Overweight among low-income Texas preschoolers aged 2 to 4 years

Kayan L Lewis1, Brian C Castrucci, Ginger Gossman

  • 1Office of Program Decision Support, Division of Family and Community Health Services, Texas Department of State Health Services, Austin, TX, USA. fhrpdmanuscripts@gmail.com

Insights

Childhood overweight in Texas WIC preschoolers is linked to maternal factors like obesity and gestational diabetes. Interventions should target Hispanic children in urban areas and at-risk mothers.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Maternal Health

Background:

  • Childhood obesity is a significant public health concern.
  • The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves a vulnerable population.
  • Identifying factors associated with overweight in early childhood is crucial for targeted interventions.

Purpose of the Study:

  • To determine child and maternal factors associated with overweight in 2- to 4-year-old children enrolled in the Texas WIC program.
  • To inform public health strategies for preventing childhood obesity.

Main Methods:

  • A cross-sectional study utilizing matched child and maternal data from Texas WIC databases.
  • Data were collected via mother's self-report during WIC certification.
  • Logistic regression analysis was performed on a sample of 22,837 mother-child dyads.

Main Results:

  • Living in a nonborder urban area was associated with increased odds of child overweight compared to border areas.
  • Maternal overweight, high gestational weight gain, and gestational diabetes were significantly associated with greater odds of child overweight.
  • Hispanic ethnicity and being 4 years old were also noted as factors.

Conclusions:

  • Several maternal and child factors are associated with overweight in Texas WIC preschoolers.
  • Health interventions should focus on 4-year-old Hispanic children in nonborder urban areas.
  • Targeting mothers who are overweight, experienced high gestational weight gain, or had gestational diabetes is recommended.
Abstract

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