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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.
Objective:
Determine child/maternal factors associated with overweight among 2- to 4-year-olds enrolled in the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Design:
Matched child and maternal data collected by self-report of the mother during WIC certification. These data were extracted from existing statewide WIC databases and merged.
Setting:
Texas WIC children aged 2 to 4 years in April 2006.
Participants:
Final sample was 22,837 mother-child dyads.
Main Outcome Measure:
Dependent variable--child overweight; independent variables: Child-related--gender, age, race/ethnicity, Medicaid status, living area, and dental problems; Maternal-related--certification status, age, times certified, overweight, high maternal weight gain, and gestational diabetes.
Analysis:
Bivariate relationships at P < .05 were included in the logistic regression.
Results:
Living in a nonborder urban area associated with greater odds of overweight compared to living in a border area. Mother's overweight, high gestational weight gain, and gestational diabetes associated with greater odds of child overweight.
Conclusions And Implications:
Several child- and maternal-related factors were found to be associated with overweight in Texas WIC preschoolers. Health interventions should target 4-year-old Hispanic children living in nonborder urban areas and mothers who are overweight, have high gestational weight gain, or have gestational diabetes.
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