Grandparent Coresidence and Risk of Early Child Overweight and Obesity in Low-Income,Hispanic Families in New York City |
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| Institution: | 1. Division of General Pediatrics, Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (MW Katzow), Hempstead, NY;2. The Feinstein Institutes for Medical Research, Northwell Health (MW Katzow), Manhasset, NY;3. Division of General Pediatrics, Department of Pediatrics, New York University Grossman School of Medicine (MJ Messito and RS Gross), New York, NY;4. Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, New York University Grossman School of Medicine (AL Mendelsohn), New York, NY;5. Department of Applied Statistics, Social Science, and Humanities, New York University Steinhardt School of Culture, Education, and Human Development (MA Scott), New York, NY;1. Department of Medical Education, Bernard J Fogel Endowed Chair in Medical Education, University of Miami Miller School of Medicine (L Chandran), Miami, Fla;2. Renaissance School of Medicine at Stony Brook University (W-H Lu), Stony Brook, NY;3. Department of Pediatrics, Icahn School of Medicine at Mount Sinai (L Mogilner), New York, NY;4. Department of Family Medicine & Public Health, UC San Diego School of Medicine (DT Rana), La Jolla, Calif;5. Department of Pediatrics, University of Texas Health, San Antonio, Joe R. and Teresa Long School of Medicine (J Petershack), San Antonio, Tex;6. Department of Pediatrics, Baylor College of Medicine (TL Turner), Houston, Tex;1. Department of Orthopedics, West Virginia University (TL Shackleford, JJ Ray, and DR Grant), Morgantown, WVa;2. School of Medicine, West Virginia University (DM Bronikowski), Morgantown, WVa;3. Department of Pediatrics, West Virginia University (JD Lancaster), Morgantown, WVa;1. Children''s Mercy Kansas City (JJ Dilts, AE Esparham, ME Boorigie, M Connelly, and J Bickel), Kansas City, Mo;2. University of Missouri-Kansas City School of Medicine (JJ Dilts, AE Esparham, M Connelly, and J Bickel), Kansas City, Mo;1. Department of Health Law, Policy, and Management, Boston University School of Public Health (RC Sheldrick), Boston, Mass;2. Department of Counseling, Clinical, and School Psychology, University of California (ML Barnett), Santa Barbara, Calif;1. Division of General and Community Pediatrics, Children''s National Hospital, Washington, DC;2. Children''s National Hospital, George Washington University, Washington, DC;3. Child Health Advocacy Institute, Children''s National Hospital, Silver Spring, MD;4. Department of Pediatrics, The Barbara Bush Children''s Hospital at Maine Medical Center, Portland, Maine;5. Division of General and Community Pediatrics, Pediatric Residency Program, and Child Health Advocacy Institute, Children''s National Hospital, Washington, DC |
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| Abstract: | ObjectiveChildren in low-income Hispanic families are at high risk of obesity and are more likely to live with grandparents than their non-Hispanic white counterparts. We aimed to determine if grandparent coresidence (prenatal through age 2 years) was associated with: 1) obesogenic feeding practices; and 2) child weight outcomes from birth to three years.MethodsWe analyzed data from 267 low-income, Hispanic mother-infant pairs in the control group of an obesity prevention trial in New York City. Linear and logistic regression tested differences in obesogenic feeding practices and weight outcomes at 2 and 3 years, dependent upon grandparent coresidence. Multilevel modeling tested associations between grandparent coresidence and WFAz over time.ResultsPersistent grandparent coresidence (vs none) was associated with putting cereal in the bottle (adjusted odds ratio aOR] 3.46; 95% confidence interval CI] 1.43, 8.40). Persistent grandparent coresidence (vs none) was associated with higher mean WFAz (2 years: B 0.83; 95% CI 0.41, 1.25; 3 years: B 0.79; 95% CI 0.32, 1.25) and higher odds of child overweight/obesity risk (2 years: aOR 4.38; 95% CI 1.64, 11.69; 3 years: aOR 3.15; 95% CI 1.19, 8.36). In multilevel models, more occasions of grandparent coresidence were associated with higher WFAz.ConclusionsGrandparent coresidence may be associated with higher risk of child overweight/obesity in low-income, Hispanic families. Further research is needed to elucidate mechanisms of these associations and to inform obesity prevention strategies in the context of multigenerational families. |
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