Comparison of Early Life Obesity-Related Risk and Protective Factors in Non-Hispanic Black Subgroups

Autor:	Folefac Atem, Ashley Ofori, Sarah E. Messiah, Ruby Natale, Cynthia Lebron, Catherina Chang, M. Sunil Mathew
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty Percentile Epidemiology West Indies Ethnic group Breastfeeding Black People Weight Gain Article law.invention Body Mass Index 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Ethnicity Medicine Humans Early childhood Obesity Child Care Child 030219 obstetrics & reproductive medicine business.industry Public health Body Weight Public Health Environmental and Occupational Health Obstetrics and Gynecology medicine.disease Haiti United States Black or African American Cross-Sectional Studies Socioeconomic Factors Child Preschool Pediatrics Perinatology and Child Health Female business Body mass index Demography
Zdroj:	Matern Child Health J
ISSN:	1573-6628
Popis:	OBJECTIVES. Previous obesity prevention studies in preschool-age children have included non-Hispanic Black (NHB) children, but few have investigated between-subgroup differences even though there may be cultural risk and protective practice differences, challenging the generalizability of findings. The purpose of this study was to examine differences in early childhood obesity-related factors in NHB subgroups (Haitian, other Caribbean Islander and African-American [AA]) children. METHODS. Baseline data from two randomized controlled trials in 52 childcare centers of which 35 had data to test a preschool-based obesity prevention intervention was analyzed. The sub-sample included 370 caregiver-child dyads; 209 self-identified as AA, 120 as Haitian and 41 as Caribbean Islander/West Indian or mixed race. Multilevel regression models generated outcome estimates for group differences in body mass index (BMI) percentile, birthweight, breastfeeding initiation and duration, bottle feeding duration and age when solid foods were introduced. RESULTS. Mean BMI percentile was similar for AA, Haitian and Caribbean Islander/West Indian/Multiracial (60.1(th) percentile, 60.8(th) percentile, 62.8(th) percentile, respectively) as was birthweight (6.3, 6.8, and 6.6 pounds, respectively). Children of US-born caregivers had significantly lower BMI percentiles (9.13 percentile points) versus foreign-born caregivers. Haitian women were significantly more likely to initiate breastfeeding (64.9%) versus AA (47.6%) and Caribbean Islander/West Indian/Multiracial (62.2%)(p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2d7153ed232618a6121faf8ed64b8b07 https://pubmed.ncbi.nlm.nih.gov/32632842 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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