Infant Feeding Outcomes From a Culturally-Adapted Early Obesity Prevention Program for Immigrant Chinese American Parents.

Autor: Duh-Leong C; Division of General Pediatrics (C Duh-Leong, LY Chang, KA Pierce, JJ Velazquez, and H Shonna Yin), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY. Electronic address: carol.duh-leong@nyulangone.org., Au L; Department of Pediatrics (L Au), Charles B. Wang Community Health Center, New York, NY., Chang LY; Division of General Pediatrics (C Duh-Leong, LY Chang, KA Pierce, JJ Velazquez, and H Shonna Yin), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY., Feldman NM; Department of Population Health (NM Feldman), Charles B. Wang Community Health Center, New York, NY., Pierce KA; Division of General Pediatrics (C Duh-Leong, LY Chang, KA Pierce, JJ Velazquez, and H Shonna Yin), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY., Mendelsohn AL; Division of Developmental-Behavioral Pediatrics (AL Mendelsohn), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY., Perrin EM; Division of General Pediatrics, Department of Pediatrics (EM Perrin), Schools of Medicine and Nursing, Johns Hopkins University, Baltimore, MD., Sanders LM; Division of General Pediatrics, Department of Pediatrics (LM Sanders), Stanford University School of Medicine, Palo Alto, Calif., Velazquez JJ; Division of General Pediatrics (C Duh-Leong, LY Chang, KA Pierce, JJ Velazquez, and H Shonna Yin), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY., Lei Y; Department of Health Policy (Y Lei), The London School of Economics and Political Science, London, United Kingdom., Xing SX; Columbia Vagelos College of Physicians and Surgeons (SX Xing), New York, NY., Shonna Yin H; Division of General Pediatrics (C Duh-Leong, LY Chang, KA Pierce, JJ Velazquez, and H Shonna Yin), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Nov-Dec; Vol. 24 (8), pp. 1276-1284. Date of Electronic Publication: 2024 Jun 14.
DOI: 10.1016/j.acap.2024.06.005
Abstrakt: Objective: To examine whether a cultural adaptation of an early childhood obesity prevention program promotes healthy infant feeding practices.
Methods: Prospective quasi-experimental study of a community-engaged multiphasic cultural adaptation of an obesity prevention program set at a federally qualified health center serving immigrant Chinese American parent-child dyads (N = 298). In a group of historical controls, we assessed early infant feeding practices (breastfeeding, sugar-sweetened beverage intake) in 6-month-olds and then the same practices alongside early solid food feeding practices (bottle weaning, fruit, vegetable, sugary or salty snack consumption) in 12-month-olds. After implementation, we assessed these practices in an intervention cohort group at 6 and 12 months. We used cross-sectional groupwise comparisons and adjusted regression analyses to evaluate group differences.
Results: At 6 months, the intervention group had increased odds of no sugar-sweetened beverage intake (aOR: 5.69 [95% confidence interval (CI): 1.65, 19.63], P = .006). At 12 months, the intervention group also had increased odds of no sugar-sweetened beverage intake (aOR: 15.22 [95% CI: 6.33, 36.62], P < .001), increased odds of bottle weaning (aOR: 2.34 [95% CI: 1.05, 5.23], P = .03), and decreased odds of sugary snack consumption (aOR: 0.36 [0.18, 0.70], P = .003). We did not detect improvements in breastfeeding, fruit, vegetable, or salty snack consumption.
Conclusions: A cultural adaptation of a primary care-based educational obesity prevention program for immigrant Chinese American families with low income is associated with certain healthy infant feeding practices. Future studies should evaluate cultural adaptations of more intensive interventions that better address complex feeding practices, such as breastfeeding, and evaluate long-term weight outcomes.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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