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Ecological Differences in Weight, Length, and Weight for Length of Mexican American Children in the WIC Program
Authors:Elizabeth Reifsnider  PhD  APRN  BC  WHNP    Melanie Ritsema  RN  IBCLC  MPH
Institution:School of Nursing, University of Texas Medical Branch, Galveston, TX;
San Antonio Metropolitan Health District, San Antonio, TX
Abstract:PURPOSE.  Examine factors common in the environments of children who obtain services from a WIC program to determine if differences in ecological/environmental factors can be found in the children who differ in weight , length , and weight for length.
DESIGN AND METHODS.  Cross-sectional study of 300 children , 100 each who were stunted , normal weight for length , or overweight. Instruments used were NCATS , ARSMA II , 24-hr diet recall , and Baecke Activity Questionnaire.
RESULTS.  Significant differences were present in children's diet , parents' BMI , parents' generation in United States , parents' activity levels , and maternal–child relationship.
PRACTICE IMPLICATIONS.  Encourage parents to adopt family approaches to encourage normal body size in children.
Keywords:Child overweight                            ecological factors                            ecological monitoring                            Mexican American children                            obesity
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