Infant and Early Child Appetite Traits and Child Weight and Obesity Risk in Low-Income Hispanic Families |
| |
| Affiliation: | 1. Department of Pediatrics, New York University Grossman School of Medicine, New York;2. Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY;3. Department of Applied Statistics, Social Science, and Humanities, New York University Steinhardt School of Culture, Education, and Human Development, New York;1. Community Health Sciences, Institute of Public Health, Alberta Children’s Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;2. Canada Nutrition Services, Alberta Health Services, Calgary, Alberta, Canada;3. Departments of Nutrition and Pediatrics, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH;4. Clinical Research Program, Department of Pharmacy, Boston Children’s Hospital, Boston, MA;5. Harvard Medical School, Boston, MA;6. Neonatal Intensive Care Unit, Department of Neonatology, Division of Translational Research, Beth Israel Deaconess Medical Center, Boston, MA;7. Division of Neonatology, Department of Pediatrics, Yale School of Medicine, New Haven, CT;8. Clinical and Translational Research, Biomedical Research Institute of New Jersey, Cedar Knolls, NJ;9. Department of Pediatrics, Morristown Medical Center, Morristown, NJ;10. Academy of Nutrition and Dietetics, Evidence Analysis Center, Chicago, IL;1. Public and Allied Health Department with Bowling Green State University, Bowling Green, OH;2. Social Marketing and Communication, FHI 360, Washington, DC;3. Child Nutrition Services, Auburn School District, Auburn, WA;4. University of Washington, School of Public Health, Department of Health Services, Seattle, WA;5. Dining Services, Morrison Living, Sandy Springs, GA;6. Product Management with MatrixCare, Bloomington, MN;7. Food & Nutrition Department with UPMC Presbyterian Shadyside, Pittsburgh, PA;8. Data Science Center, Research, International and Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, IL;1. Department of Physical Medicine and Rehabilitation, School of Medicine, The University of Alabama at Birmingham;2. Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey;3. School of Nursing, Family, Community and Health Systems, The University of Alabama at Birmingham, Birmingham, AL;4. The University of Alabama at Birmingham, Birmingham, AL;5. Department of Nutrition Sciences, The University of Alabama at Birmingham, Birmingham, AL;6. Rehabilitation Center, Birmingham, AL;1. School of Health and Rehabilitation Sciences and John Glenn College of Public Affairs, The Ohio State University, Columbus, OH;2. Academy of Nutrition and Dietetics, Chicago, IL;3. Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, Agricultural Sciences 216, University of Hawaii at Manoa, Honolulu, HI;4. National Cancer Institute, NIH, Bethesda, MD;5. College of Health and Human Sciences, Kansas State University, Manhattan |
| |
| Abstract: | BackgroundChild appetite traits (ATs) are associated with later child weight and obesity risk. Less research has focused on ATs in low-income Hispanic children or included longitudinal associations with infant weight.ObjectiveTo determine stability of ATs during infancy and childhood and their relationship with subsequent weight and obesity risk at age 3 years among low-income Hispanic children.DesignA secondary longitudinal analysis of data from the Starting Early Program randomized controlled obesity prevention trial.Participants/settingThree hundred twenty-two low-income, Hispanic mother–child pairs enrolled between 2012 and 2014 in a public hospital in New York City.Main outcome measuresATs, including Slowness in Eating, Satiety Responsiveness, Food Responsiveness, and Enjoyment of Food were assessed using the Baby and Child Eating Behavior Questionnaires at ages 3 months, 2 years, and 3 years. Main outcome measures were child standardized weight-for-age z score (WFAz) and obesity risk (WFA≥95th percentile) at age 3 years.Statistical analyses performedAT stability was assessed using correlations and multilevel modeling. Linear and logistic regression analyses examined associations between ATs and child WFAz and obesity risk at age 3 years.ResultsThere was limited stability for all ATs measured over time. During infancy, Slowness in Eating was associated with lower 3-year WFAz (B = –0.18, 95% CI –0.33 to –0.04; P = 0.01). At age 2 years, Slowness in Eating and Satiety Responsiveness were associated with lower WFAz (B = –0.29, 95% CI –0.47 to –0.12; P < 0.01; B = –0.36, 95% CI –0.55 to –0.17; P < 0.01) and obesity risk (adjusted odds ratio 0.49, 95% CI 0.28 to 0.85; adjusted odds ratio 0.61, 95% CI 0.38 to 0.99) at 3 years. Increased Slowness in Eating and Satiety Responsiveness over time were associated with lower 3-year WFAz (B = –0.74, 95% CI –1.18 to –0.2 [Slowness in Eating]; B = –1.19, 95% CI –1.87 to –0.52 [Satiety Responsiveness], both P values = 0.001). Higher Enjoyment of Food over time was associated with higher 3-year WFAz (B = 0.62, 95% CI 0.24 to 1.01; P = 0.002).ConclusionsInfants with lower Slowness in Eating and Satiety Responsiveness may have higher levels of obesity risk and need more tailored approaches to nutrition counseling and obesity prevention. |
| |
| Keywords: | Appetite traits BEBQ CEBQ Childhood obesity Hispanic |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
