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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Diet, physical activity, weight status, and culture in a sample of children from the developing world
Pamela S Gaskin1, Pamela Lai, Devon Guy
1Faculty of Medical Sciences, University of the West Indies, Martindale's Road, St. Michael, Cave Hill, Barbados.
Insights
Childhood obesity in Barbados is linked to high sugar-sweetened beverage intake and sedentary behaviors. Parental influence on activity and children's school-based activity are key factors for prevention strategies.
Area of Science:
- Pediatric Nutrition
- Obesity Epidemiology
- Behavioral Science
Background:
- Barbados, a small developing nation, is experiencing a significant childhood obesity epidemic.
- Understanding children's dietary and physical activity (PA) patterns is crucial for developing effective prevention strategies.
- Limited data exists on the food and activity preferences of children in this cultural context.
Purpose of the Study:
- To describe dietary and physical activity (PA) patterns in 9-11-year-old Barbadian children.
- To examine the relationship between these patterns, weight status, and cultural context.
- To assess adult encouragement of active and sedentary behaviors.
Main Methods:
- Pilot study data from 62 children aged 9-11 years in Barbados.
- Assessment of PA, sedentary activity, and dietary intake via recalls.
- Measurement of children's weight and height to determine Body Mass Index (BMI).
Main Results:
- Sugar-sweetened beverages constituted 21% of total energy intake.
- Energy intake was a significant predictor of BMI.
- Parents predominantly selected sedentary activities for children, encouraging homework and chores (59%).
- Children's self-selected school-based activities showed a significant relationship with BMI.
Conclusions:
- Childhood obesity prevention efforts should address culture-specific practices contributing to high sugar consumption.
- Parent-child interactions regarding physical activity (PA) are critical.
- School-based activity interventions show promise as a preventive research area.
Abstract:
Objective. Barbados, a small developing state at the end of the nutrition transition, faces an obesity epidemic. Although there is hope of stemming the epidemic in childhood, no descriptions of children's dietary and physical activity (PA) patterns are available for planning purposes. We describe the food and activity preferences and adult encouragement of active and sedentary behaviors for children 9-11 years in relation to weight status and the cultural context. Design. We used data from a pilot study preceding a large-scale ongoing study on the local drivers of the obesity epidemic among preadolescent children. PA, sedentary activity, and dietary intakes were assessed from recalls. Weight and height were measured. Setting. Barbados. Subjects. Sixty-two (62), 9-11-year-old school children. Results. Sugar-sweetened beverages provided 21% of energy consumed. Energy intake significantly explained BMI. Parents selected significantly more of children's sedentary activities and encouraged mostly homework and chores (59%). Children's self-selected school-based activity was significantly related to BMI. Conclusions. Childhood obesity prevention recommendations and research should focus on culture-specific practices that promote acquired taste for excess sugar and parent-child interactions regarding PA. Child influenced by school-based activity intervention may an important area for preventive intervention research.
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