main Methods:
- Cross-sectional study design utilizing data from low-income Hispanic toddlers enrolled in WIC.
- Ecological model approach examining child's weight/height percentile in relation to maternal BMI, dietary intake (fat, protein), and child's hunger cues.
Main Results:
- Maternal BMI and higher daily fat servings were positively associated with weight/height percentiles in at-risk toddlers.
- Increased protein servings and reported hunger were negatively associated with weight/height percentiles.
- Childhood age was positively associated with weight/height percentiles among already overweight children.
Conclusions:
- Dietary fat and maternal BMI are key factors contributing to overweight risk in this population.
- Protein intake and hunger signals may play a protective role or indicate different nutritional needs.
- Personalized interventions based on individual weight status and BMI are recommended for effective management.
Abstract:
The purpose of this research was to investigate the agent, host, and environmental factors that are related to overweight status in a sample of low-income Hispanic toddlers who were enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children in a large southwestern city in the United States. Among children at risk for overweight status, the mothers' body mass index (BMI) and the number of servings of fat in the children's daily diet were positively associated with their weight/height percentiles whereas servings of protein in the daily diet and the children's reporting of hunger were negatively associated with their weight/height percentiles. Among overweight children, age was positively associated with their weight/height percentiles. No other variable in the ecological model was associated with normal weight or overweight children and their weight/height percentiles. Different approaches to dietary counseling and health promotion may be indicated based on a child's weight/height percentile or BMI.
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